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

Published online by Cambridge University Press:  02 May 2018

Karen A. Sullivan  and
Rebecca Cox
Karen A. Sullivan*
Affiliation:
School of Psychology and Counselling, Queensland University of Technology (QUT), Brisbane, Queensland, Australia Institute of Health and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, Queensland, Australia
Rebecca Cox
Affiliation:
School of Psychology and Counselling, Queensland University of Technology (QUT), Brisbane, Queensland, Australia
*
Address for correspondence: Karen A. Sullivan, O Block B Wing, Kelvin Grove Campus, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland 4059, Australia. E-mail: [email protected]
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Abstract

Objective: To develop a tool for assessing intentions to continue or change activities for recovery following mild traumatic brain injury (mTBI) and determine if they are dependent on injury context or activity type. Method: Adult volunteers with no (or no recent) history of mTBI were randomly allocated to one of two vignette conditions, each with a different injury context. The vignette described an mTBI due to a motor vehicle accident (MVA, n = 76) or sport (SPORT, n = 89). Volunteers reported their rest or activity plans for 39 behaviours comprising three behaviour types (cognitive, physical, and restful). Results: Compared to a cut-score representing no change, on average there was a significant (p <= .001) planned decrease in physical and cognitive behaviours (MVAphysicalt(53) = 7.373; SPORTphysicalt(41) = 9.281; MVAcognitivet(41) = 9.367; SPORTcognitivet(51) = −3.521) and a significant planned increase in restful behaviours, such as sleep (MVArestfult(72) = 10.006; SPORTrestfult(86) = 9.566). An overall within-group effect for behaviour-type was not identified and there was no effect of condition (MVA vs. SPORT). Conclusion: The acute rest and activity plans for a simulated mTBI are behaviour specific and not dependent on context. An expectation for blanket-rest was not was observed but rest was planned for specific behaviours. This tool could be used to guide discussions with mTBI patients about their recovery so that their plans align with advice, and it could aid further research into the relation between intended and actual rest and activity and the effect on eventual outcomes.

Keywords

Mild traumatic brain injuryhead injuryconcussionpsychological testphysical activityrest
Type
Articles
Information
Brain Impairment , Volume 19 , Special Issue 2: Mild Traumatic Brain Injury , September 2018 , pp. 141 - 152
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2018 

