TY - JOUR PY - 2018// TI - Longitudinal study of a NoGo-P3 event-related potential component following mild traumatic brain injury in adults JO - Annals of physical and rehabilitation medicine A1 - Candrian, Gian A1 - Müller, Andreas A1 - Dall'Acqua, Patrizia A1 - Kompatsiari, Kyveli A1 - Baschera, Gian-Marco A1 - Mica, Ladislav A1 - Simmen, Hans-Peter A1 - Glaab, Richard A1 - Fandino, Javier A1 - Schwendinger, Markus A1 - Meier, Christoph A1 - Ulbrich, Erika Jasmin A1 - Johannes, Sönke SP - 18 EP - 26 VL - 61 IS - 1 N2 - BACKGROUND: Event-related potentials have repeatedly revealed electrophysiological markers of cognitive dysfunction associated with Mild Traumatic Brain Injury (MTBI) and may represent a sensitive tool to guide cognitive rehabilitative interventions. We previously found patients with symptomatic MTBI characterized by smaller P300 (or P3) wave amplitudes in a NoGo-P3 subcomponent in the acute phase of the injury. The goal of this longitudinal study was to investigate whether this early NoGo-P3 subcomponent differs over time in symptomatic MTBI patients and healthy controls.

METHODS: We included adults with a diagnosis of MTBI and individually matched healthy controls tested at 1 week, 3 months, and 1 year after the MTBI. Symptoms were assessed by the Rivermead Post-Concussion Symptoms Questionnaire. NoGo-P3 was collected by using a cued Go/NoGo task and the relevant subcomponent was extracted by independent component analysis.

RESULTS: Among 53 adults with a diagnosis of MTBI and 53 controls, we included 35 with symptomatic MTBI and 35 matched healthy controls (18 females each group; mean age 34.06±13.15 and 34.26±12.98 years). Amplitudes for the early NoGo-P3 subcomponent were lower for symptomatic MTBI patients than controls (P<0.05) at 1 week post-injury. Furthermore, mixed ANOVA revealed a significant time by group interaction (P<0.05), so the effect of time differed for symptomatic MTBI patients and healthy controls. The amplitudes for MTBI patients normalized from 1 week to 3 months post-injury and were comparable to those of controls from 3 months to 1 year post-injury. However, amplitudes for 3 MTBI patients with particularly severe complaints 1 year post-injury did not normalize and were lower than those for the remaining MTBI sample (P<0.05).

CONCLUSIONS: Selected event-related potentials can be used as a sensitive and objective tool to illustrate the cognitive consequences of and recovery after MTBI.

Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Language: en

LA - en SN - 1877-0657 UR - http://dx.doi.org/10.1016/j.rehab.2017.07.246 ID - ref1 ER -