Effectiveness of return to activity and return to school protocols for children postconcussion: a systematic review

BMJ Open Sport & Exercise Medicine
Carol DeMatteoKatie Falla

Abstract

To determine the effects of following return to activity (RTA) and return to school (RTS) protocols on clinical outcomes for children with concussion. The 12 subquestions of this review focus on the effectiveness of protocols, guidelines and recommendations, and the evidence supporting content of the protocols including rest, exercise and school accommodations. Systematic review. PubMed, MEDLINE, EMBASE, CINAHL, ERIC and manual reference list check. Studies were included if they evaluated RTA or RTS protocols in children aged 5-18 years with a concussion or if they reported a rigorous study design that provided evidence for the recommendations. Included studies were original research or systematic reviews. Articles were excluded if they did not report on their methodology or included participants with significant neurological comorbidities. The literature search retrieved 198 non-duplicate articles and a total of 13 articles were included in this review. Despite the adoption of several RTS and RTA protocols in clinical practice there is little evidence to determine their efficacy in the paediatric population. The current data support the recommendation that children in the acute stage postconcussion should undergo 1-2 days phys...Continue Reading

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Citations

Nov 25, 2020·Journal of Interprofessional Care·Javad AnjumDestiny Kindsvogel
Feb 3, 2021·Emergency Medicine Australasia : EMA·Franz E BablUNKNOWN Paediatric Research in Emergency Departments International Collaborative (PREDICT)
May 30, 2021·Journal of Sport Rehabilitation·Michael W KirkwoodWilliam P Meehan Iii
Jul 13, 2021·Pediatric Clinics of North America·Aaron M Yengo-KahnChristopher M Bonfield

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