Evaluación Neuropsicológica de Conmoción Cerebral: Estudio de Caso de un Jugador de Fútbol Americano

  1. Ortiz Jiménez, Xóchitl Angélica 1
  2. Akena Fernández, Mariana 1
  3. Saldaña Muñoz, Brenda Lizath 1
  4. Rincón Campos, Yahel Enith 1
  5. Góngora Rivera, Juan Fernando 1
  6. Arango Lasprilla, Juan Carlos 2
  1. 1 Universidad Autónoma de Nuevo León, México
  2. 2 Ikerbasque, Fundación Vasca para la Ciencia
    info

    Ikerbasque, Fundación Vasca para la Ciencia

    Bilbao, España

    ROR https://ror.org/01cc3fy72

Journal:
Cuadernos de psicología del deporte

ISSN: 1578-8423 1989-5879

Year of publication: 2020

Volume: 20

Issue: 1

Pages: 236-251

Type: Article

DOI: 10.6018/CPD.358181 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Cuadernos de psicología del deporte

Sustainable development goals

Abstract

Concussion (CC) is the main cause of injury in contact athletes being American football (AF) one of the most popular. CC can produce a wide range of physical, cognitive and emotional symptoms. The objective was to evaluatethe cognitive functioning of a senior AF player, 23 years of age and 15 years of schooling, before and after having presented a CC. The following evaluation instruments were administered to the player: MoCA test, Digits and Cubes in regression, Visual Detection, Semantic Verbal Fluency, Stroop test, Tower of Hanoi and WisconsinCard. His baseline cognitive profile was established in pre-season and was reassessed during the season a week after a CC. In the pre-season evaluation the player presented a cognitive profile within the expected ranges for their age and schooling. In the acute phase of CC, the player decreased his performance in processing speed tasks, sustained attention, inhibition and planning.

