Feasibility of a postacute structured aerobic exercise intervention following sport concussion in symptomatic adolescents: a randomised controlled study

BMJ Open Sport & Exercise Medicine
Rachel MicayMichael G Hutchison

Abstract

The utility of structured exercise for rehabilitation purposes early in the postacute phase (ie, beyond the initial 24-48 hours of advised rest) following sport-related concussion (SRC) remains largely unexplored. This study examined the feasibility of implementing a standardised aerobic exercise (AE) intervention in the postacute stage of SRC recovery in a sample of adolescent students with SRC compared with usual care. Symptomatic adolescents with SRC were randomised to one of two groups: Aerobic Exercise (n=8) or Usual Care (n=7). The AE intervention, beginning on day 6 postinjury, comprised eight sessions with progressive increases in intensity and duration on a cycle ergometer. Usual care consisted of rest followed by physician-advised progressions in activity levels in an unsupervised setting. All participants were evaluated by physician at weeks 1, 2, 3 and 4 postconcussion. Outcome measures included: (1) Intervention feasibility: symptom status pre-post exercise sessions and completion of intervention and (2) Clinical recovery: symptom status at weeks 1, 2, 3 and 4 postinjury and medical clearance date. All participants completed the exercise sessions as part of the AE intervention and symptom exacerbation was not assoc...Continue Reading

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Citations

Oct 31, 2018·Medicine and Science in Sports and Exercise·David R HowellWilliam P Meehan
Oct 20, 2019·Journal of Sport Rehabilitation·Nicholas HattrupTamara C Valovich McLeod
Jun 6, 2020·Journal of Athletic Training·Gianluca Del RossiRebecca M Lopez
Oct 20, 2019·Journal of Sport Rehabilitation·Ryan D HenkeChristopher J Durall
Nov 5, 2020·Sports Health·Mohammad Nadir HaiderJohn J Leddy
Mar 5, 2021·The Journal of Head Trauma Rehabilitation·Jingzhen YangUNKNOWN ReAct Clinical Study Group
Mar 5, 2021·Seminars in Neurology·Charles G WilberMohammad N Haider
Feb 3, 2021·The Journal of Head Trauma Rehabilitation·Christophe AlarieBonnie Swaine
Apr 1, 2021·Medicine and Science in Sports and Exercise·Kathryn M CarterAnita D Christie
Oct 2, 2021·British Journal of Sports Medicine·Susan A ReidShreya McLeod

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