Healthy Active Duty Military with Lifetime Experience of Mild Traumatic Brain Injury Exhibits Subtle Deficits in Sensory Reactivity and Sensory Integration During Static Balance.
Identifieur interne : 000402 ( Main/Exploration ); précédent : 000401; suivant : 000403Healthy Active Duty Military with Lifetime Experience of Mild Traumatic Brain Injury Exhibits Subtle Deficits in Sensory Reactivity and Sensory Integration During Static Balance.
Auteurs : W Geoffrey Wright [États-Unis] ; Justin D. Handy [États-Unis] ; Pelin Avcu [États-Unis] ; Alejandro Ortiz [États-Unis] ; F Jay Haran [États-Unis] ; Michael Doria [États-Unis] ; Richard J. Servatius [États-Unis]Source :
- Military medicine [ 1930-613X ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- physiologie : Réflexe de sursaut, Sensation, Équilibre postural.
- statistiques et données numériques : Personnel militaire.
- complications : Adulte, Analyse de variance, Commotion de l'encéphale, Femelle, Humains, Mâle.
English descriptors
- KwdEn :
- MESH :
- complications : Brain Concussion.
- physiology : Postural Balance, Reflex, Startle, Sensation.
- statistics & numerical data : Military Personnel.
- Adult, Analysis of Variance, Female, Humans, Male.
Abstract
Postural control and stress reactivity were investigated in active duty coast guard personnel to determine whether they are sensitive to lifetime effects of mild traumatic brain injury (mTBI). A custom-designed and validated virtual reality-based computerized posturography device was used to assess postural stability, whereas emotional reactivity was assessed using the acoustic startle response (ASR), and neurocognitive performance was assessed using the defense-automated neurobehavioral assessment (DANA). It was hypothesized that residual and subtle postural control imbalance and deficits in cognitive and sensory reactivity would be evident in those reporting multiple lifetime mTBI. Active duty military personnel (N = 36; 7 females and 29 males) with no Deployment Limiting Medical Condition were recruited and tested on all assessments. Medical history information provided a history of head injury. Thirty-nine percent of participants reported having a previous mTBI (nine reporting one and five reporting more than one incident). No participant had experienced a head injury within the past year and all were symptom free. A significant effect of number of mTBI was found in the postural assessment (p = 0.002). Lifetime mTBI was associated with suppressed ASR magnitude (p = 0.03) but did not affect neurocognitive performance. The current findings provide new insight into ongoing controversies concerning sensitivity to functional deficits following mTBI and when the window for treatment or restoration ends.
DOI: 10.1093/milmed/usx182
PubMed: 29635588
Affiliations:
- États-Unis
- District de Columbia, Maryland, New Jersey, Pennsylvanie, État de New York
- Washington (district de Columbia)
Links toward previous steps (curation, corpus...)
Le document en format XML
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Broad St., Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Neuromotor Sciences Program, College of Public Health, Temple University, 1800 N. Broad St., Philadelphia</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse</wicri:cityArea></affiliation></author><author><name sortKey="Handy, Justin D" sort="Handy, Justin D" uniqKey="Handy J" first="Justin D" last="Handy">Justin D. Handy</name><affiliation wicri:level="2"><nlm:affiliation>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse</wicri:cityArea></affiliation></author><author><name sortKey="Avcu, Pelin" sort="Avcu, Pelin" uniqKey="Avcu P" first="Pelin" last="Avcu">Pelin Avcu</name><affiliation wicri:level="2"><nlm:affiliation>Rutgers Biomedical Health Sciences, Stress and Motivated Behavior Institute, Rutgers University, 65 Bergen St., Newark, NJ.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Rutgers Biomedical Health Sciences, Stress and Motivated Behavior Institute, Rutgers University, 65 Bergen St., Newark</wicri:cityArea></affiliation></author><author><name sortKey="Ortiz, Alejandro" sort="Ortiz, Alejandro" uniqKey="Ortiz A" first="Alejandro" last="Ortiz">Alejandro Ortiz</name><affiliation wicri:level="2"><nlm:affiliation>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse</wicri:cityArea></affiliation></author><author><name sortKey="Haran, F Jay" sort="Haran, F Jay" uniqKey="Haran F" first="F Jay" last="Haran">F Jay Haran</name><affiliation wicri:level="2"><nlm:affiliation>Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Doria, Michael" sort="Doria, Michael" uniqKey="Doria M" first="Michael" last="Doria">Michael Doria</name><affiliation wicri:level="3"><nlm:affiliation>U.S. Coast Guard Headquarters, 2701 Martin Luther King Jr Ave SE, Washington DC.