Table 3.
Survey of PCP Knowledge of MTBI
| Survey Question | Choices | |
|---|---|---|
| I feel knowledgeable enough to recognize and diagnose a mild, moderate, or severe traumatic brain injury case. | a. Never b. Rarely c. Often d. Always confident |
|
| Postconcussive patients may present with (circle any that apply): | a. Fatigue b. Insomnia c. Change in balance d. Blurred vision e. Weakness f. Paresthesias |
|
| Subconcussions are: | a. Associated with whiplash b. Occur under water and involve cerebrospinal fluid pressure c. Classified as less severe than a mild traumatic brain injury d. Affect cellular glucose metabolism and can be chronic |
|
| The leading causes of traumatic brain injuries are: | a. Sports b. Football c. Falls, motor vehicle accidents, blows to the head d. Assaults e. Domestic violence |
|
| On evaluation of sports impact injuries and/or motor vehicle accident victims, I inquire about cognitive symptoms. | a. Never b. 10% of the time c. 50% of the time d. Always |
|
| During history taking of post sport impact or motor vehicle accident injuries, I inquire to family members or friends (or inquire about family/friend comments) about cognitive changes, memory loss, or personality and emotional changes. | a. Never b. 10% of the time c. 50% of the time d. Always |
|
| I diagnose a traumatic brain injury, concussion, or postconcussive syndrome in practice. | a. Never b. Infrequently c. Frequently d. Often |
|
| Which of the following signs or symptoms are recognized as results of mild brain trauma? (circle all that apply) | a. Irritability b. Tachycardia c. Sleep disturbance d. Light sensitivity e. Sound sensitivity |
f. Convulsions g. Weakness h. Depression i. Memory problems j. Headache |
| Survey Question | Strongly Agree | Agree | Neither Agree nor Disagree | Disagree | Strongly Disagree |
|---|---|---|---|---|---|
| Traumatic brain injuries and/or concussions can result from impact or nonimpact injuries to the head. | 1 | 2 | 3 | 4 | 5 |
| To be diagnosed, a “traumatic brain injury” must always be accompanied by a loss of consciousness. | 1 | 2 | 3 | 4 | 5 |
| Patients always have a self-awareness of whether they incurred a concussion or traumatic brain injury. | 1 | 2 | 3 | 4 | 5 |
| Postconcussive syndrome and second-impact syndrome symptoms are always of short duration. | 1 | 2 | 3 | 4 | 5 |
| Mild traumatic brain injury cannot result in long-term sequelae. | 1 | 2 | 3 | 4 | 5 |
| Upper cervical spine injuries can mimic symptoms of concussion and postconcussive syndrome. | 1 | 2 | 3 | 4 | 5 |
MTBI, mild traumatic brain injury; PCP, primary care chiropractic or family practitioner.