The Role of Mechanical Diagnosis and Therapy in the Classification and Management of Concussion
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 13
- 试验地点
- 2
- 主要终点
- Directional preference classification
研究概览
简要总结
The purpose of this study is to examine the role of a Mechanical Diagnosis and Therapy (MDT) examination in identifying participants diagnosed with concussion who display a directional preference compared to who don't display a directional preference.
详细描述
Directional preference describes the clinical phenomenon where a specific direction of repeated movement and / or sustained position results in a clinically relevant improvement in symptoms. This improvement is usually accompanied by an improvement in function or mechanics or both. Its presence and relevance is determined over 2-3 visits. This study aims to identify the proportion of participants with concussion who present with a directional preference during the course of physical therapy. A secondary aim of this study is to investigate whether directional preference is associated with the eventual patient related outcomes following care.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 13 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age = 13 - 65
- •Complaints of neck pain, headache, or dizziness associated with a diagnosis of concussion or mild TBI
- •Ability to read/write English
- •Referral from physician
排除标准
- •Age less than 13 or greater than 65
- •Cause of symptoms is result of a work-related accident or motor vehicle accident
- •Receiving concurrent treatment from a chiropractor or massage therapist
- •Glasgow Coma Scale less than 12
- •Lesion on head CT/MRI
- •Focal neurological deficits associated with serious spinal pathology (fracture, infection, tumor, vertebrobasilar insufficiency)
- •Inability to or unwilling to exercise as part of usual PT care
- •Unable to read/write English
- •History of osteopenia/osteoporosis or cancer
研究组 & 干预措施
Directional preference responder
This group is comprised of participants who responded to repeated movements in a direction (e.g., neck flexion) that significantly improved their symptoms and/or their ability to move their head/neck.
干预措施: Physical Therapy (Behavioral)
Directional preference non-responder
This group is comprised of participants who did not respond to repeated movements in any specific direction that significantly improved their symptoms and/or their ability to move their head/neck.
干预措施: Physical Therapy (Behavioral)
结局指标
主要结局
Directional preference classification
时间窗: Through study completion, up to 1 year.
Outcome represents the patient's directional preference at the time of discharge from care. Patients will be classified as directional preference responders or non-responders.
次要结局
- Post-Concussion Symptom Scale(Through study completion, up to 1 year.)
- Neck Disability Index(Through study completion, up to 1 year.)
- Dizziness Handicap Inventory(Through study completion, up to 1 year.)
研究者
Michael Brown
Clinical Assistant Professor
State University of New York at Buffalo