ArticlePM & R : the journal of injury, function, and rehabilitation2020
Participation in Physical Activity at Time of Presentation to a Specialty Concussion Clinic Is Associated With Shorter Time to Recovery.
Article in PM & R : the journal of injury, function, and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 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
5 citing papers in PubMed.
- In People With Subacute Mild Traumatic Brain Injury, Earlier Physical Therapy Improved Symptoms at a Faster Rate Than Later Physical Therapy: Randomized Controlled Trial.Physical therapy · 2025Trial
- Toward precision rehabilitation in adolescent mild traumatic brain injury: leveraging physiologic data from commercially available smartwatches to identify patient subgroups.medRxiv : the preprint server for health sciences · 2026Article
- Diagnosis and Management of Mild Traumatic Brain Injury (mTBI): A Comprehensive, Patient-centered Approach.Current pain and headache reports · 2025Review
- More Physical Activity Is Correlated With Reduction in Kinesiophobia for Adolescents With Persistent Symptoms After Concussion.Journal of sport rehabilitation · 2023Article
- 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
5 authors.
Funding
Abstract
introductionNovel research suggests that children engaging in physical activity during recovery from concussion may recover more rapidly.
objectiveTo determine if level of physical activity at presentation to a rehabilitation-based concussion specialty clinic predicted days from injury to recovery.
designRetrospective cohort.
settingA concussion sub-specialty clinic at an academic institution. PATIENTS: Retrospective review of medical records between September 2015 and February 2017 identified 178 children ages 6-17 years (mean age = 13.7 years; standard deviation [SD] = 2.7 years) who presented within 60 days of concussion and were ultimately deemed recovered and cleared to progress to full return to high-risk activities.
interventionsNot applicable.
main outcome measuresPhysical activity at initial visit was classified as none-to-light (79%) versus moderate-to-heavy (21%). A doubly robust, inverse probability of exposure weighted linear regression model was used to examine the relationship between physical activity level and days to recovery, while adjusting for 10 demographic and clinical variables.
resultsChildren participating in moderate-to-heavy activity at initial evaluation in concussion clinic averaged recovery 21 days quicker (95% confidence interval [CI] -27.1, -15.5, P < .001) than children who were engaging in none-to-light activity. This finding did not change when removing children who were deemed recovered at the first visit (who may have initiated physical activity after becoming asymptomatic).
conclusionsThese data add to growing evidence that progressive physical activity during recovery from concussion does not appear to be harmful. Physical activity represents a modifiable variable in recovery, and physicians can potentially expedite symptomatic recovery by recommending noncontact physical activity as tolerated during concussion recovery.
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Registered trials
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