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Research Letter |

Ecologic Momentary Assessment to Accomplish Real-Time Capture of Symptom Progression and the Physical and Cognitive Activities of Patients Daily Following Concussion ONLINE FIRST

Douglas J. Wiebe, PhD1; Michael L. Nance, MD2; Eileen Houseknecht, RN2; Matthew F. Grady, MD3; Nicole Otto, MD4; Danielle K. Sandsmark, MD5; Christina L. Master, MD6
[+] Author Affiliations
1Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia
2Department of Surgery, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
3Pediatric Sports Medicine, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
4Student Health Services, Sports Medicine, University of Pennsylvania, Philadelphia
5Department of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia
6Pediatric Sports Medicine, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
JAMA Pediatr. Published online September 12, 2016. doi:10.1001/jamapediatrics.2016.1979
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This study evaluates ecologic momentary assessment following youth concussion.

Physical and cognitive rest are recommended as the cornerstone of treatment for concussion, largely based on expert opinion.13 However, it is unclear whether physical and cognitive rest aid recovery in youths with a concussion.4 In fact, a 2015 study suggests prolonged rest may correlate with more symptoms.4 Also unknown is the extent to which pediatric patients adhere to recommendations for physical and cognitive rest.5 We aimed to (1) determine the feasibility of ecologic momentary assessment following youth concussion, (2) gather real-time reports of cognitive and physical activity, and (3) compare objective measures with real-time reported symptoms among youths during recovery after concussion.

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Cognitive Activity, Physical Activity, and Symptoms Measured in Real Time Using Ecologic Momentary Assessment in Youth Following Concussion
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