Improved ventilatory response during exercise over time after concussion: A case report
Abstract This case study reports the exercise ventilatory responses of a 17‐year‐old female who sustained a traumatic brain injury (TBI) which resulted in loss of consciousness. Subsequently, she suffered from post‐concussion syndrome accompanied by orthostatic and exercise intolerance. A cardiopulm...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-03-01
|
| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1103 |
| _version_ | 1797895352982962176 |
|---|---|
| author | Ryan Welch Brooke Kelly Ken Whyte Kevin Ellyett Clair King |
| author_facet | Ryan Welch Brooke Kelly Ken Whyte Kevin Ellyett Clair King |
| author_sort | Ryan Welch |
| collection | DOAJ |
| description | Abstract This case study reports the exercise ventilatory responses of a 17‐year‐old female who sustained a traumatic brain injury (TBI) which resulted in loss of consciousness. Subsequently, she suffered from post‐concussion syndrome accompanied by orthostatic and exercise intolerance. A cardiopulmonary exercise test (CPET) was performed 2 years post‐TBI. The results demonstrated significant hypoventilation with elevated PetCO2 and ventilatory equivalents, progressive desaturation, and pre‐syncope symptoms limiting exercise capacity. A repeat CPET 4 years post‐TBI demonstrated a similar exercise capacity limited by pre‐syncope symptoms. However, there was a marked improvement in the ventilatory response, with appropriate ventilation, PetCO2, and ventilatory equivalents, and only minor desaturation near peak exercise. Hypoventilation during exercise has been reported in subjects with post‐concussion syndrome; however, with time the exercise ventilatory response can potentially normalize as observed in this subject. |
| first_indexed | 2024-04-10T07:25:14Z |
| format | Article |
| id | doaj.art-8a8e670f9fd74bd5a61b05290ee17b37 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-04-10T07:25:14Z |
| publishDate | 2023-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-8a8e670f9fd74bd5a61b05290ee17b372023-02-24T09:02:32ZengWileyRespirology Case Reports2051-33802023-03-01113n/an/a10.1002/rcr2.1103Improved ventilatory response during exercise over time after concussion: A case reportRyan Welch0Brooke Kelly1Ken Whyte2Kevin Ellyett3Clair King4Respiratory Services Te Whatu Ora Te Toka Tumai Auckland Auckland New ZealandRespiratory Services Te Whatu Ora Te Toka Tumai Auckland Auckland New ZealandRespiratory Services Te Whatu Ora Te Toka Tumai Auckland Auckland New ZealandRespiratory Services Te Whatu Ora Te Toka Tumai Auckland Auckland New ZealandRespiratory Services Te Whatu Ora Te Toka Tumai Auckland Auckland New ZealandAbstract This case study reports the exercise ventilatory responses of a 17‐year‐old female who sustained a traumatic brain injury (TBI) which resulted in loss of consciousness. Subsequently, she suffered from post‐concussion syndrome accompanied by orthostatic and exercise intolerance. A cardiopulmonary exercise test (CPET) was performed 2 years post‐TBI. The results demonstrated significant hypoventilation with elevated PetCO2 and ventilatory equivalents, progressive desaturation, and pre‐syncope symptoms limiting exercise capacity. A repeat CPET 4 years post‐TBI demonstrated a similar exercise capacity limited by pre‐syncope symptoms. However, there was a marked improvement in the ventilatory response, with appropriate ventilation, PetCO2, and ventilatory equivalents, and only minor desaturation near peak exercise. Hypoventilation during exercise has been reported in subjects with post‐concussion syndrome; however, with time the exercise ventilatory response can potentially normalize as observed in this subject.https://doi.org/10.1002/rcr2.1103concussionexercisehypoventilationventilatory response. |
| spellingShingle | Ryan Welch Brooke Kelly Ken Whyte Kevin Ellyett Clair King Improved ventilatory response during exercise over time after concussion: A case report Respirology Case Reports concussion exercise hypoventilation ventilatory response. |
| title | Improved ventilatory response during exercise over time after concussion: A case report |
| title_full | Improved ventilatory response during exercise over time after concussion: A case report |
| title_fullStr | Improved ventilatory response during exercise over time after concussion: A case report |
| title_full_unstemmed | Improved ventilatory response during exercise over time after concussion: A case report |
| title_short | Improved ventilatory response during exercise over time after concussion: A case report |
| title_sort | improved ventilatory response during exercise over time after concussion a case report |
| topic | concussion exercise hypoventilation ventilatory response. |
| url | https://doi.org/10.1002/rcr2.1103 |
| work_keys_str_mv | AT ryanwelch improvedventilatoryresponseduringexerciseovertimeafterconcussionacasereport AT brookekelly improvedventilatoryresponseduringexerciseovertimeafterconcussionacasereport AT kenwhyte improvedventilatoryresponseduringexerciseovertimeafterconcussionacasereport AT kevinellyett improvedventilatoryresponseduringexerciseovertimeafterconcussionacasereport AT clairking improvedventilatoryresponseduringexerciseovertimeafterconcussionacasereport |