@article{ref1,
title="Changes in physician recommendations for early physical activity after pediatric concussion: a retrospective study",
journal="Clinical journal of sport medicine",
year="2023",
author="Plumage, Emily F. and Bista, Saroj and Recker, Robyn and Cuff, Steven and Fischer, Anastasia and Tiso, Michael and Yang, Jingzhen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: This study aimed to analyze changes in physical activity (PA) recommendations after pediatric concussions and examine the associations of patient and injury characteristics with physicians' PA recommendations. <br><br>DESIGN: Retrospective observational study. SETTING: Concussion clinics associated with a pediatric hospital. PATIENTS: Patients aged 10 to 18 years with a concussion diagnosis, presenting to the concussion clinic within 14 days of the injury were included. A total of 4727 pediatric concussions and corresponding 4727 discharge instructions were analyzed. INDEPENDENT VARIABLES: The independent variables for our study were time, injury characteristics (eg, mechanism and symptom scores), and patient characteristics (eg, demographics and comorbidities). MAIN OUTCOME MEASURES: Physician PA recommendations. <br><br>RESULTS: From 2012 to 2019, the proportion of physicians recommending light activity at an initial visit increased from 11.1% to 52.6% (P < 0.05) within 1-week postinjury and from 16.9% to 64.0% during the second week postinjury (P < 0.05). A significantly increased odds of recommending &quot;light activity&quot; (odds ratio [OR] = 1.82, 95% confidence interval [CI], 1.39-2.40) and &quot;noncontact PA&quot; (OR = 2.21, 95% CI, 1.28-2.05), compared with &quot;no activity&quot; within 1-week postinjury, was observed in each consecutive year. In addition, higher symptom scores at the initial visit were associated with lower likelihood of recommending &quot;light activity&quot; or &quot;noncontact PA.&quot; CONCLUSIONS: Physician recommendation of early, symptom-limited PA after a pediatric concussion has increased since 2012, which mirrors a shift in acute concussion management. Further research assessing how these PA recommendations may facilitate pediatric concussion recovery is warranted.<p /> <p>Language: en</p>",
language="en",
issn="1050-642X",
doi="10.1097/JSM.0000000000001167",
url="http://dx.doi.org/10.1097/JSM.0000000000001167"
}