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Titre : | Early aerobic exercise among adolescents at moderate/high risk for persistent post-concussion symptoms: A pilot randomized clinical trial (2022) |
Auteurs : | David R. Howell ; Mathew J. Wingerson ; Michael W. Kirkwood ; Joseph A. Grubenhoff ; Julie C. Wilson |
Type de document : | Article |
Dans : | Physical therapy in sport (Vol. 55, May 2022) |
Article en page(s) : | p.196-204 |
Note générale : | https://doi.org/10.1016/j.ptsp.2022.04.010 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Actigraphie ; Adolescent ; Commotion de l'encéphale ; Exercice physique ; Intervention ; Thérapeutique |
Résumé : |
Purpose
To determine the proportion of adolescents at moderate/high risk for Persistent Postconcussion Symptoms (PPCS) who develop PPCS when randomized to early aerobic exercise or standard-of-care and examine exercise volume/intensity between groups. Methods Using a randomized clinical trial design, we enrolled patients 1018 years of age who obtained a Predicting/Preventing Postconcussive Problems in Pediatrics (5P) risk score ≥6 and enrolled/tested ≤ one-week post-concussion (mean = 5.5 ± 1.5 days post-concussion). Participants were randomized to Exercise (5 days/week, 20 min/day aerobic exercise at individualized intensity [80% HR at exercise test cessation]) or Standard-of-Care (no exercise recommendations). They returned for re-testing one-month post-concussion, and we remotely monitored exercise between assessments. Results Sixteen participants enrolled (intervention: n = 9, 56% female, 14.2 ± 2.1 years; standard-of-care: n = 7, 57% female, 13.6 ± 1.7 years). A smaller proportion of the early aerobic exercise group developed PPCS when compared to the standard-of-care group (44% vs. 86%; relative risk = 0.52; 95% confidence interval = 0.341.36; number-needed-to-treat = 2.4). Conclusion We observed that participants randomized to early aerobic exercise had a lower risk of PPCS compared to standard-of-care. Although not statistically significant, these results suggest early/individualized aerobic exercise among those at moderate/high PPCS risk may be effective at reducing that risk, and early aerobic exercise is not detrimental to recovery outcomes. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1466853X22000608#! |