People who have had a concussion where they lost consciousness may be more likely to have some disability or limitations later in life, new research has revealed.
A new study from the US has discovered that issues including difficulty walking or limitations in the amount or type of work they can do are key concerns among survivors of mild TBI.
“About 16 per cent of all adults have experienced a concussion with loss of consciousness – and our study found that nearly half of those people are living with disability,” says study author Andrea L.C. Schneider, of the University of Pennsylvania Perelman School of Medicine in Philadelphia.
“This substantial burden of disability suggests that research into how to better care for and improve the functioning of people with concussions over the long term should be a priority for both public health and for planning for individuals.”
The study involved 7,390 people with an average age of 58. People were asked if they had ever had a concussion with loss of consciousness.
They were also asked questions about their ability to do daily activities such as eating and dressing, preparing meals and doing household chores, walking up steps and carrying heavy objects.
Their grip strength was tested to check for any disability in their arms, with disability defined as having “some difficulty” or greater difficulty in an area.
People were also asked whether a physical, mental or emotional problem keeps them from working at a job or limits the kind or amount of work they can do. An answer of “yes” was defined as having a disability in that area.
A total of 16 per cent of people had experienced a concussion with loss of consciousness. Of those, 47 per cent had some disability in at least one area of functioning, compared to 37 per cent of people with no history of concussion.
“This corresponds to 11.4million people in the United States with a history of concussion with loss of consciousness and disability in at least one area,” Schneider says.
“And it’s possible that this is an underestimation, as the study did not include people in the military, nursing facilities or prisons who may have be more likely to experience concussions and disability.”
The study found the area with the greatest amount of disability was in mobility, such as being able to walk up 10 steps or stand up from an armless chair, with 38 per cent experiencing at least some difficulty.
About 36 per cent said they had at least some difficulty in general physical activities such as carrying heavy objects or standing for long periods. About 35 per cent of people said they were limited in the amount or type of work they could do.
The results were much the same after researchers adjusted for other factors that could affect disability, such as age, amount of physical activity, high blood pressure, amount of sleep and depression. The only area that did not show a link between concussion and disability was grip strength.
