TY  - JOUR
PY  - 2014//
TI  - Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial
JO  - British journal of sports medicine
A1  - Schneider, Kathryn J.
A1  - Meeuwisse, Willem H.
A1  - Nettel-Aguirre, Alberto
A1  - Barlow, Karen
A1  - Boyd, Lara
A1  - Kang, Jian
A1  - Emery, Carolyn A.
SP  - 1294
EP  - 1298
VL  - 48
IS  - 17
N2  - BACKGROUND/AIM: Concussion is a common injury in sport. Most individuals recover in 7-10 days but some have persistent symptoms. The objective of this study was to determine if a combination of vestibular rehabilitation and cervical spine physiotherapy decreased the time until medical clearance in individuals with prolonged postconcussion symptoms. <br><br>METHODS: This study was a randomised controlled trial. Consecutive patients with persistent symptoms of dizziness, neck pain and/or headaches following a sport-related concussion (12-30 years, 18 male and 13 female) were randomised to the control or intervention group. Both groups received weekly sessions with a physiotherapist for 8 weeks or until the time of medical clearance. Both groups received postural education, range of motion exercises and cognitive and physical rest until asymptomatic followed by a protocol of graded exertion. The intervention group also received cervical spine and vestibular rehabilitation. The primary outcome of interest was medical clearance to return to sport, which was evaluated by a study sport medicine physician who was blinded to the treatment group. <br><br>RESULTS: In the treatment group, 73% (11/15) of the participants were medically cleared within 8 weeks of initiation of treatment, compared with 7% (1/14) in the control group. Using an intention to treat analysis, individuals in the treatment group were 3.91 (95% CI 1.34 to 11.34) times more likely to be medically cleared by 8 weeks. <br><br>CONCLUSIONS: A combination of cervical and vestibular physiotherapy decreased time to medical clearance to return to sport in youth and young adults with persistent symptoms of dizziness, neck pain and/or headaches following a sport-related concussion. TRIAL REGISTRATION NUMBER: NCT01860755.<p />  <p>Language: en</p>
LA  - en
SN  - 0306-3674
UR  - http://dx.doi.org/10.1136/bjsports-2013-093267
ID  - ref1
ER  -