Practical Management: A Standardized Aerobic Exercise Program for Adolescents With Concussion in the Absence of Graded Exercise Testing.
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:
01 05 2023
01 05 2023
Historique:
received:
15
08
2022
accepted:
01
12
2022
medline:
17
5
2023
pubmed:
3
2
2023
entrez:
2
2
2023
Statut:
ppublish
Résumé
Aerobic exercise is safe and beneficial for adolescent athletes recovering from sport-related concussion (SRC). The results of systematic graded exercise testing are used to create individualized, subsymptom heart rate threshold (HRt) aerobic exercise treatment programs for adolescents after SRC. Many clinicians, however, do not have access to graded exercise tests. This article presents a safe, systematic, evidence-based exercise program that clinicians can prescribe, progress, and modify to help manage acute pediatric SRC without the need for formal exercise testing. The exercise prescription accounts for sex and days since injury but not age because our analysis indicates age does not significantly affect the HRt on graded exercise testing. This article provides clinicians without access to graded exercise testing a viable option for prescribing exercise treatment to adolescents in the early phase after SRC.
Identifiants
pubmed: 36728783
doi: 10.1097/JSM.0000000000001116
pii: 00042752-202305000-00012
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
276-279Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil. 2006;21:375–378.
McCrory P, Meeuwisse W, Dvorak J, et al. Consensus statement on concussion in sport-the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med. 2017;51:838–847.
Leddy JJ, Master CL, Mannix R, et al. Early targeted heart rate aerobic exercise versus placebo stretching for sport-related concussion in adolescents: a randomised controlled trial. Lancet Child Adolesc Health. 2021;5:792–799.
Leddy JJ, Haider MN, Ellis MJ, et al. Early subthreshold aerobic exercise for sport-related concussion: a randomized clinical trial. JAMA Pediatr. 2019;173:319–325.
Howell DR, Hunt DL, Aaron SE, et al. Influence of aerobic exercise volume on postconcussion symptoms. Am J Sports Med. 2021;49:1912–1920.
Teel EF, Register-Mihalik JK, Appelbaum LG, et al. Randomized controlled trial evaluating aerobic training and common sport-related concussion outcomes in healthy participants. J Athl Train. 2018;53:1156–1165.
Bezherano I, Haider MN, Willer BS, et al. Practical management: prescribing subsymptom threshold aerobic exercise for sport-related concussion in the outpatient setting. Clin J Sport Med. 2020;31:465–468.
Chizuk HM, Willer BS, Horn EC, et al. Sex differences in the Buffalo Concussion Treadmill Test in adolescents with acute sport-related concussion. J Sci Med Sport. 2021;24:876–880.
Ferguson B. ACSM's guidelines for exercise testing and prescription. J Can Chiropr Assoc. 2014;328:58
Leddy JJ, Haider MN, Ellis M, et al. Exercise is medicine for concussion. Curr Sports Med Rep. 2018;17:262–270.
Gorny AW, Liew SJ, Tan CS, et al. Fitbit Charge HR wireless heart rate monitor: validation study conducted under free-living conditions. JMIR mHealth and uHealth. 2017;5:e8233.
Kozlowski KF, Graham J, Leddy JJ, et al. Exercise intolerance in individuals with postconcussion syndrome. J Athl Train. 2021;48:627–635.
Silverberg ND, Iverson GL, McCrea M, et al. Activity-related symptom exacerbations after pediatric concussion. JAMA Pediatr. 2016;170:946–953.
Gagnon I, Grilli L, Friedman D, et al. A pilot study of active rehabilitation for adolescents who are slow to recover from sport-related concussion. Scandanavian J Med Sci Sports. 2015;26:299–306.
Leddy JJ, Baker JG, Merchant A, et al. Brain or strain? symptoms alone do not distinguish physiologic concussion from cervical/vestibular injury. Clin J Sport Med. 2015;25:237–242.
Lynall RC, Mauntel TC, Pohlig RT, et al. Lower extremity musculoskeletal injury risk after concussion recovery in high school athletes. J Athl Train. 2017;52:1028–1034.
Jildeh TR, Castle JP, Buckley PJ, et al. Lower extremity injury after return to sports from concussion: a systematic review. Orthop J Sports Med. 2022;10:232596712110684.
Langevin P, Frémont P, Fait P, et al. Aerobic exercise for sport-related concussion: a systematic review and meta-analysis. Med Sci Sports Exerc. 2020;52:2491–2499.
Chizuk HM, Willer BS, Cunningham A, et al. Adolescents with sport-related concussion who adhere to aerobic exercise prescriptions recover faster. Med Sci Sports Exerc. 2022;54:1410–1416.
Howell DR, Wingerson MJ, Kirkwood MW, et al. Early aerobic exercise among adolescents at moderate/high risk for persistent post-concussion symptoms: a pilot randomized clinical trial. Phys Ther Sport. 2022;55:196–204.
Kontos AP, Eagle SR, Mucha A, et al. A randomized controlled trial of precision vestibular rehabilitation in adolescents following concussion: preliminary findings. J Pediatr. 2021;239:193–199.
Schneider KJ, Meeuwisse WH, Nettel-Aguirre A, et al. Cervicovestibular rehabilitation in sport-related concussions: a randomized controlled trial. Br J Sports Med. 2014;48:1294–1298.