Singaravelu Jaganathan, Kannan, Sullivan, Karen A., Kinmond, Sally, Berndt, Sara, Street, Steve, Haden, Catherine, Greenslade, Jaimi, McMahon, Katie, Mitchell, Gary, and Kerr, Graham (2023) Exercise Parameters for Postconcussion Symptom Rehabilitation: A Systematic Review. Journal of Sport Rehabilitation, 32 (5). pp. 483-492.

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Abstract

Context: Exercise rehabilitation for postconcussion symptoms (PCS) has shown some benefits in adolescent athletes; but a synthesis of evidence on exercise per se has been lacking.

Objective: This systematic review aimed to determine if unimodal exercise interventions are useful to treat PCS and if so, to identify a set of clearly defined and effective exercise parameters for further research.

Evidence Acquisition: Relevant health databases and clinical trial registries were searched from inception to June 2022. The searches used a combination of subject headings and keywords related to mild traumatic brain injury (mTBI), PCSs, and exercise. Two independent reviewers screened and appraised the literature. The Cochrane Collaboration’s Risk of Bias-2 tool for randomized controlled trials was used to assess methodological quality of studies.

Evidence Synthesis: Seven studies were included in the review. Four studies were assessed to have a low overall risk of bias, 2 with low risk and 1 with some concerns. Participants in the studies comprised mostly adolescents with sports-related concussion. The review found exercise to be more beneficial than control conditions in 2 studies investigating acute PCS and 2 studies investigating persistent PCS. Within-group differences showing symptom improvement over time were observed in all 7 studies. In general, the review found support for programmatic exercise that commences after an initial period of rest for 24 to 48 hours. Recommendations for exercise parameters that can be explored in subsequent research include progressive aerobic exercise starting from 10 to 15 minutes at least 4 times a week, at a starting intensity of 50% HR of the subsymptom threshold, with length of program depending on recovery.

Conclusion: The evidence in support of exercise rehabilitation for PCSs is moderate based on the small pool of eligible studies. Further research can be guided by the exercise parameters identified in this review.

Item ID:	79352
Item Type:	Article (Research - C1)
ISSN:	1543-3072
Copyright Information:	© 2023 Human Kinetics, Inc.
Date Deposited:	24 Jul 2023 01:44
FoR Codes:	52 PSYCHOLOGY > 5203 Clinical and health psychology > 520399 Clinical and health psychology not elsewhere classified @ 20% 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified @ 30% 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420702 Exercise physiology @ 50%
SEO Codes:	13 CULTURE AND SOCIETY > 1306 Sport, exercise and recreation > 130601 Exercise @ 70% 28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280121 Expanding knowledge in psychology @ 30%
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