Rest and treatment/rehabilitation following sport-related concussion: a systematic review

@article{Schneider2017RestAT,
  title={Rest and treatment/rehabilitation following sport-related concussion: a systematic review},
  author={Kathryn J Schneider and John J Leddy and Kevin M. Guskiewicz and Tad Seifert and Michael A. McCrea and Noah D. Silverberg and Nina Feddermann-Demont and Grant L. Iverson and Alix Hayden and Michael Makdissi},
  journal={British Journal of Sports Medicine},
  year={2017},
  volume={51},
  pages={930 - 934}
}
Aim or objective The objective of this systematic review was to evaluate the evidence regarding rest and active treatment/rehabilitation following sport-related concussion (SRC. [] Key Method Data sources MEDLINE (OVID), CINAHL (EbscoHost), PsycInfo (OVID), Cochrane Central Register of Controlled Trials (OVID), SPORTDiscus (EbscoHost), EMBASE (OVID) and Proquest DissertationsandTheses Global (Proquest) were searched systematically.

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Subthreshold aerobic exercise appears to lower symptom scores but not time to recovery in concussed individuals, and individually tailored multimodal interventions have a worthwhile effect in providing faster return to sport and clinical improvement, specifically in those with persistent symptoms.

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Symptom-limited aerobic exercise programs are beneficial in improving symptoms of adolescents after an SRC and good-quality studies are needed to determine effects on adults and on other outcomes.

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It is demonstrated that the use of aerobic exercise is supported by mixed quality evidence and moderate certainty of evidence, yet there is limited evidence for the useof vestibular exercise for improving persistent symptoms in people with mTBI.

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Outputs from the trial are expected to inform both research and clinical practice in post-concussion rehabilitation across all levels of sport and extend beyond civilian medicine to care for military personnel.

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Though the volume of literature at this time is limited, therapists should consider prescribing closely monitored individualized exercise programs utilizing progressive intensities when treating patients during the postacute phase of SRC.

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While there is evidence that aerobic exercise is beneficial for children and adolescents with a concussion, more studies need to be completed focusing on this age group and the effects of aerobic exercise on concussion recovery.

The Role of Active Rehabilitation in Concussion Management: A Systematic Review and Meta-analysis

Current evidence supports the notion that physical activity is beneficial in decreasing postconcussive symptoms in both the acute and chronic phases after concussion, and results indicate that unimodal subthreshold aerobic activity may be the best course of action compared with multimodal interventions.

Treatment of Acute Sports-Related Concussion

After 24–48 h of rest, SRC patients may gradually resume cognitive and physical activity and return to sport should only occur once the patient is symptom free.

Rest and return-to-sport recommendations following sport-related concussion (PEDro synthesis)

The aim of the systematic review was to synthesise the literature related to rest and RTS/activity recommendations following sport-related concussion to provide precise evidence-informed guidelines in terms of timing, quantity and duration.
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