1. Feasibility of Early Active Rehabilitation for Concussion Recovery in Youth: A Randomized Trial.
- Author
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Dobney, Danielle M., Grilli, Lisa, Beaulieu, Christine, Straub, Meghan, Galli, Carlo, Saklas, Mitchell, Friedman, Debbie, Sasha Dubrovsky, Alexander, and Gagnon, Isabelle J.
- Subjects
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ACADEMIC medical centers , *AEROBIC exercises , *ATTITUDE (Psychology) , *BRAIN concussion , *BRAIN injuries , *CONVALESCENCE , *HOME care services , *MEDICAL personnel , *REHABILITATION , *STATISTICAL sampling , *THERAPEUTICS , *PILOT projects , *RANDOMIZED controlled trials , *TREATMENT effectiveness , *EARLY medical intervention , *PATIENTS' attitudes , *FAMILY attitudes , *EVALUATION , *SYMPTOMS , *ADOLESCENCE , *CHILDREN - Abstract
Objective: The primary objective is to evaluate the feasibility (safety and acceptability) of implementing early active rehabilitation (AR) for concussion management in youth with symptoms persisting 2 weeks after injury. A secondary and exploratory objective was to estimate the potential efficacy of early AR compared with standard AR. We hypothesize that AR at 2-weeks postconcussion will be safe and acceptable to patients. Design: Randomized clinical trial. Setting: The Montreal Children's Hospital of the McGill University Health Center (MCH-MUHC), a tertiary care pediatric teaching hospital affiliated with McGill University in Montreal, Canada. Participants: Twenty youth aged 9 to 17 years old with postconcussion symptoms for at least 2 weeks. Intervention: Active rehabilitation (aerobic exercise, coordination drills, visualization, and education/reassurance) was administered by physiotherapists in-person, and then continued as a home program. Methods: Twenty participants were randomized to either early AR (initiated 2 weeks after injury) or standard AR (initiated 4 weeks after injury). Results: Two adverse events (one in each group) were identified through an online survey more than one-month postconcussion. Postconcussion symptoms decreased over time for both groups. Conclusions: The results from this pilot study indicate that a full clinical trial estimating the efficacy of early AR (starting 2 weeks after injury) is feasible. Further study is needed to determine the superiority of this strategy over current treatment approaches. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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