ArticleArchives of physical medicine and rehabilitation2019
Comparison of Rest to Aerobic Exercise and Placebo-like Treatment of Acute Sport-Related Concussion in Male and Female Adolescents.
Article in Archives of physical medicine and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Active Rehabilitation Following Acute Mild Traumatic Brain Injury: A Systematic Review.Physiotherapy Canada. Physiotherapie Canada · 2024Pooled it
- Brain changes: aerobic exercise for traumatic brain injury rehabilitation.Frontiers in human neuroscience · 2023Pooled it
- The Influence of Timing of Reporting and Clinic Presentation on Concussion Recovery Outcomes: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- The acute, systemic effects of aerobic exercise in recently concussed adolescent student-athletes: preliminary findings.European journal of applied physiology · 2022Trial
- Trial
- Neuromuscular training after concussion to improve motor and psychosocial outcomes: A feasibility trial.Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2021Trial
- Influence of Aerobic Exercise Volume on Postconcussion Symptoms.The American journal of sports medicine · 2021Trial
- Actigraphy-derived sleep patterns in children and adolescents with persistent post-concussion symptoms: An exploratory study.JSAMS plus · 2026Article
- Paediatric traumatic brain injury: unique population and unique challenges.Brain : a journal of neurology · 2026Review
- The Influence of Aerobic Exercise Therapy on Patient-Reported Outcome Measures Following Concussion: A Scoping Review.Biomedicines · 2025Review
- Social Determinants of Health and Health Equity in the Treatment and Rehabilitation of Sport-Related Concussion: A Content Analysis of Intervention Research and Call-To-Action.Journal of neurotrauma · 2024Review
- Exercise Intolerance After Mild Traumatic Brain Injury Occurs in All Subtypes in the Adult Population.Journal of neurotrauma · 2024Article
- Early Exercise is Associated with Faster Concussion Recovery Among Collegiate Athletes: Findings from the NCAA-DoD CARE Consortium.Sports medicine (Auckland, N.Z.) · 2023Article
- Exercise intensity and sex alter neurometabolic, transcriptional, and functional recovery following traumatic brain injury.Experimental neurology · 2023Article
- Are Sex Differences in Collegiate and High School Sports-Related Concussion Reflected in the Guidelines? A Scoping Review.Brain sciences · 2023Article
- Predicting Time to Evaluation After Pediatric Concussion: Factors Affecting Specialty Concussion Care.Orthopaedic journal of sports medicine · 2023Article
- The Additive Benefits of Aerobic Exercise and Cognitive Training Postconcussion: Current Clinical Concepts.Journal of athletic training · 2023Article
- Article
- History of Brain Injury Alters Cerebral Haemodynamic Oscillations with Cardiac Influence.Brain sciences · 2022Article
- Postconcussion Dizziness Severity Predicts Daily Step Count during Recovery among Adolescent Athletes.Medicine and science in sports and exercise · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo compare a sample of adolescents with sport-related concussion (SRC) who were prescribed rest with 2 arms of a randomized controlled trial comparing aerobic exercise with placebo-like stretching. We also compared sex differences across the 3 approaches to treatment.
designQuasi-experimental trial.
settingUniversity concussion management clinics.
participantsAdolescent athletes (aged 13-18 years) presenting within 10 days of SRC (mean, 5 days after injury) received a recommendation for rest (rest group [RG], n=48, 15.4±1y, 25% female). Their outcomes were compared with matched samples of adolescents assigned to aerobic exercise (exercise group [EG], n=52, 15.3±2y, 46% female) or placebo-like stretching (placebo group [PG], n=51, 15.4±2y, 47% female) (N=151).
main outcome measuresThe primary outcome was median days from injury to recovery. The secondary outcome was proportion classified as normal recovery (<30d) or delayed recovery (≥30d).
resultsThe RG recovered in 16 days (interquartile range, 9.25-23.25d), which was significantly delayed (P=.020) compared with EG (13d; interquartile range, 10-18.5d). The PG recovered in 17 days (interquartile range, 13-23d). Four percent of the EG, 14% of the PG, and 13% of the RG had delayed recovery (P=.190). There was no difference in recovery time or delayed recovery between male participants and female participants across groups. Female participants prescribed rest experienced an increase in symptoms vs the other groups (P=.013).
conclusionRelative rest and a placebo-like stretching program were very similar in days to recovery and symptom improvement pattern after SRC. Both conditions were less effective than subsymptom threshold aerobic exercise. Female adolescents appear to be susceptible to symptom increase when prescribed rest.
Indexed as
Identifiers
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.