Health Condition 1: null- Mild head trauma
Conditions
Interventions
Intervention1: Index finger tapping test: Index finger tapping test will be carried out with a touch sensitive smartphone (I-phone 4) using an application called â??Digital Finger Tapping testâ??. Aft
Sponsors
Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER
Eligibility
Inclusion criteria
Inclusion criteria: 1. All adult (above 18 years) brain trauma patients who are diagnosed as having sustained a mild head trauma and who are considered by the treating physician to be eligible for discharge from the hospital will be included in the study. Such patients, at the time of discharge, after a period of observation and investigations, should be obeying commands. The American Congress of Rehabilitative Medicine (ACRM) definition of mild TBI will be used to define mild head trauma and the patient should have at least one of the following: 1. Any period of loss of consciousness 2. Any loss of memory for events immediately before or after the injury 3. Any alteration in mental state at the time of the injury (e.g. feeling dazed, disoriented, or confused). 4. Focal neurological deficit(s) which may or may not be transient; but where the severity of the injury does not exceed the following a. Loss of consciousness of approximately 30 minutes or less b. After 30 minutes, an initial Glasgow Coma Scale of 13-15 c. Post-traumatic amnesia not greater than 24 hours
Exclusion criteria
Exclusion criteria: 1. Patient who has limb injuries that prevent him or her from taking the test. 2. Patient with limb injuries or major soft tissue injuries which by itself impair the ability to get back to work. 3. Patient having a focal neurological deficit like hemiplegia or vision loss though the patient is obeying commands at the time of discharge. (a transient focal neurological deficit that has disappeared at the time of discharge is not an exclusion criteria) 4. A patient in whom GCS cannot be assessed reliably like a patient with swelling around the eye or a patient with injuries to the mouth that he cannot communicate verbally. 5. Patient with mental retardation or pre-existing neurological diseases. 6. Patient with a known history of substance abuse. 7. A patient with post traumatic CSF rhinorrhea or post traumatic meningitis which may complicate recovery from mild head trauma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the predictive power of index finger tapping speed on an I-phone application for return to work in mild head trauma patients.Timepoint: Speed is measured at the time of discharge from the hospital and at the time of follow up three weeks later. For controls it is measured only once. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Is there a significant difference in index finger tapping speed of mild head trauma patients compared to age, sex and educational level matched controls?Timepoint: At the time of discharge from hospital;2. To identify the association of index finger tapping speed with GCS at admission and and CT scan profilesTimepoint: At the time of discharge from the hospital;3. To assess the change in index finger tapping speed among mild head trauma patients at 3 weeks follow up Timepoint: At the time of discharge and three weeks later. | — |
Countries
India
Contacts
Public ContactGopalakrishnan Madhavan Sasidharan
Jawaharlal Institute of Post-graduate Medical Education and Research
Outcome results
None listed