Bibliographic References

  • Aguilar-Navarro, S. G., Mimenza-Alvarado, A. J., Palacios-García, A. A., Samudio-Cruz, A., Gutiérrez-Gutiérrez, L. A., y Ávila-Funes, J. A. (2018). Validez y confiabilidad del MoCA (Montreal Cognitive Assessment) para el tamizaje del deterioro cognoscitivo en México. Revista Colombiana de Psiquiatría, 47(4), 237-243. doi:10.1016/j.rcp.2017.05.003
  • Alosco, M. L., Kasimis, A. B., Stamm, J. M., Chua, A. S., Baugh, C. M., Daneshvar, D. H.,…Stern, R. A. (2017). Age of first exposure to American football and long-term neuropsychiatric and cognitive outcomes. Translational Psychiatry, 7(9), e1236. doi:10.1038/tp.2017.197
  • American Psychological Corporation (2018). Society for Clinical Neuropsychology. Recuperado de https://www.apa.org/about/division/div40.aspx
  • Arain, A., Haque, M., Johal, L., Mathur, P., Nel, W., Rais, A.,…Sharma, S. (2013). Maturation of the adolescent brain. Neuropsychiatric Disease and Treatment, 9, 449-461. doi: 10.2147/NDT.S39776
  • Arango-Lasprilla, J. C., Rivera, D., Aguayo, A., Rodríguez, W., Garza, M., Saracho, C.,… Perrin, P. B. (2015). Trail Making Test: normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation, 37(4), 639-661. doi: 10.3233/NRE-151284
  • Ardila, A. y Ostrosky-Solís, F. (2008). Desarrollo histórico de las Funciones Ejecutivas. Revista Neuropsicología, Neuropsiquiatría y Neurociencias, 8(1), 1-21. Recuperado de: https://dialnet.unirioja.es/servlet/articulo?codigo =3987433
  • Arnett, P., Guty, E., y Bradson, M. (2017). Bulletin. National Academy of Neurophychology, 31(2), 727. Recuperado de: https://www.nanonline.org/docs/ResearchandPub lications/NANBulletin/Spring%202017%20Bulle tin_Reduced.pdf
  • Ato, M., López, J. J., y Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29(3), 1038-1059. http://dx.doi.org/10.6018/analesps.29.3.178511 Bleiberg, J., Cernich, A. N., Cameron, K., Sun, W., Peck, k., Ecklund, J.,…Warden, D. L. (2004). Duration of cognitive impairment after sports concussion. Neurosurgery, 54(5), 1073-1080. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/15113460
  • Carroll, L., Cassidy, D., Cancelliere, C., Côté, P., Hincapié, C. A., Kristman, V. K.,…Hartvigsen, J. (2014). Systematic review of the prognosis after mild traumatic brain injury in adults: cognitive, psychiatric, and mortality outcomes: results of the international collaboration on mild traumatic brain. Injury Prognosis. Archives of Physical Medicine and Rehabilitation, 95(3 Suppl 2), 152- 73. doi: 10.1016/j.apmr.2013.08.300.
  • Collins, M. W., Grindel, S. H., Lovell, M. R., Dede, D. E., Moser, D. J., Phalin, B. R.,… McKeag, D. B. (1999). Relationship Between Concussion and Neuropsychological Performance in College Football Players. JAMA, 282(10), 964- 970. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/10485682
  • Delaney, J. S., Lacroix, V., Leclerc, S., y Johnston, K. (2002). Concussions among university football and soccer players [Abstract]. Clinical Journal of Sport Medicine, 12(6), 331- 338. Recuperado de: https://insights.ovid.com/pubmed?pmid=124666 87
  • Delaney, J. S., Caron, J. G., Correa, J. A., y Bloom, G. A. (2018). Why professional football players chose not to reveal their concussion symptoms during a practice or game. Clinical Journal of Sport Medicine, 28(1), 1-12. doi: 10.1097/JSM.0000000000000495.
  • Domínguez-González, F., Moral-Campillo, L., Reigal, R.E., y Hernández-Mendo, A. (2018). Condición física y atención selectiva en una muestra preadolescente. Cuadernos de Psicología del Deporte, 18(2), 33-42. Recuperado de https://revistas.um.es/cpd/article/view/317691
  • Echemendia, R. J., Herring, S., y Bailes, J. (2009). Who should conduct and interpret the neuropsychological assessment in sport-related concussion? British Journal of Sport Medicine, 43(1), 32-35. http://dx.doi.org/10.1136/bjsm.2009.058164
  • Echemendia, R. J., Bruce, J. M., Bailey, C. M., Sanders, J. F., Arnett, P., Vargas, G. (2012). The utility of post-concussion neuropsychological data in identifying cognitive change following sportsrelated MTBI in the absence of baseline data. Clinical Neuropsychology, 26(7), 1077-1091. doi: 10.1080/13854046.2012.721006.
