- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05664620
Post Concussion Symptoms Risk Stratification Tool
Development of a Persisting Concussion Symptoms (PCS) Risk Stratification Tool and Evaluation of the Effectiveness of an Enhanced WSIB Multidisciplinary Individualized Treatment Program to Enhance Return to Work and Recovery
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The information from 500 hundred concussion patients were used to develop the PCS RST. This is a screening tool that will assist in predicting patient outcomes by allocating patients with PCS into a low, medium and high risk group for prolonged PCS symptoms. This categorization would help target those patients at high risk of prolonged symptoms with a multidisciplinary individualized treatment and evaluate the effectiveness of it on return to work and recovery. For this research study, we ask workers who have had concussions and are categorized as high high risk (with PCS RST) for prolonged PCS symptoms to undergo individualized treatments and we will examine their recovery and return to work.
The study will involve 75 patients with persisting concussion symptoms from the Canadian Concussion Centre clinics and Altum Health concussion clinic at Toronto Western Hospital.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, M5T 2S8
- Recruiting
- Canadian Concussion Centre- Toronto Western Hospital
-
Principal Investigator:
- Carmela Tartaglia, MD
-
Principal Investigator:
- Charles Tator, MD,PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age between 18-60 years old
- Clinical diagnosis of PCS for 1-12 months with at least 3 symptoms
- Must be employed at time of injury
- Full-time or part-time worker prior to concussion and cannot return to work
- Must speak English and be sufficiently literate to complete questionnaires and perform assessments
- Must be able to give consent
Exclusion Criteria:
- Abnormalities on MRI such as contusion, hemorrhages, siderosis, or other non-traumatic conditions
- History of neurological conditions (e.g. stroke, seizures) or major psychiatric disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Low risk
Standard of care to treat post-concussion symptoms in the community
|
|
No Intervention: Medium risk
Patients who are assigned to the medium risk group will receive the same treatment as the low risk group for one month, after which they will be reassessed.
If improving they will go into the low risk group, and if not improving they will go into the high risk group
|
|
Other: High risk
A multidisciplinary individualized treatment (personalized medicine) model of treating all post-concussion symptoms simultaneously including the following: Headache therapy, balance therapy, vestibular therapy, exercise therapy* mental health support e.g. CBT and/or mindfulness meditation* (with more specialized diagnosis and care where required), cognitive assessment and therapy, vision therapy, sleep assessment and therapy, physiotherapy, education sessions*, occupational therapy These patients will be treated through the Altum Health Neurology Specialty Program *Offered to all high risk patients |
Patients will be allocated to three groups (Low,medium and high risk) by using the Risk Stratification Tool, and High risk patients will receive multidisciplinary treatment assigned to them by a physician
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Return to work
Time Frame: 12 months after treatment start day
|
The Primary Outcome is the percentage of concussed workers who ultimately RTW one year after the treatment commences.
The Recovery and Return to Work tracker will be completed in 3,6,9 and 12 months to track their recovery.
However, the primary endpoint is "Return to work at 12 months."
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12 months after treatment start day
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Work Quality
Time Frame: 12 months after treatment start day
|
The type of work returned to in relation to the pre-concussion work and work stability in terms of being able to stay working after RTW.
For this purpose, a modified work quality Index (WQI) will be used.
|
12 months after treatment start day
|
Collaborators and Investigators
Investigators
- Principal Investigator: Charles Tator, MD, PhD, University Health Network, Toronto
- Principal Investigator: Carmela Tartaglia, MD, University Health Network, Toronto
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20-6079
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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