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">Washington (district de Columbia)</settlement><region type="state">District de Columbia</region></placeName><wicri:orgArea>U.S. Coast Guard Headquarters, 2701 Martin Luther King Jr Ave SE</wicri:orgArea></affiliation></author><author><name sortKey="Servatius, Richard J" sort="Servatius, Richard J" uniqKey="Servatius R" first="Richard J" last="Servatius">Richard J. Servatius</name><affiliation wicri:level="2"><nlm:affiliation>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Rutgers Biomedical Health Sciences, Stress and Motivated Behavior Institute, Rutgers University, 65 Bergen St., Newark, NJ.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Rutgers Biomedical Health Sciences, Stress and Motivated Behavior Institute, Rutgers University, 65 Bergen St., Newark</wicri:cityArea></affiliation></author></analytic><series><title level="j">Military medicine</title><idno type="eISSN">1930-613X</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Analysis of Variance (MeSH)</term><term>Brain Concussion (complications)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Military Personnel (statistics & numerical data)</term><term>Postural Balance (physiology)</term><term>Reflex, Startle (physiology)</term><term>Sensation (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Analyse de variance (MeSH)</term><term>Commotion de l'encéphale (complications)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Personnel militaire (statistiques et données numériques)</term><term>Réflexe de sursaut (physiologie)</term><term>Sensation (physiologie)</term><term>Équilibre postural (physiologie)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Concussion</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Réflexe de sursaut</term><term>Sensation</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term><term>Reflex, Startle</term><term>Sensation</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Military Personnel</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Personnel militaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Analysis of Variance</term><term>Female</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Analyse de variance</term><term>Commotion de l'encéphale</term><term>Femelle</term><term>Humains</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postural control and stress reactivity were investigated in active duty coast guard personnel to determine whether they are sensitive to lifetime effects of mild traumatic brain injury (mTBI). A custom-designed and validated virtual reality-based computerized posturography device was used to assess postural stability, whereas emotional reactivity was assessed using the acoustic startle response (ASR), and neurocognitive performance was assessed using the defense-automated neurobehavioral assessment (DANA). It was hypothesized that residual and subtle postural control imbalance and deficits in cognitive and sensory reactivity would be evident in those reporting multiple lifetime mTBI. Active duty military personnel (N = 36; 7 females and 29 males) with no Deployment Limiting Medical Condition were recruited and tested on all assessments. Medical history information provided a history of head injury. Thirty-nine percent of participants reported having a previous mTBI (nine reporting one and five reporting more than one incident). No participant had experienced a head injury within the past year and all were symptom free. A significant effect of number of mTBI was found in the postural assessment (p = 0.002). Lifetime mTBI was associated with suppressed ASR magnitude (p = 0.03) but did not affect neurocognitive performance. The current findings provide new insight into ongoing controversies concerning sensitivity to functional deficits following mTBI and when the window for treatment or restoration ends.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29635588</PMID><DateCompleted><Year>2019</Year><Month>04</Month><Day>01</Day></DateCompleted><DateRevised><Year>2019</Year><Month>04</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1930-613X</ISSN><JournalIssue CitedMedium="Internet"><Volume>183</Volume><Issue>suppl_1</Issue><PubDate><Year>2018</Year><Month>03</Month><Day>01</Day></PubDate></JournalIssue><Title>Military medicine</Title><ISOAbbreviation>Mil Med</ISOAbbreviation></Journal><ArticleTitle>Healthy Active Duty Military with Lifetime Experience of Mild Traumatic Brain Injury Exhibits Subtle Deficits in Sensory Reactivity and Sensory Integration During Static Balance.