
@article{ref1,
title="Evaluation of an active rehabilitation program for concussion management in children and adolescents",
journal="Brain injury",
year="2017",
author="Dobney, Danielle M. and Grilli, Lisa and Kocilowicz, Helen and Beaulieu, Christine and Straub, Meghan and Friedman, Debbie and Gagnon, Isabelle",
volume="31",
number="13-14",
pages="1753-1759",
abstract="OBJECTIVE: To estimate the extent to which post-concussion symptoms were influenced by participation in an Active Rehabilitation (AR) program (aerobic exercise, coordination drills, visualization and education) for children and adolescents who are slow to recover from concussion. A secondary exploratory objective included examining the influence of sex on symptom evolution. <br><br>METHODS: Analysis of prospectively collected data was performed on 277 youth who initiated an AR program, between three and four weeks post-injury at a Concussion Clinic in a tertiary care paediatric teaching hospital. MAIN OUTCOME MEASURE: Post-concussion symptom scale (PCSS) from Sport Concussion Assessment Tool-3 (SCAT 3). <br><br>RESULTS: Children and adolescents participating in an active rehabilitation program displayed improved post-concussion symptom severity at follow-up (median = 9.5) compared to pre-intervention (median = 18) (p <.05). Patients demonstrated improved physical, cognitive, emotional and sleep-related post-concussion symptoms (p <.05). Female sex was associated with an increased post-concussion symptom severity at follow-up. <br><br>CONCLUSIONS: Youth experiencing persisting symptoms three to four weeks post-concussion demonstrated improved post-concussion symptoms scores (physical, cognitive, emotional and sleep related) with participation in an active rehabilitation program.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2017.1346294",
url="http://dx.doi.org/10.1080/02699052.2017.1346294"
}