Authors
Andrée-Anne Ledoux, Nicholas Barrowman, Vid Bijelic, Adrienne Davis, Sarah Reid, Gurinder Sangha, Keith O Yeates, Mark S Tremblay, Michael M Borghese, Carol DeMatteo, Nick Reed, Roger Zemek
Publication date
2024/1/1
Source
British Journal of Sports Medicine
Volume
58
Issue
Suppl 1
Pages
A25-A25
Publisher
BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
Description
Objective
Investigate whether non-contact physical activity at 72-hours post-acute concussion reduces symptoms at two weeks compared to resting until asymptomatic.
Design
Multicentre blinded randomized clinical trial.
Setting
Three pediatric Emergency Departments (ED).
Participants
Participants aged 10–17 years with acute (< 48 hours) concussion.
Intervention
Participants were randomly assigned to initiate a 4-week stepwise return-to-physical activity at 72-hours post-concussion even if symptomatic [Early Group (EG) protocol] or return-to-physical activity once asymptomatic [Rest Group (RG) protocol].
Outcome Measures
Self-reported post-concussion symptoms at 2-weeks on the Health and Behaviour Inventory (HBI), a validated and reliable 20-item questionnaire. Adverse events were defined as symptoms resulting in an unscheduled ED-visit. Accelerometers were worn 24-hours/day for 14 days post-injury …