Sex differences in the Buffalo Concussion Treadmill Test in adolescents with acute sport-related concussion

Chizuk, Haley M; Willer, Barry; Horn, Emily C.; Haider, Mohammad Nadir; Leddy, John J.

doi:10.1016/j.jsams.2021.04.005

Cited by 13 publications

(6 citation statements)

References 22 publications

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“…In the present study, 14 of 49 patients stopped the test due to symptom exacerbation, similar to previous study results, which showed that symptom exacerbation was observed before maximum exercise thresholds were reached in people with mTBI 32–34. Patients who report an increase in symptoms during the test, preventing them from exercising to their age-predicted maximum, are more likely to have physiological PCD than those who can exercise to their age-predicted maximum 5,10,12.…”

Section: Discussionsupporting

confidence: 89%

“…In the present study, 14 of 49 patients stopped the test due to symptom exacerbation, similar to previous study results, which showed that symptom exacerbation was observed before maximum exercise thresholds were reached in people with mTBI. [32][33][34] Patients who report Copyright © 2023 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited.…”

Section: Discussionmentioning

confidence: 99%

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The Buffalo Concussion Treadmill and Bike Tests in People With Mild-to-Moderate Traumatic Brain Injury: An Exploratory Clinical Audit

Vuu

Barr

Killington

et al. 2023

Journal of Head Trauma Rehabilitation

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Objective: To assess the performance on the Buffalo Concussion Treadmill and Bike Tests in nonathletic people following a mild-to-moderate traumatic brain injury. Setting: An outpatient rehabilitation clinic. Participants: Forty-nine patients with mild-to-moderate traumatic brain injury who underwent the Buffalo Concussion Treadmill or Bike Test as usual clinical care. Design: A retrospective clinical audit. Main Measures: Demographics and brain injury-specific clinical data, Depression Anxiety Stress Scale; Rivermead Post-Concussion Symptom Questionnaire, and performance outcomes on the Buffalo Concussion Treadmill or Bike Test. Results: Forty-nine patients (mean age: 33.7 ± 13.0 years), on average 56.2 ± 36.4 days post-injury, completed the Buffalo Concussion Treadmill or Bike Test. Fourteen patients stopped the test due to symptom exacerbation with a mean test duration of 8.1 ± 4.5 minutes, reaching an age-predicted maximum heart rate of 72.9% ± 12.4% and reporting a rating of perceived exertion of 13.4 ± 2.2. Those who terminated the test for other reasons had a significantly longer test duration (14.0 ± 4.7 minutes, P = .01), with a higher age-predicted maximum heart rate (83.3% ± 12.8%, P = .01) and rating of perceived exertion (17.0 ± 2.5, P = .01). Within the group who stopped for other reasons, 10 were due to symptoms deemed unrelated to the injury at the time of the test and 2 were stopped by the therapist for safety reasons. A significant but weak correlation between heart rate and rating of perceived exertion existed only for those who terminated the test for other reasons (r = 0.38, P = .02). Overall, a shorter test duration was associated with higher scores of both selfreported depression (r = −0.41, P < .01) and late postconcussion symptoms (r = −0.40, P < .01). Conclusion: The Buffalo Concussion Treadmill or Bike Test can be used in the nonathletic mild-to-moderate traumatic brain injury population to differentiate between those who experience symptom exacerbation during exercise and those who do not based on symptom exacerbation, test duration, and poor perception of exertion. Further research is required to determine whether other reasons for test termination are related to the injury.

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Section: Discussionsupporting

confidence: 89%

“…In the present study, 14 of 49 patients stopped the test due to symptom exacerbation, similar to previous study results, which showed that symptom exacerbation was observed before maximum exercise thresholds were reached in people with mTBI. [32][33][34] Patients who report Copyright © 2023 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited.…”

Section: Discussionmentioning

confidence: 99%

The Buffalo Concussion Treadmill and Bike Tests in People With Mild-to-Moderate Traumatic Brain Injury: An Exploratory Clinical Audit

Vuu

Barr

Killington

et al. 2023

Journal of Head Trauma Rehabilitation

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“…This finding supports prior findings of sex differences in concussion symptom reporting both at rest 46 and after aerobic exercise. [47][48][49] However, this study extends from these findings by including adolescent and adult-aged participants who completed both aerobic and dynamic exercise modes. More recently, a greater proportion of concussed adolescents exceed clinical cut-off scores during vestibular ocular motor screening if completed after exercise as compared with pre-exercise screening and further indicate the utility of a measurable symptom provocation to structured exercise.…”

Section: Discussionmentioning

confidence: 74%

The Role of Age, Sex, Body Mass Index, and Sport Type on the Dynamic Exertion Test in Healthy Athletes: A Cross-Sectional Study

Sinnott

Eagle

Kochick

et al. 2022

Clinical Journal of Sport Medicine

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“…Creating the Heart Rate Threshold Prescription Data were combined from 2 studies, 3,8 the details of which are presented in Supplemental Digital Content 1, Supplement File 1, http://links.lww.com/JSM/A359. Both studies included adolescent (13-to 18-year-old) athletes with SRC who presented to sports medicine clinics within 10 days of injury.…”

Section: Introductionmentioning

confidence: 99%

Practical Management: A Standardized Aerobic Exercise Program for Adolescents With Concussion in the Absence of Graded Exercise Testing

Chizuk

Haider

Edmonds

et al. 2022

Clinical Journal of Sport Medicine

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Sex differences in the Buffalo Concussion Treadmill Test in adolescents with acute sport-related concussion

Cited by 13 publications

References 22 publications

The Buffalo Concussion Treadmill and Bike Tests in People With Mild-to-Moderate Traumatic Brain Injury: An Exploratory Clinical Audit

The Buffalo Concussion Treadmill and Bike Tests in People With Mild-to-Moderate Traumatic Brain Injury: An Exploratory Clinical Audit

The Role of Age, Sex, Body Mass Index, and Sport Type on the Dynamic Exertion Test in Healthy Athletes: A Cross-Sectional Study

Practical Management: A Standardized Aerobic Exercise Program for Adolescents With Concussion in the Absence of Graded Exercise Testing

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