@article{ref1,
title="Practical management: prescribing subsymptom threshold aerobic exercise for sport-related concussion in the outpatient setting",
journal="Clinical journal of sport medicine",
year="2020",
author="Bezherano, Itai and Haider, Mohammad N. and Willer, Barry S. and Leddy, John J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Exercise intolerance is an objective biomarker of the physiological dysfunction after sport-related concussion (SRC). Several trials have established the safety and clinical efficacy of subsymptom threshold aerobic exercise prescribed within 1 week of injury as treatment for SRC. Clinicians, however, may not be comfortable prescribing aerobic exercise after SRC. This article presents 3 methods of exercise prescription for patients with SRC. The first requires a graded exertion test plus a home-based exercise program requiring a heart rate (HR) monitor. The second requires a graded exertion test but no HR monitor for home-based exercise. The third requires solely an HR monitor to safely progress through the home-based exercise prescription. Patients are encouraged to keep a symptom and exercise diary and return for re-evaluation every 1 to 2 weeks. Delayed recovery should prompt the clinician to evaluate for other potential symptom generators (eg, cervical, vestibular, oculomotor, mood, or migraine disorders).<p /> <p>Language: en</p>",
language="en",
issn="1050-642X",
doi="10.1097/JSM.0000000000000809",
url="http://dx.doi.org/10.1097/JSM.0000000000000809"
}