The Cognitive Sequelae of Paediatric Concussion: Understanding Outcomes and Exploring Opportunities for Intervention
Year: 2018
Type: dissertation
Abstract: Background: Children and youth are at risk of experiencing persistent cognitive challenges after concussion. However, there is a lack of characterization of these outcomes and a paucity of treatment interventions. Objective: (1) To characterize working memory post-paediatric concussion; and, (2) to explore the therapeutic potential of transcranial direct current stimulation (tDCS) for youth experiencing persistent cognitive symptoms. Methods: (1) Systematic review methodology was applied to synthesize the literature on working memory outcomes. (2) A pilot quasi-randomized control trial was conducted to explore the feasibility, tolerability, and clinical efficacy of tDCS. Results: (1) Working memory is vulnerable to insult in paediatric concussion, yet outcomes are variable. (2) tDCS shows the potential to enhance cognitive skill acquisition. Barriers to feasibility must be addressed. Conclusions: This dissertation contributes to a better understanding of the cognitive outcomes of paediatric concussion and will inform future research exploring therapeutic interventions for persisting cognitive symptoms in youth.
Source: TSpace (University of Toronto)
Author: Keelia Quinn de Launay
Language: English
Subfield: Clinical Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W3163831129