The Predictive Capacity of the Buffalo Concussion Treadmill Test After Sport-Related Concussion in Adolescents

Mohammad N. Haider, John J. Leddy, Charles G. Wilber, Kaitlin B. Viera, Itai Bezherano, Kimberly J. Wilkins, Jeffrey C. Miecznikowski, Barry Willer

Frontiers in Neurology · 2019 · 80 citations · 33 references

DOIFull text

Open access

Concepts

Abstract

The Buffalo Concussion Treadmill Test (BCTT) identifies the heart rate threshold (HRt) of exercise tolerance in concussed patients. A previous study found that an absolute HRt of 30 days) from sport-related concussion (SRC). In this study, we assessed the relationship of ΔHR (difference between resting HR and HRt) and recovery from SRC. Using a retrospective cohort design, we compared acutely ( 30 days) in RG (p=0.01) and PG (p=0.04). A ΔHR of ≤ 50 bpm on the BCTT is 73% sensitive and 78% specific for predicting prolonged recovery in concussed adolescents who were prescribed the current standard of care (i.e., cognitive and physical rest).

References

33