  • Echemendia, R. J., Iverson, G. L., McCrea, M., Macciocchi, S. N., Gioia, G. A., Putukian, M., y Comper, P. (2013). Advances in neuropsychological assessment of sport-related concussion. British Journal of Sports Medicine, 47(5), 294–298. doi:10.1136/bjsports-2013- 092186
  • Echemendia, R. J., Meeuwisse, W., McCrory, P., Davis, G. A., Putukian, M., Leddy, J., …Herring, S. (2017). The Sport Concussion Assessment Tool 5th Edition (SCAT-5): Background and rationale. British Journal of Sports Medicine, 51(11), 848- 850. doi: 10.1136/bjsports-2017-097506.
  • Erlanger, D., Feldman, D., Kutner, K., Kaushik, T., Kroger, H., Festa, J.,…Broshek, D. (2003). Development and validation of a web-based neuropsychological test protocol for sports-related return-to-play decision-making. Archives of Clinical Neuropsychology, 18(3), 293-316. doi: 10.1016/S0887-6177(02)00138-5
  • Flores Lázaro, J., Ostrosky Shejet, F., y Lozano Gutiérrez, A. (2014). BANFE-2 Batería neuropsicológica de funciones ejecutivas y lóbulos frontales. México: Manual Moderno.
  • Förstl, H., Haass, Ch., Hemmer, B., Meyer, B., y Halle, M. (2010). Boxing-Acute complications and late sequelae. Deutsches Ärzteblatt International, 107(47), 835-839. doi: 10.3238/arztebl.2010.0835
  • Guskiewicz, K. M., Weaver, N. L., Padua, D. A., y Garrett, W. E. Jr. (2000). Epidemiology of concussion in collegiate and high school football players. American Journal of Sports Medicine, 28(5), 643-650. doi: 10.1177/03635465000280050401
  • Guskiewicz, K. M., McCrea, M., Marshall, S. W., Cantu, R. C. Randolph, Ch., Barr, W., …Kelly, J. P. (2003). Cummulative effects associated with recurrent concussion in collegiate football players. The NCAA concussion study. JAMA, 290(19), 2549-2555. doi: 10.1001/jama.290.19.2549
  • Guskiewicz, K. M., Bruce S. L., Cantu, R. C., Ferrara, M. S., Kelly, J. P., McCrea, M., …McLeod, T. C. (2004). Recommendations on management of sport-related concussion: summary of the National Athletic Trainers' Association position statement. Neurosurgery, 55(4), 891-896. Recuperado de https://doi.org/10.1227/01.NEU.0000143800.497 98.19
  • Guskiewicz, K. M., Marshall, S. W., Bailes, J., McCrea, M., Cantu, R. C., Randolph, C., y Jordan, B. D. (2005). Association between Recurrent Concussion and Late-Life Cognitive Impairment in Retired Professional Football Players. Neurosurgery, 57(4), 719–726. doi:10.1227/01.neu.0000175725.75780
  • Jiménez, R. (2017). Traumatismo craneal, conmoción cerebral y sus consecuencias. Seminario práctico a través de casos clínicos. Curso de Actualización Pediatría. Madrid, Lúa Ediciones. Recuperado de: https://www.aepap.org/sites/default/files/269- 280_traumatismo_craneal.pdf
  • Kochanek, P., Clark, R., Ruppel, R., Adelson, P., Bell, M., Whalen, M., ... y Jenkins, L. (2000). Biochemical, cellular and molecular mechanisms in the evolution of secondary damage after severe traumatic brain injury in infants and children: Lessons learned from the bedside. Pediatric Critical Care Medicine, 1(1), 4-19. doi: 10.1097/00130478-200007000-00003
  • Landry, G. L. (2002). Central nervous system trauma. Pediatric Clinics of North America, 49(4), 723–741. doi: 10.1016/s0031-3955(02)00024-x
  • Langlois, J. A., Rutland-Brown, W., y Wald, M. M. (2006). The Epidemiology and Impact of Traumatic Brain Injury. Journal of Head Trauma Rehabilitation, 21(5), 375–378. doi:10.1097/00001199-200609000-00001
  • Lebel, C., Walker, L., Leemans, A., Phillips, L., y Beaulieu, C. (2008). Microstructural maturation of the human brain from childhood to adulthood. Neuroimage, 40(3), 1044–1055. doi: 10.1016/j.neuroimage.2007.12.053.
  • Lezak, M., Howieson, D., Bigler, E., y Tranel, D. (2012). The Practice of Neuropsychological Assessment. En M. Lezak, D. Howieson, E. Bigler, y D. Tranel. (Ed), Neuropsychological Assessment (pp 3-14). Oxford: University Press.
  • Loureiro, G., García, C., Adana, L., Yacelga, T., Rodríguez-Lorenzana, A., y Maruta, C. (2018). Uso del test de evaluación cognitiva de Montreal (MoCA) en América Latina: revisión sistemática. Revista de Neurología, 66, 397-408. Recuperado de https://www.neurologia.com/articulo/2017508
