Sensor-Assisted Analysis of Autonomic and Cerebrovascular Dysregulation following Concussion in an Individual with a History of Ten Concussions: A Case Study
Abstract
:1. Introduction
2. Case and Methods
3. Results
4. Discussion
5. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Concussion Number | Date of Injury | Age at Injury | Mechanism of Injury | Duration of Recovery |
---|---|---|---|---|
1 | January 1996 | 7 months | Fall—downstairs | Unknown |
2 | August 2008 | 13 years | Fall—longboard | Two days |
3 | November 2011 | 16 years | SRC—basketball | Three days |
4 | January 2012 | 16 years | SRC—basketball | Two days |
5 | September 2013 | 18 years | SRC—basketball | One month |
6 | October 2013 | 18 years | SRC—basketball | Seven months |
7 | June 2014 | 19 years | MVC—whiplash | Two months |
8 | September 2016 | 21 years | Struck to head—weightlifting | One month |
9 | March 2018 | 23 years | SRC—basketball | Two days |
10 | August 2019 | 24 years | SRC—wakeboarding | One month |
Baseline | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 10 | Day 14 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pre | Post | Pre | Post | Pre | Post | Pre | Post | Pre | Post | Pre | Post | Pre | Post | ||
Headaches | 1 | 4 | 5 | 3 | 3 | 3 | 4 | 2 | 3 | 2 | 3 | 1 | 1 | 1 | 1 |
Pressure in Head | 1 | 4 | 5 | 3 | 3 | 3 | 4 | 2 | 3 | 2 | 3 | 1 | 1 | 1 | 1 |
Neck Pain | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Nausea or Vomiting | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dizziness | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Blurred or Double Vision | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Balance Problems | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Sensitivity to Light | 1 | 2 | 2 | 2 | 1 | 2 | 2 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 0 |
Sensitivity to Noise | 0 | 2 | 2 | 2 | 1 | 2 | 2 | 1 | 0 | 1 | 1 | 0 | 0 | 1 | 0 |
Feeling Slowed Down | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 0 | 0 | 1 | 0 |
Feeling “in a Fog” | 0 | 1 | 0 | 1 | 1 | 1 | 2 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 |
Don’t Feel Right | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Difficulty Concentrating | 0 | 2 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Difficulty Remembering | 0 | 2 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Fatigue or Low Energy | 1 | 2 | 1 | 1 | 2 | 3 | 3 | 2 | 1 | 2 | 2 | 1 | 1 | 0 | 1 |
Confusion | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
Drowsiness | 0 | 2 | 2 | 0 | 2 | 2 | 1 | 1 | 1 | 2 | 1 | 1 | 0 | 0 | 0 |
More Emotional | 1 | 3 | 2 | 2 | 2 | 3 | 2 | 3 | 3 | 3 | 1 | 1 | 1 | 0 | 0 |
Irritability | 0 | 3 | 4 | 3 | 2 | 3 | 2 | 3 | 3 | 3 | 2 | 1 | 1 | 0 | 0 |
Sadness | 1 | 2 | 1 | 2 | 2 | 3 | 2 | 2 | 3 | 3 | 1 | 1 | 0 | 0 | 0 |
Nervous or Anxious | 0 | 0 | 0 | 1 | 1 | 2 | 1 | 1 | 1 | 2 | 1 | 0 | 0 | 0 | 0 |
Trouble Falling Asleep | 0 | 0 | 0 | 2 | 1 | 2 | 2 | 1 | 1 | 2 | 2 | 1 | 1 | 1 | 1 |
Total Symptom Score | 7 | 14 | 13 | 16 | 17 | 17 | 16 | 16 | 13 | 15 | 14 | 9 | 7 | 7 | 5 |
Symptom Severity Score | 7 | 31 | 30 | 27 | 26 | 34 | 31 | 24 | 24 | 27 | 21 | 8 | 7 | 7 | 5 |
Overall Condition | 0 | 4 | 7 | 4 | 7 | 5 | 8 | 4 | 7 | 3 | 5 | 2 | 2 | 1 | 1 |
Post 30 Overall Condition | 5 | 5 | 7 | 2 | 2 | 1 | 1 |
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Kennedy, C.M.; Burma, J.S.; Smirl, J.D. Sensor-Assisted Analysis of Autonomic and Cerebrovascular Dysregulation following Concussion in an Individual with a History of Ten Concussions: A Case Study. Sensors 2024, 24, 4404. https://doi.org/10.3390/s24134404
Kennedy CM, Burma JS, Smirl JD. Sensor-Assisted Analysis of Autonomic and Cerebrovascular Dysregulation following Concussion in an Individual with a History of Ten Concussions: A Case Study. Sensors. 2024; 24(13):4404. https://doi.org/10.3390/s24134404
Chicago/Turabian StyleKennedy, Courtney M., Joel S. Burma, and Jonathan D. Smirl. 2024. "Sensor-Assisted Analysis of Autonomic and Cerebrovascular Dysregulation following Concussion in an Individual with a History of Ten Concussions: A Case Study" Sensors 24, no. 13: 4404. https://doi.org/10.3390/s24134404
APA StyleKennedy, C. M., Burma, J. S., & Smirl, J. D. (2024). Sensor-Assisted Analysis of Autonomic and Cerebrovascular Dysregulation following Concussion in an Individual with a History of Ten Concussions: A Case Study. Sensors, 24(13), 4404. https://doi.org/10.3390/s24134404