ReCoUPS – Recovering Concussion Update on Progression of Symptoms.Objective and timely measures of physical and cognitive activity are needed to more precisely define the relationship between physical and cognitive rest and clinical outcomes, such as symptom status, on the days and weeks following concussion. In response, we conducted a prospective cohort study where patients ages 11-19 years with a concussion were enrolled from a subspecialty concussion program and monitored with a concussion tracking app that we developed. The diagnosis of concussion was made by sports medicine trained pediatricians based on the Zurich consensus diagnostic criteria. For approximately two weeks after their initial office visit, subjects wore an accelerometer and carried an iPod Touch® loaded with the app that gave random prompts to complete a symptom (the Post Concussion Symptom Scale, PCSS) and activity questionnaire several times each day. Cognitive rest/exertion daily was measured as number of texts sent, minutes of screen time and gaming, and minutes of reading or school work. These indicators were summed using factor analysis into a composite score. Our study established that ecological momentary assessment provides a feasible approach to capture objective measures of physical activity and reports of cognitive activity and symptomatology in real time in pediatric patients.
Studies are currently underway at The Children’s Hospital of Philadelphia, the University of Buffalo, and Boston University. Contact us for more information and to get involved.
Wiebe DJ, Nance ML, Houseknecht E, Grady MF, Otto N, Sandsmark DK, Master CL. Ecologic momentary assessment to accomplish real-time capture of symptom progression and the physical and cognitive activities of patients daily following concussion. JAMA Pediatrics 2016 Nov 1; 170(11)1108-1110.
Funded by the Penn Medicine Translational Neuroscience Center.