The Cardiac Autonomic Response Recovery to the Modified Tilt Test in Children Post Moderate–Severe Traumatic Brain Injury.

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Title: The Cardiac Autonomic Response Recovery to the Modified Tilt Test in Children Post Moderate–Severe Traumatic Brain Injury.
Authors: Sorek, Gilad, Gagnon, Isabelle, Schneider, Kathryn, Chevignard, Mathilde, Stern, Nurit, Fadida, Yahaloma, Kalderon, Liran, Shaklai, Sharon, Katz-Leurer, Michal
Source: Brain Injury. 2022, Vol. 36 Issue 8, p1033-1038. 6p.
Subjects: Blood pressure, Orthostatic intolerance, Autonomic nervous system, Tilt-table test, Standing position, Health outcome assessment, Heart beat, Brain injuries, Rehabilitation, Supine position, Disease risk factors, Disease complications, Children
Abstract: To assess the recovery of the cardiac autonomic control system (CACS) response to the modified tilt-test during rehabilitation, in children post moderate-severe TBI at the subacute phase post-injury. Thirty-seven children aged 6-18 years, 14-162 days post moderate-severe TBI, participated in the study. The assessment included CACS values evaluation (heart rate (HR), heart rate variability (HRV) and blood pressure) during the modified tilt-test: five minutes lying supine and five minutes passive standing. Re-assessment was performed after eight weeks of rehabilitation. In both assessments, only four children reported symptoms associated with orthostatic intolerance during the modified tilt-test. No change was found over time in the HR and HRV values at rest. In response to the modified tilt-test, the systolic blood pressure showed change over time, with a significant interaction effect (p=0.04); while in the first assessment the SBP values showed a hypertension trend in the second assessment the SBP values showed a hypotension trend. Children post moderate-severe TBI at the sub-acute phase post-injury, have a better systolic blood pressure response during the modified tilt-test after eight weeks of individually tailored rehabilitation program, despite no change in the CACS values at rest. NCT03215082 [ABSTRACT FROM AUTHOR]
Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The Cardiac Autonomic Response Recovery to the Modified Tilt Test in Children Post Moderate–Severe Traumatic Brain Injury.
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  Data: To assess the recovery of the cardiac autonomic control system (CACS) response to the modified tilt-test during rehabilitation, in children post moderate-severe TBI at the subacute phase post-injury. Thirty-seven children aged 6-18 years, 14-162 days post moderate-severe TBI, participated in the study. The assessment included CACS values evaluation (heart rate (HR), heart rate variability (HRV) and blood pressure) during the modified tilt-test: five minutes lying supine and five minutes passive standing. Re-assessment was performed after eight weeks of rehabilitation. In both assessments, only four children reported symptoms associated with orthostatic intolerance during the modified tilt-test. No change was found over time in the HR and HRV values at rest. In response to the modified tilt-test, the systolic blood pressure showed change over time, with a significant interaction effect (p=0.04); while in the first assessment the SBP values showed a hypertension trend in the second assessment the SBP values showed a hypotension trend. Children post moderate-severe TBI at the sub-acute phase post-injury, have a better systolic blood pressure response during the modified tilt-test after eight weeks of individually tailored rehabilitation program, despite no change in the CACS values at rest. NCT03215082 [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/02699052.2022.2110942
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 1033
    Subjects:
      – SubjectFull: Blood pressure
        Type: general
      – SubjectFull: Orthostatic intolerance
        Type: general
      – SubjectFull: Autonomic nervous system
        Type: general
      – SubjectFull: Tilt-table test
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      – SubjectFull: Standing position
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Heart beat
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      – SubjectFull: Brain injuries
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      – SubjectFull: Rehabilitation
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      – SubjectFull: Supine position
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      – SubjectFull: Disease risk factors
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      – SubjectFull: Disease complications
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      – SubjectFull: Children
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      – TitleFull: The Cardiac Autonomic Response Recovery to the Modified Tilt Test in Children Post Moderate–Severe Traumatic Brain Injury.
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              Text: 2022
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