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 -