TY - JOUR
PY - 2017//
TI - Evaluation of an active rehabilitation program for concussion management in children and adolescents
JO - Brain injury
A1 - Dobney, Danielle M.
A1 - Grilli, Lisa
A1 - Kocilowicz, Helen
A1 - Beaulieu, Christine
A1 - Straub, Meghan
A1 - Friedman, Debbie
A1 - Gagnon, Isabelle
SP - 1753
EP - 1759
VL - 31
IS - 13-14
N2 - 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.
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).
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.
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.
Language: en
LA - en SN - 0269-9052 UR - http://dx.doi.org/10.1080/02699052.2017.1346294 ID - ref1 ER -