1. Early targeted heart rate exercise is safe and May hasten return-to-duty in service members with acute concussion, a preliminary study.
- Author
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Haider, Mohammad Nadir, Cole, Wesley R, Willer, Barry S, McCulloch, Karen, Horn, Emily C, Bertz, Patrick E, Ramsey, Crystal, and Leddy, John J
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EXPERIMENTAL design , *PILOT projects , *EXERCISE tests , *NONPARAMETRIC statistics , *EXERCISE tolerance , *HUMAN research subjects , *CONVALESCENCE , *LOG-rank test , *HEALTH outcome assessment , *MANN Whitney U Test , *FISHER exact test , *PSYCHOLOGICAL tests , *INFORMED consent (Medical law) , *BRAIN concussion , *HEART beat , *KAPLAN-Meier estimator , *DESCRIPTIVE statistics , *RESEARCH funding , *EMPLOYMENT reentry , *PSYCHOLOGY of military personnel , *STATISTICAL sampling , *DATA analysis software , *EXERCISE therapy - Abstract
To evaluate the feasibility of an exercise tolerance assessment and intervention added to the Progressive Return to Activity Clinical Recommendations (PRA-CR) in acutely concussed service members (SMs). This non-randomized, pilot trial was performed at one center. SMs in the experimental group (ERG) performed the Buffalo Concussion March-in-place Test (BCMT) at every clinic visit and were prescribed at least 20 minutes/day of targeted exercise in addition to PRA-CR. Data for the control group (SCG) were extracted from the same clinic immediately prior to ERG. SMs in both groups were assessed by the same clinician to determine return-to-duty. BCMT identified concussion-related exercise intolerance in 100% (n = 14) at screening visit (mean 3.4 days after injury) and in 0% (n = 7) who had recovered. No adverse effects were associated with BCMT. The estimated recovery time for ERG who performed the exercise intervention (n = 12) was 17.0 (12.8, 21.2) days and for SCG (n = 15) was 23.7 (19.9, 27.5) days (p = 0.039). Assessment of exercise tolerance was feasible and could be incorporated into the PRA-CR. Future definitive, randomized controlled trials should be performed to assess the effectiveness of exercise reset program for SMs after concussion. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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