The Mild Traumatic Brain Injury Rest and Activity Questionnaire (MTBI-RAQ): A Pilot Study

Sullivan, Karen A.; Cox, Rebecca

doi:10.1017/brimp.2018.5

Cited by 3 publications

(3 citation statements)

References 35 publications

(43 reference statements)

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“…Mild Traumatic Brain Injury Rest-Activity Questionnaire. 41 The Mild Traumatic Brain Injury Rest-Activity Questionnaire (MTBI-RAQ) is a 39-item questionnaire used for establishing rest and activity patterns relative to pre-injury. 41 The items were originally primarily derived from published handouts for concussion patients as activities that should be avoided to improve outcomes after mild TBI.…”

Section: Methodsmentioning

confidence: 99%

“…41 The Mild Traumatic Brain Injury Rest-Activity Questionnaire (MTBI-RAQ) is a 39-item questionnaire used for establishing rest and activity patterns relative to pre-injury. 41 The items were originally primarily derived from published handouts for concussion patients as activities that should be avoided to improve outcomes after mild TBI. The MTBI-RAQ assesses the amount of change from "before [the injury]" for a specific behavior using a five-point Likert response scale ranging from zero (not applicable -I don't do this activity) to five (much more than before the injury).…”

Section: Methodsmentioning

confidence: 99%

“…Item- and total-scores for each domain were calculated. In the MTBI-RAQ development study 41 the subscale internal consistencies (Cronbach’s alphas) ranged between 0.75 and 0.92. In this study, the values for cognitive and physical activity subscales were all above 0.90, and above 0.72 for the restful subscale.…”

Section: Methodsmentioning

confidence: 99%

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An experimental study of the effect on activity intentions of postconcussion recovery advice

Sullivan

Billing

2019

Journal of Concussion

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This study tested the effect of issuing return-to-activity advice on activity intentions at Day 2 and Day 10 days post simulated mild traumatic brain injury. One hundred and twenty-eight volunteers were randomly allocated to one of two groups who received (n ¼ 65) or did not receive standardized post-injury advice (n ¼ 63). To prime the simulation, the participants read a mild traumatic brain injury vignette about a person who is concussed while playing sport. Then the participants role-played the injured person and reported activity intentions for three activity types (cognitive, physical and restful) twice, once for each time frame (i.e. Day 2 and Day 10). The advice was to rest for the first 24-48 h and then gradually resume normal activities. There was no significant group by activity-type interaction (p > .05) at Day 2. When both time frames were considered, there was no significant group Â time frame interaction for any activity type or any item, except for an increase in non-manual (clerical) work and weight training at Day 10 compared to Day 2 in the group with the advice. In general, the intentions for all activity types were consistent with the recovery advice (i.e., rest then increasing activity), even when the advice was not given. However, at Day 10, cognitive and physical activity levels were still expected to be lower than usual (pre-injury), and many participants were uncertain about the concept of cognitive rest. These factors, along with individual patient circumstances, should be taken into account in rehabilitation planning.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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An experimental study of the effect on activity intentions of postconcussion recovery advice

Sullivan

Billing

2019

Journal of Concussion

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An experimental study of two forms of concussion advice on planned physical activity

Sullivan

Finnis

2019

Brain Impairment

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Background and aimsBest practice management for medically cleared concussion is to commence a graded return to activity, as tolerated, and within 24–48 h of the injury. Patients may encounter this or other advice if they search the Internet, or when they are discharged from care. It is not yet known how patients would interpret this advice, particularly for specific activities. This study compared the effect of two forms of concussion advice on physical activity plans. It was expected that compared to the advice to gradually return to activity, the advice to ‘rest’ would lead to reduced activity plans.MethodsConcussion simulators received the generic advice to undertake 1 week of (i) rest (no physical activity [NPA], n = 115) or (ii) graded physical activity (GPA, n = 104). Activity plans were recorded using items from the Mild Traumatic Brain Injury Rest-Activity Questionnaire (MTBI-RAQ).ResultsThere was a significant group difference in activity plans (NPA < GPA, total score and for all MTBI-RAQ items, p’s ≤ 0.001, medium-to-large effects). The average NPA response was for a significant reduction from pre-injury for 14 activities, with no planned change for 2 activities (walking, household chores). In the GPA group, there were plans to reduce (nitems = 7), continue (nitems = 5) or increase activities (nitems = 4; e.g., swimming). Both groups proposed to decrease ‘high-risk’ activities (e.g., heavy lifting).ConclusionAs expected, there was a significant effect of the type of advice on physical activity plans. Compared to the GPA advice, the NPA advice led to a significant reduction of planned physical activity. If concussed patients seek or receive advice that recommends NPA, it may prompt activity plans that are unnecessarily restrictive. If GPA advice is given, it leads to varied plans, with fewer restrictions overall, and avoidance of higher risk physical activities. Generic GPA advice has the potential to facilitate active recovery for concussion; however, patients would still likely benefit from a professional consultation about their plan and support to safely implement it, and this should be investigated in future research.

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Prior head injury but not sex or sports-participation affects expectations for post-injury rest and activity in simulated mild traumatic brain injury

Sullivan

Cox

2019

Applied Neuropsychology: Adult

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The Mild Traumatic Brain Injury Rest and Activity Questionnaire (MTBI-RAQ): A Pilot Study

Cited by 3 publications

References 35 publications

An experimental study of the effect on activity intentions of postconcussion recovery advice

An experimental study of the effect on activity intentions of postconcussion recovery advice

An experimental study of two forms of concussion advice on planned physical activity

Prior head injury but not sex or sports-participation affects expectations for post-injury rest and activity in simulated mild traumatic brain injury

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