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References

Ahmed, O.H., & Hall, E.E. (2017). “It was only a mild concussion”: Exploring the description of sports concussion in online news articles. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine, 23, 7–13.Google Scholar
Asken, B.M., McCrea, M.A., Clugston, J.R., Snyder, A.R., Houck, Z.M., & Bauer, R.M. (2016). “Playing through it”: Delayed reporting and removal from athletic activity after concussion predicts prolonged recovery. Journal of Athletic Training, 51 (4), 329–335. doi: 10.4085/1062-6050-51.5.02Google Scholar
Aubrey, J.B., Dobbs, A.R., & Rule, B.G. (1989). Laypersons' knowledge about the sequelae of minor head injury and whiplash. Journal of Neurology Neurosurgery and Psychiatry, 52 (7), 842–846.Google Scholar
Buckley, T.A., Munkasy, B.A., & Clouse, B.P. (2016). Acute cognitive and physical rest may not improve concussion recovery time. Journal of Head Trauma Rehabilitation, 31 (4), 233–241. doi: 10.1097/htr.0000000000000165Google Scholar
Cancelliere, C., Hincapie, C.A., Keightley, M., Godbolt, A.K., Cote, P., Kristman, V.L., . . . Cassidy, J.D. (2014). Systematic review of prognosis and return to play after sport concussion: Results of the international collaboration on mild traumatic brain injury prognosis. Archives of Physical Medicine and Rehabilitation, 95 (Suppl. 3), S210–229. doi: 10.1016/j.apmr.2013.06.035Google Scholar
Cancelliere, C., Kristman, V.L., Cassidy, J.D., Hincapie, C.A., Cote, P., Boyle, E., . . . Borg, J. (2014). Systematic review of return to work after mild traumatic brain injury: Results of the international collaboration on mild traumatic brain injury prognosis. Archives of Physical Medicine and Rehabilitation, 95 (Suppl. 3), S201–209. doi:10.1016/j.apmr.2013.10.010Google Scholar
de Kruijk, J.R., Leffers, P., Meerhoff, S., Rutten, J., & Twijnstra, A. (2002). Effectiveness of bed rest after mild traumatic brain injury: A randomised trial of no versus six days of bed rest. Journal of Neurology, Neurosurgery, and Psychiatry, 73 (2), 167–172. doi:10.1136/jnnp.73.2.167Google Scholar
Dikmen, S., Machamer, J., & Temkin, N. (2017). Mild traumatic brain injury: Longitudinal study of cognition, functional status, and post-traumatic symptoms. Journal of Neurotrauma, 34 (8), 1524–1530. doi:10.1089/neu.2016.4618Google Scholar
Eastman, A., & Chang, D.G. (2015). Return to learn: A review of cognitive rest versus rehabilitation after sports concussion. NeuroRehabilitation, 37 (2), 235–244. doi: 10.3233/nre-151256.Google Scholar
Edmed, S.L., & Sullivan, K.A. (2014). The influence of injury cause, contact-sport participation, and personal knowledge on expectation of outcome from mild traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 36 (3), 221–235. doi:10.1080/13803395.2013.877124Google Scholar
Giza, C.C., & Hovda, D.A. (2014). The new neurometabolic cascade of concussion. Neurosurgery, 75, S24–S33. doi:10.1227/NEU.0000000000000 505Google Scholar
Hobbs, J.G., Young, J.S., & Bailes, J.E. (2016). Sports-related concussions: Diagnosis, complications, and current management strategies. Neurosurgery Focus, 40 (4), E5. doi:10.3171/2016.1.focus15617Google Scholar
Howell, D.R., Mannix, R.C., Quinn, B., Taylor, J.A., Tan, C.O., & Meehan, W.P. (2016). Physical activity level and symptom duration are not associated after concussion. American Journal of Sports Medicine, 44 (4), 1040–1046. doi:10.1177/0363546515625045Google Scholar
Iverson, G.L. (2012). A biopsychosocial conceptualization of poor outcome from mild traumatic brain injury. In Vasterling, R.A., Bryant, R.A. & Keane, T.M. (Eds.), PTSD and mild traumatic brain injury (pp. 37–60). New York: Guilford Press.Google Scholar
Iverson, G.L., & Gioia, G.A. (2016). Returning to school following sport-related concussion. Physical Medicine and Rehabilitation Clinics of North America, 27 (2), 429–436. doi:10.1016/j.pmr.2015.12.002Google Scholar
Janssen, I., & LeBlanc, A.G. (2010). Review systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 7 (40), 1–16.Google Scholar
Johnson, R.S., Provenzano, M.K., Shumaker, L.M., Valovich-McLeod, T.C., & Welch Bacon, C. E. (2017). The effect of cognitive rest as part of post-concussion management for adolescent athletes: A critically appraised topic. Journal of Sport Rehabilitation, 26 (5), 437–446. doi: 10-1123/jsr.2015-0167Google Scholar
Kasamatsu, T., Cleary, M., Bennett, J., Howard, K., & McLeod, T.V. (2016). Examining academic support after concussion for the adolescent student-athlete: Perspectives of the athletic trainer. Journal of Athletic Training, 51 (2), 153–161. doi:10.4085/1062-6050-51.4.02Google Scholar
