@article{ref1,
title="Feasibility of early active rehabilitation for concussion recovery in youth: a randomized trial",
journal="Clinical journal of sport medicine",
year="2020",
author="Dobney, Danielle M. and Grilli, Lisa and Beaulieu, Christine and Straub, Meghan and Galli, Carlo and Saklas, Mitchell and Friedman, Debbie and Dubrovsky, Alexander Sasha and Gagnon, Isabelle J.",
volume="30",
number="6",
pages="519-525",
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.<p /> <p>Language: en</p>",
language="en",
issn="1050-642X",
doi="10.1097/JSM.0000000000000671",
url="http://dx.doi.org/10.1097/JSM.0000000000000671"
}