1. The Additive Benefits of Aerobic Exercise and Cognitive Training Post-Concussion: Current Clinical Concepts
- Author
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Christine E. Callahan, Lee Stoner, Gabriel H. Zieff, and Johna K. Register-Mihalik
- Subjects
Physical Therapy, Sports Therapy and Rehabilitation ,Orthopedics and Sports Medicine ,General Medicine - Abstract
Concussion induces the rapid onset of a short-lived neurophysiological disturbance that often results in autonomic nervous system dysfunction. This dysfunction affects both cardiovascular functioning and higher cognitive processing, inducing post-concussion clinical symptoms (somatic, cognitive, and/or emotional) and functional disturbances (impaired balance, cognition, and visual-vestibular performance). Current concussion rehabilitation paradigms using aerobic exercise may improve concussion symptoms. Additionally, cognitive training-focused rehabilitation interventions may improve cognitive function post-injury. Though successful independently, the multifaceted nature of concussion suggests the potential benefit of integrating both aerobic exercise and cognitive training-based concussion rehabilitation to improve concussion outcomes and clinician implementation. To support this clinical recommendation, we critiqued existing research investigating aerobic exercise and cognitive training as post-concussion rehabilitation modalities, identified keys gaps in the literature, and proposed a practical clinical recommendation to integrate both modalities during concussion rehabilitation.
- Published
- 2022