ArticleFrontiers in neurology2018
A Physiological Approach to Assessment and Rehabilitation of Acute Concussion in Collegiate and Professional Athletes.
Article in Frontiers in neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed, 41 citations in OpenAlex.
- Effectiveness of a Customized Rehabilitation Program for Adults With Post-Concussion Syndrome-A Randomized Controlled Crossover Trial.The Journal of head trauma rehabilitationTrial
- Evolution of Multifaceted Sport-Related Concussion Management: A 25-Year Narrative Review of Multidomain Assessment and Multimodal Rehabilitation.Sports (Basel, Switzerland) · 2026Review
- The risk of all-cause injury and site-specific injury in athletes after concussion: a systematic review and meta-analysis.BMC sports science, medicine & rehabilitation · 2025Article
- Commentary: are postconcussive symptoms and exercise testing appropriate tools to identify autonomic impairment after mild traumatic brain injury?The Clinical neuropsychologist · 2025Review
- Biguanides antithetically regulate tumor properties by the dose-dependent mitochondrial reprogramming-driven c-Src pathway.Cell reports. Medicine · 2025Article
- Machine learning models for reinjury risk prediction using cardiopulmonary exercise testing (CPET) data: optimizing athlete recovery.BioData mining · 2025Article
- The NERD model: reflex circuit dysfunction as a systems-level driver of persistent post-concussion symptoms.Frontiers in systems neuroscience · 2025Article
- Symptom clusters and resting cardiovascular autonomic measures in adolescents: From acute concussion to recovery.Physiological reports · 2024Article
- Convergence insufficiency as a predictor of poor prognosis after acute mild traumatic brain injury.International journal of emergency medicine · 2024Article
- Physical Therapy in Neurorehabilitation with an Emphasis on Sports: A Bibliometric Analysis and Narrative Review.Sports (Basel, Switzerland) · 2024Review
- Article
- Autonomic dysfunction and exercise intolerance in concussion: a scoping review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023Article
- Visual disorders and mal de debarquement syndrome: a potential comorbidity questionnaire-based study.Future science OA · 2022Article
- Progression through return-to-sport and return-to-academics guidelines for concussion management and recovery in collegiate student athletes: findings from the Ivy League-Big Ten Epidemiology of Concussion Study.British journal of sports medicine · 2022Article
- Mild Traumatic Brain Injury/Concussion Initiates an Atypical Astrocyte Response Caused by Blood-Brain Barrier Dysfunction.Journal of neurotrauma · 2022Article
- Machine Learning for Subtyping Concussion Using a Clustering Approach.Frontiers in human neuroscience · 2021Article
- Pre-frontal Cortex Oxygenation Changes During Aerobic Exercise in Elite Athletes Experiencing Sport-Related Concussion.Frontiers in human neuroscience · 2020Article
- Pediatric Sports-Related Concussion: An Approach to Care.American journal of lifestyle medicineReview
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
Sport-related concussion is an important condition that can affect collegiate and professional athletes. Expert consensus guidelines currently suggest that all athletes who sustain acute concussion be managed with a conservative approach consisting of relative rest and gradual resumption of school and sport activities with active intervention reserved for those with persistent post-concussion symptoms lasting >10-14 days for adults. Unfortunately, these recommendations place little emphasis on the rapid physical deconditioning that occurs in athletes within days of exercise cessation or the pathophysiological processes responsible for acute concussion symptoms that can be successfully targeted by evidence-based rehabilitation strategies. Based on our evolving approach to patients with persistent post-concussion symptoms, we now present an updated physiological approach to the initial medical assessment, rehabilitation, and multi-disciplinary management of collegiate and professional athletes with acute concussion. Utilizing the results of a careful clinical history, comprehensive physical examination and graded aerobic exercise testing, we outline how team physicians, and athletic training staff can partner with multi-disciplinary experts in traumatic brain injury to develop individually tailored rehabilitation programs that target the main physiological causes of acute concussion symptoms (autonomic nervous system dysfunction/exercise intolerance, vestibulo-ocular dysfunction, and cervical spine dysfunction) while maintaining the athlete's physical fitness during the recovery period. Considerations for multi-disciplinary medical clearance of collegiate and professional athletes as well as the application of this approach to non-elite athletes are also discussed.
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What OpenQuestion holds
Registered trials
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.