Cited by 27Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesCognitive Functions and Memory

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Cognitive Fatigue in Pediatric Traumatic Brain Injury: A Meta-Analysis and Scoping Review

Riccardi, Jessica Salley, Ciccia, Angela·2021·Journal of Head Trauma Rehabilitation

DOI 10.1097/htr.0000000000000644

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Abstract

Objective: To review the evidence available on cognitive fatigue (ie, increase in mental exhaustion after prolonged cognitive activity) in childhood traumatic brain injury (TBI), including rates, associated factors and effects, and management strategies. Methods: A meta-analysis and scoping review of the literature were conducted following the PRISMA guidelines. Terms were searched in relevant databases and through hand-searching. Articles were included and excluded based on specific criteria and methods were evaluated for risk of bias. Results: Of 2579 initially eligible articles, 4 studies with 6 effect sizes (due to reporting of data by group in 2 studies) were included for a meta-analysis and 11 for a scoping review. Cognitive fatigue was a common symptom in children after TBI of varying severities and times post-injury. Few studies investigated factors or effects associated with cognitive fatigue, although emerging evidence indicates some relations with family and injury factors and postinjury functioning. Active rehabilitation was investigated by 2 studies and could be a safe management strategy for cognitive fatigue, but additional investigation is needed on this and other possible assessment and treatment approaches. Conclusions: Cognitive fatigue is a common symptom in children who experience a TBI of any severity. Additional research is needed to determine the course of cognitive fatigue, elucidate the relations between cognitive fatigue and secondary factors, and to build clinically useful assessment and treatment methods.

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Authors: Riccardi, J. S., & Ciccia, A.
Affiliations: Case Western Reserve University (US)
Corresponding author: Riccardi, Jessica Salley
ORCID: Riccardi, Jessica Salley
Ciccia, Angela
Venue: Journal of Head Trauma Rehabilitation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2021-02-22
Volume: 36
Issue: 4
Pages: 226-241
ISSN: 0885-9701 (ISSN-L)
DOI: 10.1097/htr.0000000000000644
OpenAlex: W3133997771
Cited by: 27
References: 47
Citations by year: 2026: 9 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 2
FWCI: 0.50
Type: journal article
Language: en
Open access: closed
Locations: Journal of Head Trauma Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Keywords: mental fatigue, pediatric traumatic brain injury, children, psychological exhaustion, cognitive rehabilitation, family factors, injury severity, symptom prevalence, fatigue management
MeSH terms: Brain Injuries, Traumatic, Child, Cognition, Humans

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Cognitive Fatigue in Pediatric Traumatic Brain Injury: A Meta-Analysis and Scoping Review

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