Mild Traumatic Brain Injury Characteristics and Symptoms in Preschool Children: How Do They Differ to School Age Children? A Multicenter Prospective Observational Study

Crowe, Louise M.; Rausa, Vanessa C.; Anderson, Vicki; Borland, Meredith L.; Kochar, Amit; Lyttle, Mark D.; Gilhotra, Yuri; Dalziel, Stuart R.; Oakley, Ed; Furyk, Jeremy; Neutze, Jocelyn; Bressan, Silvia; Davis, Gavin A.; Babl, Franz E.

doi:10.1016/j.apmr.2023.08.008

Archives of Physical Medicine and Rehabilitation

2024

DOI: 10.1016/j.apmr.2023.08.008

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Mild Traumatic Brain Injury Characteristics and Symptoms in Preschool Children: How Do They Differ to School Age Children? A Multicenter Prospective Observational Study

Louise M. Crowe,

Vanessa C. Rausa,

Vicki Anderson

et al.

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Cited by 2 publications

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Optimal functioning after early mild traumatic brain injury: Evolution and predictors

Aubuchon,

Huynh,

Dupont

et al. 2024

J Int Neuropsychol Soc

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Introduction and objectives: Early mild traumatic brain injury (mTBI or concussion sustained between 0 and 5 years old) can lead to post-concussive symptoms, behavioral changes, and cognitive difficulties. Although school-age children (6–17 years old) experience similar consequences, severe neuropsychological deficits are not common, and the majority have no persisting symptoms after one month. Thus, there may be value in focusing on what characterizes optimal functioning (or wellness) after mTBI, but this has not been explored in young children. This study documents the evolution and predictors of optimal functioning after early mTBI. Method: Participants were 190 children aged 18 – 60 months with mTBI (n = 69), orthopedic injury (OI; n = 50), or typical development (TDC; n = 71). Optimal functioning was defined as: (1) no clinically significant behavioral problems; (2) no cognitive difficulties; (3) no persisting post-concussive symptoms; (4) average quality of life or better. Predictors related to sociodemographic, injury, child, and caregiver characteristics included number of acute symptoms, child sex, age, temperament, maternal education, parent-child attachment and interaction quality, and parenting stress. Results: Fewer children with mTBI had optimal functioning over 6 and 18-months post-injury compared to those with OI and TDC. Higher parent-child interaction quality and lower child negative affectivity temperament independently predicted optimal functioning. Conclusion: Children who sustain early mTBI are less likely to exhibit optimal functioning than their peers in the long-term. Parent-child interaction quality could be a potential intervention target for promoting optimal function.

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Optimal functioning after early mild traumatic brain injury: Evolution and predictors

Aubuchon,

Huynh,

Dupont

et al. 2024

J Int Neuropsychol Soc

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Early Childhood Concussion

Beauchamp,

Anderson,

Ewing-Cobbs

et al. 2024

Pediatrics

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The unconsolidated motor and cognitive skills that are typical of the early childhood period place infants, toddlers, and preschoolers at risk for a variety of traumatic injuries. Such injuries may include mild traumatic brain injury or concussion. Knowledge regarding the risk, diagnosis, outcomes, and management of early childhood concussion is limited, especially compared with what is known about concussion in school-age children, adolescents, and adults. This state-of-the-art review aims to provide current knowledge on the epidemiology, physical signs, behavior, and clinical outcomes associated with early childhood concussion. Research on this condition has been challenged by the need to adapt methods to the unique physical, behavioral, and developmental characteristics of young children. We provide information on observable symptoms associated with concussion, recommended approaches to care, and suggestions for overcoming barriers to research in this area. Developmentally appropriate efforts are needed to improve our ability to identify, evaluate, and treat early childhood concussion.

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Mild Traumatic Brain Injury Characteristics and Symptoms in Preschool Children: How Do They Differ to School Age Children? A Multicenter Prospective Observational Study

Cited by 2 publications

References 31 publications

Optimal functioning after early mild traumatic brain injury: Evolution and predictors

Optimal functioning after early mild traumatic brain injury: Evolution and predictors

Early Childhood Concussion

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