A Preliminary Study of the Effect of Early Aerobic Exercise Treatment for Sport-Related Concussion in Males.


Journal

Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
ISSN: 1536-3724
Titre abrégé: Clin J Sport Med
Pays: United States
ID NLM: 9103300

Informations de publication

Date de publication:
09 2019
Historique:
pubmed: 22 9 2018
medline: 3 3 2020
entrez: 22 9 2018
Statut: ppublish

Résumé

To study the effect of early prescribed aerobic exercise versus relative rest on rate of recovery in male adolescents acutely after sport-related concussion (SRC). Quasi-experimental design. University sports medicine centers. Exercise group (EG, n = 24, 15.13 ± 1.4 years, 4.75 ± 2.5 days from injury) and rest group (RG, n = 30, 15.33 ± 1.4 years, 4.50 ± 2.1 days from injury). Exercise group performed a progressive program of at least 20 minutes of daily subthreshold aerobic exercise. Rest group was prescribed relative rest (no structured exercise). Both groups completed daily online symptom reports (Postconcussion Symptom Scale) for 14 days. Days to recovery after treatment prescription. Recovery was defined as return to baseline symptoms, exercise tolerant, and judged recovered by physician examination. Recovery time from initial visit was significantly shorter in EG (8.29 ± 3.9 days vs 23.93 ± 41.7 days, P = 0.048). Mixed-effects linear models showed that all symptom clusters decreased with time and that there was no significant interaction between treatment group and time. No EG participants experienced delayed recovery (>30 days), whereas 13% (4/30) of RG participants experienced delayed recovery. These preliminary data suggest that early subthreshold aerobic exercise prescribed to symptomatic adolescent males within 1 week of SRC hastens recovery and has the potential to prevent delayed recovery.

Identifiants

pubmed: 30239422
doi: 10.1097/JSM.0000000000000663
pmc: PMC6424660
mid: NIHMS1503291
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

353-360

Subventions

Organisme : NINDS NIH HHS
ID : R01 NS094444
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001412
Pays : United States

Références

Pediatrics. 2016 Oct;138(4):
pubmed: 27624513
Biol Sex Differ. 2015 Dec 01;6:28
pubmed: 26629325
Am J Physiol. 1989 Jan;256(1 Pt 2):H132-41
pubmed: 2643348
Br J Sports Med. 2018 Sep;52(18):1179-1190
pubmed: 28735282
Am Heart J. 2014 May;167(5):753-61.e3
pubmed: 24766987
Br J Sports Med. 2017 Jun;51(12):930-934
pubmed: 28341726
Sleep. 2013 Sep 01;36(9):1279-88
pubmed: 23997360
J Athl Train. 2017 Mar;52(3):299-308
pubmed: 28387557
Clin J Sport Med. 2015 May;25(3):237-42
pubmed: 25051194
J Neurol Neurophysiol. 2016 Aug;7(4):
pubmed: 27812398
J Athl Train. 2008 May-Jun;43(3):265-74
pubmed: 18523563
Br J Sports Med. 2009 May;43 Suppl 1:i76-90
pubmed: 19433429
Eur J Neurosci. 2016 Oct;44(7):2407-2417
pubmed: 27521273
Appl Neuropsychol. 2006;13(3):166-74
pubmed: 17361669
J Clin Exp Neuropsychol. 2015;37(7):764-75
pubmed: 26241079
J Neuropsychiatry Clin Neurosci. 2005 Summer;17(3):350-6
pubmed: 16179657
J Head Trauma Rehabil. 2016 May-Jun;31(3):215-24
pubmed: 26098254
Sports Health. 2015 Jan;7(1):52-7
pubmed: 25553213
JAMA. 2016 Dec 20;316(23):2504-2514
pubmed: 27997652
Physiol Behav. 2011 Oct 24;104(5):934-41
pubmed: 21722657
NeuroRehabilitation. 2017;40(4):493-499
pubmed: 28222566
Clin J Sport Med. 2018 Jan;28(1):13-20
pubmed: 29257777
Br J Sports Med. 2001 Apr;35(2):114-7
pubmed: 11273973
J Head Trauma Rehabil. 2013 Jul-Aug;28(4):241-9
pubmed: 23249769
Scand J Med Sci Sports. 2017 Dec;27(12):2002-2008
pubmed: 28107556
Pediatrics. 2010 Sep;126(3):597-615
pubmed: 20805152
J Head Trauma Rehabil. 2012 Mar-Apr;27(2):99-103
pubmed: 21386712
Br J Sports Med. 2013 Apr;47(5):289-93
pubmed: 23479486
Clin J Sport Med. 2011 Mar;21(2):89-94
pubmed: 21358497
NeuroRehabilitation. 2007;22(3):199-205
pubmed: 17917170
Med Sci Sports Exerc. 2015 Jun;47(6):1119-23
pubmed: 25268538
Concussion. 2016 Jun 1;1(3):CNC15
pubmed: 30202557
Sports Health. 2012 Mar;4(2):147-54
pubmed: 23016082
Br J Sports Med. 2017 Jun;51(11):838-847
pubmed: 28446457
Sports Health. 2016 May/Jun;8(3):260-269
pubmed: 27022058
Dev Neuropsychol. 2015;40(5):273-8
pubmed: 26230745
Brain Res. 2006 Nov 22;1121(1):59-65
pubmed: 17010953
J Sleep Res. 2013 Jun;22(3):282-8
pubmed: 23217056
J Pediatr. 2003 May;142(5):546-53
pubmed: 12756388
Neuroscience. 2004;125(1):129-39
pubmed: 15051152
Clin Sports Med. 2005 Apr;24(2):355-65, xi
pubmed: 15892929
J Physiother. 2012;58(3):157-63
pubmed: 22884182
Am J Sports Med. 2016 Sep;44(9):2276-85
pubmed: 27281276
J Head Trauma Rehabil. 2017 Mar/Apr;32(2):79-89
pubmed: 27120294
Brain Inj. 2009 Nov;23(12):956-64
pubmed: 19831492
Can Fam Physician. 2014 Jun;60(6):e310, e312-5
pubmed: 24925965
Pediatrics. 2015 Feb;135(2):213-23
pubmed: 25560444
Br J Sports Med. 2017 Jun;51(11):848-850
pubmed: 28446453
Curr Sports Med Rep. 2013 Nov-Dec;12(6):370-6
pubmed: 24225521
Proc Natl Acad Sci U S A. 2011 Feb 15;108(7):3017-22
pubmed: 21282661
Sports Med. 2003;33(1):33-46
pubmed: 12477376
Neuropsychology. 2015 Jan;29(1):1-9
pubmed: 25068671

Auteurs

John J Leddy (JJ)

UBMD Orthopaedics and Sports Medicine, State University of New York at Buffalo, Buffalo, New York.

Mohammad N Haider (MN)

UBMD Orthopaedics and Sports Medicine, State University of New York at Buffalo, Buffalo, New York.

Andrea L Hinds (AL)

UBMD Orthopaedics and Sports Medicine, State University of New York at Buffalo, Buffalo, New York.

Scott Darling (S)

UBMD Orthopaedics and Sports Medicine, State University of New York at Buffalo, Buffalo, New York.

Barry S Willer (BS)

Psychiatry, State University of New York at Buffalo, Buffalo, New York.

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Classifications MeSH