A prospective study of symptoms and neurocognitive outcomes in youth with concussion vs orthopaedic injuries

Brian P. Rieger, Lawrence J. Lewandowski, James M. Callahan, Laura Spenceley, Adrea Truckenmiller, Rebecca Gathje, Laura A. Miller

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Background: This study examined symptom reports and neurocognitive outcomes in children (8-17 years) with mild traumatic brain injury (mTBI) or orthopaedic injury (OI). Method: Children and parents were initially assessed upon presentation in the Emergency Department of a local hospital and again at 3 months. Children completed the Immediate Post-Concussion Assessment and Cognitive Testing battery (ImPACT) and parents completed the Behavior Rating Inventory of Executive Function (BRIEF). The Peabody Picture Vocabulary Test, 3rd edition (PPVT-III) was completed by the children at the 3-month assessment. Results: Children with mTBI reported more symptoms than the OI group initially, but did not differ from the OI group at 3 months. Both groups reported a higher than expected number of symptoms at 3 months. On the ImPACT, children with mTBI performed significantly worse than the OI on a visual memory test at both assessments. The OI group had higher levels of parent-reported executive dysfunction on the BRIEF at initial and 3-month assessments. Discussion: As expected, more post-concussion symptoms were initially reported by children and adolescents with mTBI vs orthopaedic injury, but there was no difference at 3 months. The BRIEF and ImPACT cognitive measures did not differentiate concussed subjects from controls, with the exception of concussed subjects' lower performance on a visual memory test at both initial assessment and at 3 months.

Original languageEnglish (US)
Pages (from-to)169-178
Number of pages10
JournalBrain injury
Issue number2
StatePublished - 2013


  • Concussion
  • Mild traumatic brain injury
  • Paediatric, outcome
  • Post-concussion

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Clinical Neurology


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