Kelly, K., & Erdal, K. (2016). Diagnostic terminology, athlete status, and history of concussion affect return to play expectations and anticipated symptoms following mild traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 39, 1–9.Google Scholar
Kristman, V.L., Borg, J., Godbolt, A.K., Salmi, L.R., Cancelliere, C., Carroll, L. J., . . . JD, C. (2014). Methodological issues and research recommendations for prognosis after mild traumatic brain injury: Results of the international collaboration on mild traumatic brain injury prognosis. Archives of Physical Medicine and Rehabilitation, 95, S265–S277.Google Scholar
Leddy, J.J., Baker, J.G., & Willer, B. (2016). Active rehabilitation of concussion and post-concussion syndrome. Physical Medicine & Rehabilitation Clinics of North America, 27 (2), 437–454. doi:10.1016/j.pmr.2015.12.003Google Scholar
Leddy, J.J., Kozlowski, K., Donnelly, J.P., Pendergast, D.R., Epstein, L.H., & Willer, B. (2010). A preliminary study of subsymptom threshold exercise training for refractory post-concussion syndrome. Clinical Journal of Sport Medicine, 20 (1), 21–27.Google Scholar
Lim, A.S.P., Yu, L., Costa, M.D., Leurgans, S.E., Buchman, A.S., Bennett, D.A., & Saper, C.B. (2012). Increased fragmentation of rest-activity patterns is associated with a characteristic pattern of cognitive impairment in older individuals. Sleep, 35 (5), 633–640. doi:10.5665/sleep.1820Google Scholar
McCrory, P., Meeuwisse, W., Dvořák, J., Aubry, M., Bailes, J., Broglio, S., . . . Vos, P.E. (2017). Consensus statement on concussion in sport—The 5th international conference on concussion in sport held in Berlin, October 2016. British Journal of Sports Medicine, 51 (11), 838–847. doi:10.1136/bjsports-2017-097699Google Scholar
McKeon, J.M., Livingston, S.C., Reed, A., Hosey, R.G., Black, W.S., & Bush, H.M. (2013). Trends in concussion return-to-play timelines among high school athletes from 2007 through 2009. Journal of Athletic Training, 48 (6), 836–843. doi:10.4085/1062-6050-48.6.17Google Scholar
Mittenberg, W., DiGiulio, D.V., Perrin, S., & Bass, A.E. (1992). Symptoms following mild head injury: Expectation as aetiology. Journal of Neurology, Neurosurgery & Psychiatry, 55 (3), 200–204. doi:10.1136/jnnp.55.3.200Google Scholar
Oppenheimer, D.M., Meyvis, T., & Davidenko, N. (2009). Instructional manipulation checks: Detecting satisficing to increase statistical power. Journal of Experimental Social Psychology, 45, 867–872. doi:10.1016/j.jesp.2009.03.009Google Scholar
Popoli, D.M., Burns, T.G., Meehan, W.P., Reisner, A., & Children's Health of Atlants. (2014). CHOA concussion consensus: Establishing a uniform policy for academic accommodations. Clinical Pediatrics, 53 (3), 217–224. doi:10.1177/00099228134 99070Google Scholar
Purcell, L. (2009). What are the most appropriate return-to-play guidelines for concussed child athletes? British Journal of Sports Medicine, 43 (Suppl. 1), i51–55. doi:10.1136/bjsm.2009.058214Google Scholar
Rhodes, R.E., Mark, R.S., & Temmel, C.P. (2012). Adult sedentary behavior: A systematic review. American Journal of Preventive Medicine, 42 (3), e3–28. doi:10.1016/j.amepre.2011.10.020Google Scholar
Santiago, S. (2016). Adolescent concussion and return-to-learn. Pediatric Annals, 45 (3), e73–75. doi:10.3928/00904481-20160211-01Google Scholar
Sullivan, K.A., Edmed, S.L., & Cunningham, L.C. (2012). A comparison of new and existing mild traumatic brain injury vignettes: Recommendations for research into post-concussion syndrome. Brain Injury, 27 (1), 19–30. doi:10.3109/02699052.2012.698360Google Scholar
Sullivan, K.A., & Edmed, S.L. (2016). New vignettes for the experimental manipulation of injury cause in prospective mild traumatic brain injury research. Brain Injury, 30 (13–14), 1699–1707.Google Scholar
Sullivan, K.A., & Wade, C. (2017). Does the cause of the mild traumatic brain injury affect the expectation of persistent postconcussion symptoms and psychological trauma? Journal of Clinical and Experimental Neuropsychology, 39, 408–418. doi: 10.1080/13803395.2016.1230597.Google Scholar
Thomas, D.G., Apps, J.N., Hoffmann, R.G., McCrea, M., & Hammeke, T. (2015). Benefits of strict rest after acute concussion: A randomized controlled trial. Pediatrics, 135 (2), 213–223. doi:10.1542/peds.2014-0966Google Scholar
World Health Organization. (2010). International classification of diseases 10th edition Retrieved from http://apps.who.int/classifications/icd10/browse/2010/enGoogle Scholar
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