  • Ma, R., Miller, C. D., Hogan, M. V., Diduch, B. K., Carson, E. W., y Miller, M. D. (2012). SportsRelated Concussion: Assessment and Management. The Journal of Bone and Joint Surgery-American Volume, 94(17), 1618–1627. doi:10.2106/jbjs.k.01127
  • Manonelles-Marqueta, P., y Del Valle-Soto, M. D. (2011). Medicina de la Educación Física y del Deporte. Especialidad con entidad propia. Archivos de Medicina del Deporte, 28(142), 83- 85. Recuperado de: http://archivosdemedicinadeldeporte.com/articulo s/upload/Editorial_142.pdf
  • Macciocchi, S. N., Barth, J. T., Alves, W., Rimel, R. W., y Jane, J. A. (1996). Neuropsychological Functioning and Recovery after Mild Head Injury in Collegiate Athletes. Neurosurgery, 39(3), 494– 508. doi:10.1097/00006123-199609000-00014
  • Markela-Lerenc, J., Ille, N., Kaiser, S., Fiedler, P., Mundt, C., y Weisbrod, M. (2004). Prefrontalcingulate activation during executive control: which comes first? Brain Research. Cognitive Brain Research, 18(3):278-87. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/14741314
  • Maruta, J., Palacios, E. M., Zimmerman, R. D., Ghajar, J., Mukherjee, P. (2016). Chronic PostConcussion Neurocognitive Deficits. I. Relationship with White Matter Integrity. Frontiers in Human Neuroscience, 10(35), 1-8. doi: 10.3389/fnhum.2016.00035
  • McCrea, M. (2001). Standardized mental status testing on the sideline after sport-related concussion. Journal of Athletic Training, 36(3), 274–279. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC 155418/pdf/attr_36_03_0274.pdf
  • McCrea, M. A. (2008). Mild Traumatic Brain Injury and Post-concussion Syndrome: The New Evidence Base for Diagnosis and Treatment. New York, NY: Oxford University Press.
  • McCrory, P., Meeuwisse, W., Johnston, K., Dvorak, J., Aubry, M., Molloy, M., y Cantu, R. (2009). Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008. British Journal of Sports Medicine, 43(1), i76–i84. doi:10.1136/bjsm.2009.058248
  • McCrory, P., Meeuwisse, W., Dvorak, J., Aubry, M., Bailes, J., Broglio, S., …Vos, P. E. (2017). Consensus statement on concussion in sport—the 5th international conference on concussion in sport. British Journal of Sport Medicine, 0, 1-10. doi:10.1136/bjsports-2017-097699
  • McKee, A. C., Cantu, R. C., Nowinski, C. J., Hedley-Whyte, E. T., Gavett, B. E., Budson, A. E.,…Stern, R. A. (2009). Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury. Journal of Neuropathology and Experimental Neurology, 68(7), 709-735. doi: 10.1097/NEN.0b013e3181a9d503
  • McKee, A. C., Stein, T. D., Nowinski, C. J., Stern, R. A., Daneshvar, D. H., Alvarez, V. E.,…Cantu, R. C. (2013). The spectrum of disease in chronic traumatic encephalopathy. Brain, 136(1), 43-64. doi: 10.1093/brain/aws307
  • Merritt, V. C., Meyer, J. E., Cadden, M. H., Roman, C. A., Ukueberuwa, D. M., Shapiro, M. D., y Arnett, P. A. (2017). Normative data for a comprehensive neuropsychological test battery used in the assessment of sports-related concussion. Archives of Clinical Neuropsychology, 32(2), 168-183. doi: 10.1093/arclin/acw090
  • Mez, J., Daneshvar, D. H., Kiernan, P. T., Abdolmohammadi, B., Alvarez, V. E., Huber, B. R.,…McKee, A. C. (2017). Clinicopathological evaluation of chronic traumatic encephalopathy in players of American football. JAMA, 318(4), 360- 370. doi: 10.1001/jama.2017.8334
  • Norton, C. (2018). Concussion in sport: the importance of accurate and reliable discharge advice. Emergency Nurse, 25(10), 35–42. doi: 10.7748/en.2018.e1724
  • Ostrosky-Solís, F., Gómez, M. E., Matute, E., Rosselli, M., Ardila, A., y Pineda, D. (2012). Neuropsi Atención y Memoria (2a Ed). México: Manual Moderno.
  • Ortiz, M. I., y Murguía, G. (2013). Conmoción cerebral asociado a un traumatismo craneoencefálico en los deportistas. Medwave, 13(01), e5617. doi: 10.5867/medwave.2013.01.5617
  • Ortiz Jiménez, X., Góngora Rivera, F., y Saldaña Muñoz, B. (2018). Cognitive components of verbal fluency In non-demented older adults with cerebrovascular risk factors. A two-year followup. Revista Iberoamericana de Neuropsicología, 1(2), 163-169. Recuperado de https://www.manualmoderno.com/apoyos_electr onicos/25941178_0102/pdf/25941178_0102.pdf
