Evidence map›Paper›PMID 28387547›Full record

SynthesisJournal of athletic training2017

Rest and Return to Activity After Sport-Related Concussion: A Systematic Review of the Literature.

Tamara C Valovich McLeod, Joy H Lewis, Kate Whelihan, Cailee E Welch Bacon

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of athletic training, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
  2. Article
  3. Concussion Management Policy Implementation in High Schools: Examining Policy Through a Disproportionality Lens.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. What to Cover When You're Covering: Preparing the Sideline Physician for the Season.Journal of the Pediatric Orthopaedic Society of North America · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Pediatric orthopedic injury prevention for team sports post COVID-19.Journal of family medicine and primary care · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Tamara C Valovich McLeodAthletic Training Programs and.
Joy H LewisSchool of Osteopathic Medicine in Arizona, A.T. Still University, Mesa.
Kate WhelihanSchool of Osteopathic Medicine in Arizona, A.T. Still University, Mesa.
Cailee E Welch BaconAthletic Training Programs and.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically review the literature regarding rest and return to activity after sport-related concussion. DATA SOURCES: The search was conducted in the Cochrane Central Register of Controlled Trials, CINAHL, SPORTDiscus, Educational Resources Information Center, Ovid MEDLINE, and PubMed using terms related to concussion, mild traumatic brain injury, physical and cognitive rest, and return to activity. STUDY SELECTION: Studies were included if they were published in English; were original research; and evaluated the use of, compliance with, or effectiveness of physical or cognitive rest or provided empirical evidence supporting the graded return-to-activity progression. DATA EXTRACTION: The study design, patient or participant sample, interventions used, outcome measures, main results, and conclusions were extracted, as appropriate, from each article. DATA SYNTHESIS: Articles were categorized into groups based on their ability to address one of the primary clinical questions of interest: use of rest, rest effectiveness, compliance with recommendations, or outcome after graded return-to-activity progression. A qualitative synthesis of the results was provided, along with summary tables.

conclusionsOur main findings suggest that rest is underused by health care providers, recommendations for rest are broad and not specific to individual patients, an initial period of moderate physical and cognitive rest (eg, limited physical activity and light mental activity) may improve outcomes during the acute postinjury phase, significant variability in the use of assessment tools and compliance with recommended return-to-activity guidelines exists, and additional research is needed to empirically evaluate the effectiveness of graded return-to-activity progressions. Furthermore, there is a significant need to translate knowledge of best practices in concussion management to primary care providers.

Indexed as

RestAthletic InjuriesBrain ConcussionCross-Sectional StudiesEpidemiologic MethodsHumansOutcome Assessment, Health CareReturn to SportSportsTreatment Outcomeacademic adjustmentscognitive restconcussion guidelinegraded return-to-play progressionphysical restreturn to learnreturn to playreturn to think

Identifiers

PMID28387547
PMCPMC5384824

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.