Abstract

The goal of the current study was to determine which sport/recreation-related concussion (SRC) assessments predict academic reading performance following SRC. The study included 70 concussed students aged 14–22 years (M = 16.21, SD = 1.90) evaluated 2–30 days (M = 8.41, SD = 5.88) post-injury. SRC assessments included: Post-Concussion Symptom Scale, Immediate Post-Concussion Assessment and Cognitive Testing, Vestibular/Ocular Motor Screening, and King-Devick test. The Nelson-Denny Reading Test (NDRT) comprehension subtest measured academic reading accuracy and rate. Pearson correlations examined relationships among SRC assessments and reading accuracy/rate; those assessments that significantly correlated with the NDRT were included in multiple regressions (MRs) predicting reading accuracy and reading rate. Results supported positive correlations between visual motor speed and reading accuracy (r = .31, p = .01), and near point of convergence (NPC) and reading rate (r = .30, p = .01). The MRs for reading accuracy (F = 4.61, p = .01) and reading rate (F = 4.61, p = .01) were significant, and predicted approximately 40% of the variance, with visual motor speed and NPC as the only significant predictors in both models. Symptoms were not predictive of reading accuracy or rate. The present study indicates that visual motor speed and NPC are predictive of academic reading performance after SRC, suggesting clinicians should consider these clinical outcomes to better inform academic accommodations.

摘要

本研究的目的是确定哪些运动/娱乐相关脑震荡（SRC）评估可预测SRC后的学术阅读表现。该研究包括70位14至22岁的脑震荡学生（M  = 16.21，SD  = 1.90），评估了2-30天（M  = 8.41，SD） = 5.88）。SRC评估包括：脑震荡后症状量表，脑震荡后立即评估和认知测验，前庭/眼动筛查和King-Devick测验。尼尔森丹尼阅读测试（NDRT）理解子测验测量了学术阅读的准确性和速度。皮尔森相关性检验了SRC评估与阅读准确性/比率之间的关系；与NDRT显着相关的那些评估包括在预测阅读准确性和阅读率的多元回归（MR）中。结果支持视觉运动速度与阅读准确度（r  = .31，p  = .01）与近会聚点（NPC）和阅读率之间的正相关（r  = .30，p = .01）。读取准确度（F  = 4.61，p  = .01）和读取率（F  = 4.61，p  = .01）的MR显着，并预测了大约40％的方差，视觉运动速度和NPC是唯一重要的两个模型中的预测变量。症状不能预测阅读准确性或阅读率。本研究表明，视觉运动速度和NPC可预测SRC后的学术阅读表现，建议临床医生应考虑这些临床结局，以更好地为学术适应提供依据。