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Evolution of dizziness-related disability in children following concussion: a group-based trajectory analysis.

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Title: Evolution of dizziness-related disability in children following concussion: a group-based trajectory analysis.
Authors: Langevin, Pierre, Schneider, Kathryn J., Katz-Leurer, Michal, Chevignard, Mathilde, Grilli, Lisa, Crampton, Adrienne, Gagnon, Isabelle
Source: Brain Injury. 2025, Vol. 39 Issue 1, p1-9. 9p.
Subjects: Brain concussion diagnosis, Risk assessment, Self-evaluation, Research funding, Dizziness, Questionnaires, Logistic regression analysis, Neck pain, Descriptive statistics, Anxiety, Pediatrics, Longitudinal method, Odds ratio, Convalescence, Confidence intervals, Brain concussion, Disease complications
Abstract: Objective: This study aimed to identify Dizziness-Related Disability (DRD) recovery trajectories in pediatric concussion and assess clinical predictors of disability groups. Materials and Methods: In this prospective cohort study, 81 children (8–17 years) diagnosed with an acute concussion took part in 3 evaluation sessions (baseline, 3-month, and 6-month). All sessions included the primary disability outcome, the Dizziness Handicap Inventory (DHI) to create the DRD recovery trajectories using group-based multi-trajectory modeling analysis. Each independent variable included general patients' characteristics, premorbid conditions, function and symptoms questionnaires, and clinical physical measures; and were compared between the trajectories with logistic regression models. Results: Low DRD (LD) trajectory (n = 64, 79%), and a High DRD (HD) trajectory (n = 17, 21%) were identified. The Predicting and Preventing Postconcussive Problems in Pediatrics (5P) total score (Odds Ratio (OR):1.50, 95% Confidence Interval (CI): 1.01–2.22), self-reported neck pain (OR:7.25, 95%CI: 1.24–42.36), and premorbid anxiety (OR:7.25, 95%CI: 1.24–42.36) were the strongest predictors of belonging to HD group. Conclusions: Neck pain, premorbid anxiety, and the 5P score should be considered initially in clinical practice as to predict DRD at 3 and 6-month. Further research is needed to refine predictions and enhance personalized treatment strategies for pediatric concussion. [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.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Evolution of dizziness-related disability in children following concussion: a group-based trajectory analysis.
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  Data: <searchLink fieldCode="AR" term="%22Langevin%2C+Pierre%22">Langevin, Pierre</searchLink><br /><searchLink fieldCode="AR" term="%22Schneider%2C+Kathryn+J%2E%22">Schneider, Kathryn J.</searchLink><br /><searchLink fieldCode="AR" term="%22Katz-Leurer%2C+Michal%22">Katz-Leurer, Michal</searchLink><br /><searchLink fieldCode="AR" term="%22Chevignard%2C+Mathilde%22">Chevignard, Mathilde</searchLink><br /><searchLink fieldCode="AR" term="%22Grilli%2C+Lisa%22">Grilli, Lisa</searchLink><br /><searchLink fieldCode="AR" term="%22Crampton%2C+Adrienne%22">Crampton, Adrienne</searchLink><br /><searchLink fieldCode="AR" term="%22Gagnon%2C+Isabelle%22">Gagnon, Isabelle</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Brain+Injury%22">Brain Injury</searchLink>. 2025, Vol. 39 Issue 1, p1-9. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Brain+concussion+diagnosis%22">Brain concussion diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Dizziness%22">Dizziness</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Neck+pain%22">Neck pain</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+concussion%22">Brain concussion</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: This study aimed to identify Dizziness-Related Disability (DRD) recovery trajectories in pediatric concussion and assess clinical predictors of disability groups. Materials and Methods: In this prospective cohort study, 81 children (8–17 years) diagnosed with an acute concussion took part in 3 evaluation sessions (baseline, 3-month, and 6-month). All sessions included the primary disability outcome, the Dizziness Handicap Inventory (DHI) to create the DRD recovery trajectories using group-based multi-trajectory modeling analysis. Each independent variable included general patients' characteristics, premorbid conditions, function and symptoms questionnaires, and clinical physical measures; and were compared between the trajectories with logistic regression models. Results: Low DRD (LD) trajectory (n = 64, 79%), and a High DRD (HD) trajectory (n = 17, 21%) were identified. The Predicting and Preventing Postconcussive Problems in Pediatrics (5P) total score (Odds Ratio (OR):1.50, 95% Confidence Interval (CI): 1.01–2.22), self-reported neck pain (OR:7.25, 95%CI: 1.24–42.36), and premorbid anxiety (OR:7.25, 95%CI: 1.24–42.36) were the strongest predictors of belonging to HD group. Conclusions: Neck pain, premorbid anxiety, and the 5P score should be considered initially in clinical practice as to predict DRD at 3 and 6-month. Further research is needed to refine predictions and enhance personalized treatment strategies for pediatric concussion. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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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: 10.1080/02699052.2024.2393635
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 1
    Subjects:
      – SubjectFull: Brain concussion diagnosis
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Dizziness
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      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Neck pain
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Anxiety
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      – TitleFull: Evolution of dizziness-related disability in children following concussion: a group-based trajectory analysis.
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              Text: 2025
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