A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion
Background: Guidelines for clinicians treating military concussion recommend exertional testing before return-to-duty, yet there is currently no standardized task or inclusion of an objective physiological measure like heart rate variability (HRV). Methodology & results: We pilot-tested two clin...
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| Format: | Article |
| Language: | English |
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Aldus Press
2021-03-01
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| Series: | Concussion |
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| Online Access: | https://www.futuremedicine.com/doi/10.2217/cnc-2020-0018 |
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| author | Julianna H Prim Maria I Davila Karen L McCulloch |
| author_facet | Julianna H Prim Maria I Davila Karen L McCulloch |
| author_sort | Julianna H Prim |
| collection | DOAJ |
| description | Background: Guidelines for clinicians treating military concussion recommend exertional testing before return-to-duty, yet there is currently no standardized task or inclusion of an objective physiological measure like heart rate variability (HRV). Methodology & results: We pilot-tested two clinically feasible exertional tasks that include HRV measures and examined reliability of a commercially available heart rate monitor. Testing healthy participants confirmed that the 6-min step test and 2-min pushup test evoked the targeted physiological response, and the Polar H10 was reliable to the gold-standard electrocardiogram. Conclusion: Both tasks are brief assessments that can be implemented into primary care setting including the Polar H10 as an affordable way to access HRV. Additional research utilizing these tasks to evaluate concussion recovery can validate standardized exertional tasks for clinical use. |
| format | Article |
| id | doaj-art-cd0c09652dff4393a3522a2fd738f040 |
| institution | DOAJ |
| issn | 2056-3299 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Aldus Press |
| record_format | Article |
| series | Concussion |
| spelling | doaj-art-cd0c09652dff4393a3522a2fd738f0402025-08-20T03:03:46ZengAldus PressConcussion2056-32992021-03-016110.2217/cnc-2020-0018A pilot study on exertional tasks with physiological measures designed for the assessment of military concussionJulianna H Prim0Maria I Davila1Karen L McCulloch21Department of Allied Health Sciences, Curriculum in Human Movement Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA2Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA1Department of Allied Health Sciences, Curriculum in Human Movement Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USABackground: Guidelines for clinicians treating military concussion recommend exertional testing before return-to-duty, yet there is currently no standardized task or inclusion of an objective physiological measure like heart rate variability (HRV). Methodology & results: We pilot-tested two clinically feasible exertional tasks that include HRV measures and examined reliability of a commercially available heart rate monitor. Testing healthy participants confirmed that the 6-min step test and 2-min pushup test evoked the targeted physiological response, and the Polar H10 was reliable to the gold-standard electrocardiogram. Conclusion: Both tasks are brief assessments that can be implemented into primary care setting including the Polar H10 as an affordable way to access HRV. Additional research utilizing these tasks to evaluate concussion recovery can validate standardized exertional tasks for clinical use.https://www.futuremedicine.com/doi/10.2217/cnc-2020-0018autonomic dysfunctionexercise intoleranceexertional tasksheart rate variabilitymilitary concussionprimary care |
| spellingShingle | Julianna H Prim Maria I Davila Karen L McCulloch A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion Concussion autonomic dysfunction exercise intolerance exertional tasks heart rate variability military concussion primary care |
| title | A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion |
| title_full | A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion |
| title_fullStr | A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion |
| title_full_unstemmed | A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion |
| title_short | A pilot study on exertional tasks with physiological measures designed for the assessment of military concussion |
| title_sort | pilot study on exertional tasks with physiological measures designed for the assessment of military concussion |
| topic | autonomic dysfunction exercise intolerance exertional tasks heart rate variability military concussion primary care |
| url | https://www.futuremedicine.com/doi/10.2217/cnc-2020-0018 |
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