TY  - JOUR
PY  - 2015//
TI  - A pilot study of active rehabilitation for adolescents who are slow to recover from sport-related concussion
JO  - Scandinavian journal of medicine and science in sports
A1  - Gagnon, I.
A1  - Grilli, L.
A1  - Friedman, D.
A1  - Iverson, G. L.
SP  - 299
EP  - 306
VL  - 26
IS  - 3
N2  - The purpose of this study was to examine the effectiveness of an active rehabilitation intervention for adolescents who are slow-to-recover after a sport-related concussion. Ten adolescents (three girls and seven boys) seen at the Montreal Children's Hospital Concussion Clinic participated in this case series. Adolescents who were symptomatic more than 4 weeks after the injury were provided with an active rehabilitation intervention (M = 7.9 weeks following injury; range = 3.7 to 26.2 weeks). The rehabilitation program includes gradual, closely monitored light aerobic exercise, general coordination exercises, mental imagery, as well as reassurance, normalization of recovery, and stress/anxiety reduction strategies. The program continued until complete symptom resolution and readiness to begin stepwise return to activities. The primary outcome of the study was evolution of post-concussion symptoms. Secondary outcomes included mood, energy, balance, and cognition. After the intervention, post-concussion symptoms significantly decreased for the group of participants. They also had decreased fatigue and improved mood after 6 weeks of initiating the rehabilitation intervention. This case series shows that postconcussive symptoms and functioning in adolescents following sports-related concussion can be improved after participation in an active rehabilitation intervention. The introduction of graded light intensity exercise in the post-acute period following concussion is safe, feasible and appears to have a positive impact on adolescents' functioning.<p />  <p>Language: en</p>
LA  - en
SN  - 0905-7188
UR  - http://dx.doi.org/10.1111/sms.12441
ID  - ref1
ER  -