Vers de nouvelles méthodes d'évaluation auprès d'enfants et d'adolescents ayant subi un traumatisme craniocérébral léger

 

Philippe Fait

Université du Québec à Trois-Rivières

 

Domaine : neurosciences, santé mentale et toxicomanies

Programme consortium pour le développement de la recherche en traumatologie - volet 2

Concours 2014-2015

Partenaires

Ministère de la Santé et des Services sociaux
Société de l'assurance automobile du Québec
Réseau privincial de recherche en adaptation-réadaptation
Association québécoise d'établissements de santé et de services sociaux
Associtation des établissements de réadaptation en déficience physique du Québec

Mild traumatic brain injury ( MTBI ) is a major health problem in children and adolescents. It has a potential for incomplete recovery and can produce cumulative effects after repeated occurrences . However, MTBI is often under-diagnosed and its impacts are often underestimated. Faced with a problem of this magnitude, improvement in terms of assessment, diagnosis and intervention approaches are urgently needed. When children and adolescents take longer to recover, there is a risk that their symptoms may (1) become chronic and (2) be caused in whole or in part by factors that may not be directly related to neurobiology of the original concussion. Therefore, the integrated assessment of the impact of MTBI lies in an innovative clinical assessment that naturally integrates cognitive and motor dimensions.

In addition, during a trauma causing a MTBI, the cervical region is in most cases injured, and could affect the sensorimotor system. Children and adolescents who have suffered MTBI also have difficulties with complex tasks that require dynamic and sensory integration of high level and yet go unnoticed during standard neurological and neuropsychological tests currently used.

Method

Children (10-17 years) will be recruited and tested twice in the acute and subacute phases.

Measurements

The symptoms will be measured by a questionnaire at each visit. Sensorimotor control will be assessed in a task cervical score. Orthostatic and dynamic balance will also be measured.

Outcomes

Impact on clinical practice. This study has the potential to place milestones in the evaluation of MTBI in children and adolescents since there is a potential for transfer of the use of measures in context generating a direct clinical impact in clinical practice.