ReviewBMJ open sport & exercise medicine2020
Effectiveness of return to activity and return to school protocols for children postconcussion: a systematic review.
Review in BMJ open sport & exercise medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05471791 (Development of a Concussion Management Platform for Children and Youth), which is not on this map. Cited by 12 papers.
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.
Development of a Concussion Management Platform for Children and Youth: Bridging the Gap Between Research and Practice
Who cites it
12 citing papers in PubMed.
- Effect of Collaborative Care for Persistent Postconcussive Symptoms on Academic Function: A Randomized Clinical Trial.The Journal of school health · 2022Trial
- Improvements in School Professionals' Knowledge and Self-Efficacy After Completing CDC HEADS UP to Schools Online Training.The Journal of school health · 2025Article
- Patterns of Change in Functional Connectivity and Motor Performance Are Different in Youth Recently Recovered from Concussion.Neurotrauma reports · 2025Article
- Fact or Fiction-Accelerometry Versus Self-Report in Adherence to Pediatric Concussion Protocols: Prospective Longitudinal Cohort Study.JMIR pediatrics and parenting · 2024Article
- Concussion symptom presentation and clinical recovery among pediatric athletes: comparing concussions sustained during school and summer months.Brain injury · 2024Article
- National Athletic Trainers' Association Bridge Statement: Management of Sport-Related Concussion.Journal of athletic training · 2024Article
- The role of the physiotherapist in concussion.The South African journal of physiotherapy · 2024Article
- Sport-related concussion and bodychecking in children and youth: Evaluation, management, and policy implications.Paediatrics & child health · 2023Review
- Returning to school following concussion: Pointers for family physicians from theCanadian family physician Medecin de famille canadien · 2023Article
- Return to Learn: Preferences of College Educators When Receiving Concussion Medical Notes.Neurotrauma reports · 2022Article
- Physician recommended school accommodations and student outcomes following a mild traumatic brain injury among youth with persistent post-concussive symptoms.NeuroRehabilitation · 2022Article
- Diagnosing and managing paediatric concussion: Key recommendations for general paediatricians and family doctors.Paediatrics & child health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the effects of following return to activity (RTA) and return to school (RTS) protocols on clinical outcomes for children with concussion. The 12 subquestions of this review focus on the effectiveness of protocols, guidelines and recommendations, and the evidence supporting content of the protocols including rest, exercise and school accommodations.
designSystematic review. DATA SOURCES: PubMed, MEDLINE, EMBASE, CINAHL, ERIC and manual reference list check. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies were included if they evaluated RTA or RTS protocols in children aged 5-18 years with a concussion or if they reported a rigorous study design that provided evidence for the recommendations. Included studies were original research or systematic reviews. Articles were excluded if they did not report on their methodology or included participants with significant neurological comorbidities.
resultsThe literature search retrieved 198 non-duplicate articles and a total of 13 articles were included in this review. Despite the adoption of several RTS and RTA protocols in clinical practice there is little evidence to determine their efficacy in the paediatric population. SUMMARY: The current data support the recommendation that children in the acute stage postconcussion should undergo 1-2 days physical and cognitive rest as they initiate graduated RTA/RTS protocols. Prolonged rest may increase reported symptoms and time to recovery. Further interventional studies are needed to evaluate the effectiveness of RTA/RTS protocols in youth with concussion.
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Registered trials
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