Using concurrent gait and cognitive assessments to identify impairments after concussion: a narrative review

Author:

Howell David R1234,Kirkwood Michael W56,Provance Aaron4,Iverson Grant L789,Meehan William P12310

Affiliation:

1. The Micheli Center for Sports Injury Prevention, Waltham, MA 02453, USA

2. Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, MA 02115, USA

3. Brain Injury Center, Boston Children's Hospital, Boston, MA 02115, USA

4. Sports Medicine Center, Children's Hospital Colorado & University of Colorado School of Medicine, Aurora, CO 80045, USA

5. Department of Physical Medicine & Rehabilitation, University of Colorado, Aurora, CO 80045, USA

6. Rehabilitation Medicine, Children's Hospital Colorado, Aurora, CO 80045, USA

7. Department of Physical Medicine & Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA 02129, USA

8. MassGeneral Hospital for Children Sport Concussion Program, Boston, MA 02114, USA

9. Home Base, A Red Sox Foundation & Massachusetts General Hospital Program, Boston, MA 02129, USA

10. Department of Pediatrics & Orthopaedic Surgery, Harvard Medical School, Boston, MA 02115, USA

Abstract

Understanding how a concussion affects an individual is oftentimes difficult for clinicians due to the varying symptom profiles reported by the patient and the multifaceted and heterogeneous nature of the injury. Accordingly, the interpretation of postconcussion performance can be challenging, because many different testing paradigms have been reported as potentially useful in the literature. Among the types of tests clinicians use to understand how concussion affects an individual, both gait and neurocognitive evaluations have demonstrated utility. Our purpose is to describe how combined gait and cognitive (i.e., dual task), as well as single-task gait and computerized neurocognitive examinations can assist clinical decision-making.

Publisher

Future Medicine Ltd

Subject

Clinical Neurology,Neurology

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