</ArticleTitle><Pagination><MedlinePgn>313-320</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/milmed/usx182</ELocationID><Abstract><AbstractText>Postural control and stress reactivity were investigated in active duty coast guard personnel to determine whether they are sensitive to lifetime effects of mild traumatic brain injury (mTBI). A custom-designed and validated virtual reality-based computerized posturography device was used to assess postural stability, whereas emotional reactivity was assessed using the acoustic startle response (ASR), and neurocognitive performance was assessed using the defense-automated neurobehavioral assessment (DANA). It was hypothesized that residual and subtle postural control imbalance and deficits in cognitive and sensory reactivity would be evident in those reporting multiple lifetime mTBI. Active duty military personnel (N = 36; 7 females and 29 males) with no Deployment Limiting Medical Condition were recruited and tested on all assessments. Medical history information provided a history of head injury. Thirty-nine percent of participants reported having a previous mTBI (nine reporting one and five reporting more than one incident). No participant had experienced a head injury within the past year and all were symptom free. A significant effect of number of mTBI was found in the postural assessment (p = 0.002). Lifetime mTBI was associated with suppressed ASR magnitude (p = 0.03) but did not affect neurocognitive performance. The current findings provide new insight into ongoing controversies concerning sensitivity to functional deficits following mTBI and when the window for treatment or restoration ends.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wright</LastName><ForeName>W Geoffrey</ForeName><Initials>WG</Initials><AffiliationInfo><Affiliation>Neuromotor Sciences Program, College of Public Health, Temple University, 1800 N. Broad St., Philadelphia, PA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Handy</LastName><ForeName>Justin D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Avcu</LastName><ForeName>Pelin</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Rutgers Biomedical Health Sciences, Stress and Motivated Behavior Institute, Rutgers University, 65 Bergen St., Newark, NJ.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ortiz</LastName><ForeName>Alejandro</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haran</LastName><ForeName>F Jay</ForeName><Initials>FJ</Initials><AffiliationInfo><Affiliation>Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Doria</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>U.S. Coast Guard Headquarters, 2701 Martin Luther King Jr Ave SE, Washington DC.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Servatius</LastName><ForeName>Richard J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Department of Veterans Affairs, Syracuse Veterans Affairs Medical Center, 800 Irving Ave., Syracuse, NY.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Rutgers Biomedical Health Sciences, Stress and Motivated Behavior Institute, Rutgers University, 65 Bergen St., Newark, NJ.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Mil Med</MedlineTA><NlmUniqueID>2984771R</NlmUniqueID><ISSNLinking>0026-4075</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001924" MajorTopicYN="N">Brain Concussion</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008889" MajorTopicYN="N">Military Personnel</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013216" MajorTopicYN="N">Reflex, Startle</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012677" MajorTopicYN="N">Sensation</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>05</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>4</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>4</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29635588</ArticleId><ArticleId IdType="pii">4959974</ArticleId><ArticleId IdType="doi">10.1093/milmed/usx182</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>District de Columbia</li><li>Maryland</li><li>New Jersey</li><li>Pennsylvanie</li><li>État de New York</li></region><settlement><li>Washington (district de Columbia)</li></settlement></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Wright, W Geoffrey" sort="Wright, W Geoffrey" uniqKey="Wright W" first="W Geoffrey" last="Wright">W Geoffrey Wright</name></region><name sortKey="Avcu, Pelin" sort="Avcu, Pelin" uniqKey="Avcu P" first="Pelin" last="Avcu">Pelin Avcu</name><name sortKey="Doria, Michael" sort="Doria, Michael" uniqKey="Doria M" first="Michael" last="Doria">Michael Doria</name><name sortKey="Handy, Justin D" sort="Handy, Justin D" uniqKey="Handy J" first="Justin D" last="Handy">Justin D. Handy</name><name sortKey="Haran, F Jay" sort="Haran, F Jay" uniqKey="Haran F" first="F Jay" last="Haran">F Jay Haran</name><name sortKey="Ortiz, Alejandro" sort="Ortiz, Alejandro" uniqKey="Ortiz A" first="Alejandro" last="Ortiz">Alejandro Ortiz</name><name sortKey="Servatius, Richard J" sort="Servatius, Richard J" uniqKey="Servatius R" first="Richard J" last="Servatius">Richard J. Servatius</name><name sortKey="Servatius, Richard J" sort="Servatius, Richard J" uniqKey="Servatius R" first="Richard J" last="Servatius">Richard J. Servatius</name><name sortKey="Wright, W Geoffrey" sort="Wright, W Geoffrey" uniqKey="Wright W" first="W Geoffrey" last="Wright">W Geoffrey Wright</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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