  • Patel, D. R., Shivdasani, V., y Baker, R. J. (2005). Management of sport-related concussion in young athletes. Sports Medicine, 35(8), 671–684. doi: 10.2165/00007256-200535080-00002
  • Patricios, J. S., Ardern, C. L., Hislop, M. D., Aubry, M., Bloomfield, P., Broderick, C.,… Raftery, M. (2018). Implementation of the 2017 Berlin Concussion in Sport Group Consensus Statement in contact and collision sports: a joint position statement from 11 national and international sports organisations. British Journal of Sports Medicine, 0, 1–7. doi:10.1136/bjsports2018-099079
  • Peris-Delcampo, D., y Cantón-Chirivella, E. (2018). El perfil profesional del especialista en psicología del deporte en fútbol. Revista de Psicología Aplicada al Deporte y al Ejercicio Físico, 3(1), 1-12. doi: 10.5093/rpadef2018a6
  • Rădoi, A., Poca, M. A., Cañas, V., Cevallos, J. M., Membrado, L., Saavedra, M. C.,… Sahuquillo, J. (2016). Neuropsychological alterations and neuroradiological findings in patients with posttraumatic concussion: results of a pilot study. Neurología, 33(7), 427-437. doi: 10.1016/j.nrl.2016.10.003
  • Salas-Cabrera, J., Herrera-González, E., GarcésFayos-Ruiz, E. J., Herrera-Monge, M. F., BrenesBolívar, J., y Monge-Ramos, J. (2017). Efecto del ejercicio físico sobre la memoria a corto plazo y velocidad en el procesamiento de información de un paciente que sufrió trauma craneoencefálico: un caso de estudio. Cuadernos de Psicología del Deporte, 17(2), 131-138. Recuperado de: http://scielo.isciii.es/scielo.php?script=sci_arttext ypid=S1578-84232017000200014
  • Sandel, N., Reynolds, E., Cohen, P. E., Gillie, B. L., y Kontos, A. P. (2017). Anxiety and mood clinical profile following sport-related concussion: From risk factors to treatment. Sport, Exercise, and Performance Psychology, 6(3), 304- 323. doi:10.1037/spy0000098
  • Scolaro-Moser, R., Iverson, G. L., Echemendia, R. J., Lovell, M. R., Schatz, P., Webbe, F. M.,…Barth, J. T. (2007). Neuropsychological evaluation in the diagnosis and management of sports-related concussion. Archives of Clinical Neuropsychology, 22(8), 909–916. doi:10.1016/j.acn.2007.09.004
  • Shaw, P., Greenstein, D., Lerch, J., Clasen, L., Lenroot, R., Gogtay, N.,…Giedd, J. (2006). Intellectual ability and cortical development in children and adolescents. Nature, 440 (7084), 676–679. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/16572172
  • Stamm, J. M., Bourlas, A. P., Baugh, C. M., Fritts, N. G., Daneshvar, D. H., Martin, B. M., …Stern, R. A. (2015). Age of first exposure to football and later-life cognitive impairment in former NFL players. Neurology, 84(11), 1114–1120. doi: 10.1212/WNL.0000000000001358
  • Stamm, J.M., Koerte, I. K., Muehlmann, M., Pasternak, O., Bourlas, A. P., Baugh, C. M., …. Shenton, M. E. (2015). Age at first exposure to football is associated with altered corpus callosum white matter microstructure in former professional football players. Journal of Neurotrauma, 32(22), 1768–1776. doi: 10.1089/neu.2014.3822
  • Stuss, D. Floden, D., Alexander, M. P., Levine, B., y Katz, D. (2001). Stroop performance in focal lesion patients: dissociation of processes and frontal lobe lesion location. Neuropsychologia, 39(8), 771-86. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/11369401
  • Tsushima, W. T., Siu, A. M., Yamashita, N., Oshiro, R. S., y Murata, N. M. (2016). Comparison of neuropsychological test scores of high school athletes in high and low contact sports: A replication study. Applied Neuropsychology: Child, 7(1), 14–20. doi: 10.1080/21622965.2016.1220860
  • Wechsler, D. (2012). WAIS-IV: Escala de Inteligencia de Wechsler para Adultos-IV: manual técnico y de interpretación. Madrid: Pearson Educación
  • Wylie, G.R., Freeman, K., Thomas, A., Shpaner, M., OKeefe, M., Watts, R., y Naylor, M. R., (2015) Cognitive Improvement after Mild Traumatic Brain Injury Measured with Functional Neuroimaging during the Acute Period. PLoS ONE 10(5): e0126110. doi: 10.1371/journal.pone.0126110