Evidence map›Paper›PMID 31522997›Full record

Observational studyJournal of science and medicine in sport2020

Exercise in the first week following concussion among collegiate athletes: Preliminary findings.

David R Howell, Anna N Brilliant, Jessie R Oldham, Brant Berkstresser, Francis Wang, William P Meehan

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of science and medicine in sport, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03170856 (The Effects of a Sub-maximal Exercise Program on Adolescents Who Sustained a Concussion), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–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.

NCT03170856 nacompletednot on this map

The Effects of a Sub-maximal Exercise Program on Adolescents Who Sustained a Concussion

TypeinterventionalSponsorBoston Children's HospitalRan2018 to 2021Enrolled41ConditionsConcussion, Mild, Concussion, Brain, Concussion, Severe, ExertionArmsSub-maximal exercise
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. The Effect of Aerobic Exercise on Concussion Recovery: A Pilot Clinical Trial.Journal of the International Neuropsychological Society : JINS · 2021
    Trial
  5. Review
  6. Article
  7. Pediatric Sports-Related Concussion: An Approach to Care.American journal of lifestyle medicine
    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

6 authors.

David R HowellSports Medicine Center, Children's Hospital Colorado, USA; Department of Orthopedics, University of Colorado School of Medicine, USA; The Micheli Center for Sports Injury Prevention, USA. Electronic address: David.Howell@CUAnschutz.edu.
Anna N BrilliantThe Micheli Center for Sports Injury Prevention, USA; Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, USA.
Jessie R OldhamThe Micheli Center for Sports Injury Prevention, USA; Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, USA.
Brant BerkstresserHarvard University Health Service, USA.
Francis WangHarvard University Health Service, USA.
William P MeehanThe Micheli Center for Sports Injury Prevention, USA; Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, USA; Departments of Pediatrics and Orthopaedics, Harvard Medical School, USA.

Funding

Sex Differences in Brain Structure and Function After Sports-Related ConcussionR01NS100952 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI KOERTE, INGA KATHARINA · 2017 to 2022
$2.9M
A software tool for objective identification of concussion-related vision disorders using a novel eye-tracking deviceR41NS103698 · NINDS · OCULOGICA, INC. · PI MASTER, CHRISTINA L. · 2018 to 2018
$553k
Improving quantitative recovery outcomes from concussion with aerobic exercise trainingR03HD094560 · NICHD · UNIVERSITY OF COLORADO DENVER · PI HOWELL, DAVID R. · 2018 to 2019
$318k
NICHD NIH HHS R03 HD094560NINDS NIH HHS R01 NS100952NINDS NIH HHS R41 NS103698
6 · The paper itself

Abstract

objectivesOur purpose was to examine the association between exercise after concussion with symptom severity, postural control, and time to symptom-resolution.

designLongitudinal cohort.

methodsCollegiate athletes (n = 72; age = 20.2 ± 1.3 years; 46% female) with concussion completed a symptom questionnaire at initial (0.6 ± 0.8 days post-injury) and follow-up (2.9 ± 1.4 days post-injury) evaluations, and a postural control assessment at follow-up. Participants were grouped into those who exercised in between the time of injury and the follow-up evaluation and those who did not. Decisions regarding post-concussion exercise were made by a sports medicine team consisting of a single team physician and athletic trainers.

resultsThirteen athletes were not included in the current study, resulting in an 85% response rate. Thirteen of the athletes who completed the study exercised between evaluations (18%). There was no symptom resolution time difference between groups (median = 13 [IQR = 7-18] days vs. 13 [7-23] days; p = 0.83). Symptom ratings were similar between groups at the acute post-injury assessment (median PCSS = 18.5 [7.5-26] vs. 17 [14-40]; p = 0.21), but a main effect of group after adjusting for time from injury to assessment indicated the exercise group reported lower symptom severity than the no exercise group across both assessments (p = 0.044). The dual-task gait speed of the exercise group was higher than the no exercise group (0.90 ± 0.15 vs. 0.78 ± 0.16 m/s; p = 0.02).

conclusionsAthletes who were recommended aerobic exercise after concussion did not have worse outcomes than those who were not. Exercise within the first week after concussion does not appear to be associated with detrimental clinical outcomes.

Indexed as

ExercisePostural BalanceAdolescentAthletesAthletic InjuriesBrain ConcussionFemaleHumansLongitudinal StudiesMaleSurveys and QuestionnairesTime FactorsUniversitiesYoung AdultExerciseMild traumatic brain injuryPostural balanceTreatment

Identifiers

PMID31522997
PMCPMC6954960

What OpenQuestion holds

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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.