Abstract Details

Title Sport-Related Concussion in Youth: Impact on Behavioral Functioning

Topic Sports Neurology

Presentation(s) IN5 - (-)

Poster/Presentation
Number 002

Objective

Background It is estimated that approximately 1.6-3.2 million SRCs occur annually in the United States and about half of these are in children or adolescents. Most of the current literature on sequelae of SRC includes studies of professional or collegiate athletes, with limited data available on young children. The young brain poses a unique challenge to health care professionals because it is still undergoing active development, which can contribute to a unique set of pathophysiological responses.

Design/Methods Since 2005, patients seen in the UCLA pediatric Traumatic Brain Injury (TBI) clinic were prospectively consented for data collection and entry into a registry. A convenience cohort of 15 patients with an age range of 11-16 years with SRCs who's parents completed both pre- and post-injury CBCL forms within 6 months of the injury date were included.

Results Significant differences were detectable when comparing pre- and post-SRC scores. Specifically, injury-induced increases in problems with internalizing domains (withdrawal/depression [1-tailed, paired samples t-test p=0.015] and having somatic complaints p=0.006) as well as a significant difference in an externalizing domain (aggressive behaviors p=0.021) were observed. Overall, parental report showed a significant increase in total problems reported after SRC (p<0.01).

Conclusions These results suggest that there are measurable increases by parent report of problems with aspects of behavioral and emotional functioning within 6 months following pediatric SRC in patients presenting to a specialty TBI clinic. Of particular interest are changes in domains that involve internalizing problems, which may be less apparent to parents as well as health care providers. Tools such as the CBCL can be helpful to draw attention to areas of post-TBI difficulty that may need additional intervention.

Authors/Disclosures
Ivet Hartonian, MD (White Memorial Community Health Center) PRESENTER	No disclosure on file
Susan Marino, PhD	No disclosure on file
Talin Babikian	Talin Babikian has received personal compensation in the range of $50,000-$99,999 for serving as an Expert Witness for Various. The institution of Talin Babikian has received research support from NINDS.
	No disclosure on file
	No disclosure on file
Jesse Fischer	No disclosure on file
Christopher Giza, MD, FAAN (UCLA, Depts of Pediatrics and Neurosurgery)	Dr. Giza has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Medical Network Speakers Bureau. Dr. Giza has stock in Highmark Interactive. The institution of Dr. Giza has received research support from UCLA: Brain Injury Research Center, Steve Tisch BrainSPORT Program, Easton Clinic for Brain Health. Dr. Giza has received publishing royalties from a publication relating to health care. Dr. Giza has a non-compensated relationship as a Advisory Board with Major League Soccer that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Advisory Board with National Basketball Association that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Consultant with United States Soccer Federation that is relevant to AAN interests or activities. Dr. Giza has a non-compensated relationship as a Co-founder & Advisor with Symptomwise that is relevant to AAN interests or activities.
Richard Zorowitz	Richard Zorowitz has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for SPR Therapeutics. The institution of Richard Zorowitz has received research support from Ipsen Pharmaceuticals. Richard Zorowitz has received publishing royalties from a publication relating to health care.

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