ArticleJournal of clinical and translational research2020
Early physical activity and clinical outcomes following pediatric sport-related concussion.
Article in Journal of clinical and translational research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Acute and chronic management of posttraumatic headache in children: A systematic review.Headache · 2021Pooled it
- The Integrated Effect of Physical Activity and Sleep Problems on Concussion Symptom Resolution.Journal of sport rehabilitation · 2026Article
- Postconcussion physical activity frequency and plasma biomarker associations among adolescents.Journal of neurosurgery. Pediatrics · 2026Article
- Evaluating Associations Between Postconcussion Physical Activity and Brain Neurometabolite Concentrations in the Posterior Cingulate Gyrus.Journal of child neurology · 2026Article
- The Effect of Aerobic Exercise on Post-concussion Recovery in Athletes: A Narrative Review.Cureus · 2026Review
- Low-Energy Availability Indicators Among Female Adolescents After Concussion: A Comparison With Uninjured Controls.Orthopaedic journal of sports medicine · 2025Article
- American Headache Society white paper on treatment of post-traumatic headache from concussion in youth.Headache · 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
- Early physical activity after concussion is associated with sleep quality but not dizziness among adolescent athletes.Journal of science and medicine in sport · 2023Article
- More Physical Activity Is Correlated With Reduction in Kinesiophobia for Adolescents With Persistent Symptoms After Concussion.Journal of sport rehabilitation · 2023Article
- An Activity Scale for All Youth Athletes? Clinical Considerations for the HSS Pedi-FABS.Orthopaedic journal of sports medicine · 2022Article
- Update on Non-Pharmacological Interventions for Treatment of Post-Traumatic Headache.Brain sciences · 2022Review
- Postconcussion Dizziness Severity Predicts Daily Step Count during Recovery among Adolescent Athletes.Medicine and science in sports and exercise · 2022Article
- Association of Hemodynamic and Cerebrovascular Responses to Exercise With Symptom Severity in Adolescents and Young Adults With Concussion.Neurology · 2021Article
- Cerebrovascular Reactivity Measures Are Associated With Post-traumatic Headache Severity in Chronic TBI; A Retrospective Analysis.Frontiers in physiology · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective of the study was to evaluate the clinical outcomes among patients who did and did not report engaging in early physical activity (PA) following sport-related concussion.
methodsWe evaluated pediatric patients seen within 21 days of concussion. The independent variable was early PA engagement (since the injury and before initial clinical evaluation). Dependent variables included demographics, injury details, medical history, Health and Behavior Inventory (HBI) score, and balance, vestibular, and oculomotor function tests.
resultsWe examined data from 575 pediatric patients: Sixty-nine (12%) reported engaging in early PA (mean age=14.3±2.4 years; 30% female). The no PA group (mean age=14.5±2.4 years; 35% female) had significantly longer symptom resolution times than the early PA group (median= 16 [interquartile range (IQR)=8-24] vs. 10.5 [IQR=4-17] days; p=0.02). When controlling for pre-existing headache history and time from injury-evaluation time, the early PA group demonstrated lower odds of reporting current headache (adjusted odds ratio=0.14; 95% CI=0.07, 0.26), and reported lower symptom frequency ratings than the no PA group (b=-5.58, 95% CI=-8.94, -2.22).
conclusionsPatients who did not engage in early PA had longer symptom duration, greater odds of post-injury headache, and greater symptoms at initial clinical evaluation. We cannot determine if patients engaged in early PA due to the lower symptom burden and higher functioning at the time of assessment, or if early PA positively affected outcomes. However, as early PA was associated with better post-injury outcomes, clinicians may consider supervised and structured early PA programs as a method to improve clinical outcomes following concussion. RELEVANCE FOR PATIENTS: Children and adolescents who were engaged in PA after concussion presented to a clinic with less severe symptoms and had symptoms that resolved sooner compared to those who did not engage in early PA after concussion.
Indexed as
Identifiers
33029564PMC7534529What OpenQuestion holds
Registered trials
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