PMID- 36250029
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221019
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 10
IP  - 10
DP  - 2022 Oct
TI  - Responsiveness of the Post-Concussion Symptom Scale to Monitor Clinical Recovery 
      After Concussion or Mild Traumatic Brain Injury.
PG  - 23259671221127049
LID - 10.1177/23259671221127049 [doi]
LID - 23259671221127049
AB  - BACKGROUND: The Post-Concussion Symptom Scale (PCSS) is used to assess the number 
      and intensity of symptoms after a concussion/mild traumatic brain injury. 
      However, its responsiveness to monitor clinical recovery has yet to be 
      determined. PURPOSE: To evaluate the responsiveness of the PCSS to change and 
      longitudinal validity in patients with persistent postconcussive symptoms as well 
      as to explore the responsiveness of other clinical outcome measures to monitor 
      recovery of physical symptoms in patients with persistent postconcussive 
      symptoms. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2. METHODS: 
      Patients with persistent symptoms after a concussion (N = 109) were evaluated 
      using self-reported questionnaires at baseline and after a 6-week rehabilitation 
      program. The program consisted of an individualized symptom-limited aerobic 
      exercise program combined with education. Questionnaires included the PCSS, Neck 
      Disability Index (NDI), Headache Disability Inventory (HDI), Dizziness Handicap 
      Inventory (DHI), and Numeric Pain Rating Scale (NPRS) related to 1) neck pain and 
      2) headache. Internal responsiveness was evaluated using the effect size (ES) and 
      standardized response mean (SRM), and external responsiveness was determined with 
      the minimal clinically important difference (MCID) calculated using a receiver 
      operating characteristic curve. The global rating of change was used as the 
      external criterion. Pearson correlations were used to determine the longitudinal 
      validity. RESULTS: The PCSS was highly responsive (ES and SRM, >1.3) and had an 
      MCID of 26.5 points (of 132) for the total score and 5.5 (of 22) for the number 
      of symptoms. For longitudinal validity, low to moderate correlations were found 
      between changes in PCSS and changes in NDI, HDI, and DHI. The NDI, HDI, DHI, and 
      NPRS were also highly responsive (ES and SRM, >0.8). CONCLUSION: All 
      questionnaires including the PCSS were highly responsive and can be used with 
      confidence by clinicians and researchers to evaluate change over time in a 
      concussion population with persistent symptoms.
CI  - (c) The Author(s) 2022.
FAU - Langevin, Pierre
AU  - Langevin P
AD  - Clinique Cortex and Physio Interactive, Quebec City, Quebec, Canada.
AD  - Department of Rehabilitation, Faculty of Medicine, Universite Laval, Quebec City, 
      Quebec, Canada.
AD  - Centre for Interdisciplinary Research in Rehabilitation and Social Integration 
      (CIRRIS), Quebec Rehabilitation Institute, Quebec City, Quebec, Canada.
FAU - Fremont, Pierre
AU  - Fremont P
AD  - Department of Rehabilitation, Faculty of Medicine, Universite Laval, Quebec City, 
      Quebec, Canada.
FAU - Fait, Philippe
AU  - Fait P
AD  - Clinique Cortex and Physio Interactive, Quebec City, Quebec, Canada.
AD  - Centre for Interdisciplinary Research in Rehabilitation and Social Integration 
      (CIRRIS), Quebec Rehabilitation Institute, Quebec City, Quebec, Canada.
AD  - Department of Human Kinetics, Universite du Quebec a Trois-Rivieres, Quebec City, 
      Quebec, Canada.
AD  - Research Center in Neuropsychology and Cognition (CERNEC), Montreal, Quebec, 
      Canada.
FAU - Roy, Jean-Sebastien
AU  - Roy JS
AD  - Department of Rehabilitation, Faculty of Medicine, Universite Laval, Quebec City, 
      Quebec, Canada.
AD  - Centre for Interdisciplinary Research in Rehabilitation and Social Integration 
      (CIRRIS), Quebec Rehabilitation Institute, Quebec City, Quebec, Canada.
LA  - eng
PT  - Journal Article
DEP - 20221012
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC9561659
OTO - NOTNLM
OT  - Post-Concussion Symptoms Scale
OT  - concussion
OT  - persistent postconcussive symptoms
OT  - responsiveness
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: Funding was provided by the REPAR and by the OPPQ. 
      The funding agency/sponsor had no role in the study design, manuscript 
      preparation, or decision to submit for publication. P.L. received a doctoral 
      training scholarship from the FRQ-S. J.S.R. was supported by a salary award from 
      the FRQ-S. AOSSM checks author disclosures against the Open Payments Database 
      (OPD). AOSSM has not conducted an independent investigation on the OPD and 
      disclaims any liability or responsibility relating thereto.
EDAT- 2022/10/18 06:00
MHDA- 2022/10/18 06:01
PMCR- 2022/10/12
CRDT- 2022/10/17 05:33
PHST- 2022/07/06 00:00 [received]
PHST- 2022/07/27 00:00 [accepted]
PHST- 2022/10/17 05:33 [entrez]
PHST- 2022/10/18 06:00 [pubmed]
PHST- 2022/10/18 06:01 [medline]
PHST- 2022/10/12 00:00 [pmc-release]
AID - 10.1177_23259671221127049 [pii]
AID - 10.1177/23259671221127049 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2022 Oct 12;10(10):23259671221127049. doi: 
      10.1177/23259671221127049. eCollection 2022 Oct.