Abstract
Objective
To determine whether a perceptual-cognitive training program using 3D-multiple object tracking (3D-MOT) can improve symptoms following acute pediatric concussion.Setting
Research laboratory within a pediatric trauma center.Participants
Children and adolescents (n = 62, age= 13.27 ± 2.50) with diagnosed concussion.Design
Randomized controlled trial. Children were randomized into either 3D-MOT, 2048 game, or standard care-only groups. Participants and parents completed the Post-Concussion Symptom Inventory (PCSI) at baseline, 4, 8, and 12 weeks postinjury. Intervention participants completed either the 3D-MOT protocol or the 2048 game at 6 sessions between the baseline and 4-week assessment.Main measures
A 3 (group) × 10 (time) mixed-model analysis of variance evaluated PCSI total scores. The rate of persistent postconcussive symptom (PPCS) was evaluated at 4 weeks using χ2 analysis.Results
Symptoms decreased throughout the study using both child-reported (F(9,374) = 22.03, P < .001) and parent-reported scores (F(9,370) = 28.06, P < .001). Twenty-four (44.4%) children met the study definition for PPCS using the child-reported PCSI, while 20 (37.7%) children had PPCS using parent reports. The intervention did not significantly affect symptom resolution or PPCS rates.Conclusion
There is no benefit to prescribing 3D-MOT training for acute rehabilitation in pediatric patients with concussion and clinicians should instead focus on more effective programs.Citations & impact
Impact metrics
Alternative metrics
Smart citations by scite.ai
Explore citation contexts and check if this article has been
supported or disputed.
https://scite.ai/reports/10.1097/htr.0000000000000633
Article citations
Smartphone App-Delivered Mindfulness-Based Intervention for Mild Traumatic Brain Injury in Adolescents: Protocol for a Feasibility Randomized Controlled Trial.
JMIR Res Protoc, 13:e57226, 11 Apr 2024
Cited by: 1 article | PMID: 38602770 | PMCID: PMC11046387
Hyperbaric oxygen therapy in children with post-concussion syndrome improves cognitive and behavioral function: a randomized controlled trial.
Sci Rep, 12(1):15233, 23 Sep 2022
Cited by: 5 articles | PMID: 36151105 | PMCID: PMC9508089
Similar Articles
To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation.
Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent Postconcussive Symptoms in Children and Adolescents.
JAMA, 316(23):2504-2514, 01 Dec 2016
Cited by: 102 articles | PMID: 27997652
Multiple Object Tracking Scores Predict Post-Concussion Status Years after Mild Traumatic Brain Injury.
J Neurotrauma, 37(16):1777-1787, 17 Apr 2020
Cited by: 4 articles | PMID: 31950862
Association of Persistent Postconcussion Symptoms With Pediatric Quality of Life.
JAMA Pediatr, 170(12):e162900, 05 Dec 2016
Cited by: 60 articles | PMID: 27775762
Physical Activity and Intermittent Postconcussion Symptoms After a Period of Symptom-Limited Physical and Cognitive Rest.
J Athl Train, 51(9):739-742, 01 Sep 2016
Cited by: 9 articles | PMID: 27813685 | PMCID: PMC5139792
Review Free full text in Europe PMC
What tests and measures accurately diagnose persisting post-concussive symptoms in children, adolescents and adults following sport-related concussion? A systematic review.
Br J Sports Med, 57(12):780-788, 01 Jun 2023
Cited by: 3 articles | PMID: 37316186
Review