RT期刊文章SR电子T1检查初始后震荡头晕和姿势稳定作为潜在复苏预测乔摩根富林明神经病学神经病学FD Lippincott Williams &威尔金斯SP肌力OP肌力做wnl.0000801892.78481 10.1212/01.。首页b1签证官98 1补充1 A1凯瑟琳Smulligan A1马修Wingerson A1科瑞恩Seehusen A1朱莉·威尔逊A1大卫·r·豪厄尔年2022 UL //www.ez-admanager.com/content/98/1_Supplement_1/S17.1.abstrac首页t AB客观检查之间的关系严重后震荡头晕、初始症状严重,随着时间的推移,症状解决青少年姿势稳定。背景识别后震荡的早期症状和功能赤字预测症状决议可以指导治疗策略。头晕是最常见的脑震荡症状,现有文献调查眩晕和恢复时间之间的关系是复杂的。设计/方法的参与者进行了初步评估= 14天后震荡,使用后震荡症状量表和自我报告的症状严重程度(PCSI)。我们使用PSCI头晕评级组参与者:区别当前和伤前头晕≥3 =头晕目眩;不同< 3 =不头晕。我们评估姿势稳定使用修改平衡误差评分系统(mbes)和串联步态(TG)。病人随访直到症状决议,我们感兴趣的主要结果是时候从脑震荡症状决议。使用一个单变量Cox比例风险模型,我们研究协会的眩晕和症状时间分辨率。然后我们使用多变量Cox比例风险模型来调整不同团体之间的变量。结果我们检查了89名参与者,分组为头晕(n = 34; age = 14.7 ± 2.7 years; 7.1 ± 3.4 days post-injury; symptom resolution time = 40.8 ± 5.7 days) or not dizzy (n = 55; age = 14.4 ± 2.3 years; 7.2 ± 3.1 days post-injury; symptom resolution time = 23.3 ± 3.2 days). Upon univariable examination, dizziness was independently associated with symptom resolution time (HR = 0.49; 95% CI: 0.28, 0.83; p = 0.009). After adjusting for potential confounding variables (initial symptom severity, mBESS tandem stance errors, TG time, and loss of consciousness) multivariable model results indicated initial symptom severity was the only variable associated with symptom resolution time (HR = 0.98; 95% CI: 0.96, 0.997; p = 0.025).Conclusions Total symptom severity, but not dizziness or postural stability, was significantly associated with symptom resolution time among adolescents following concussion. Individuals with moderate to severe post-concussion dizziness had higher average symptom scores indicating self-reported dizziness should be interpreted in the context of total concussion symptom burden.