The effects of rest and treatment following sport-related concussion: a systematic review of the literature

Objective To evaluate the evidence for rest, treatment, and rehabilitation following sport-related concussion (SRC). Data sources PubMed, CINAHL, PsychInfo, Cochrane Controlled Trials Registers, Health STAR, Sport Discus, EMBASE, Web of Science, and ProQuest. Study selection Articles were included i...

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Bibliographic Details
Published in:British journal of sports medicine 2013-04, Vol.47 (5), p.304-307
Main Authors: Schneider, Kathryn J, Iverson, Grant L, Emery, Carolyn A, McCrory, Paul, Herring, Stanley A, Meeuwisse, Willem H
Format: Article
Language:English
Subjects:
Athletes
Athletic Injuries - rehabilitation
Athletic Injuries - therapy
Brain Concussion - rehabilitation
Brain Concussion - therapy
Brain research
Concussion
Exercise Therapy - methods
Headaches
Humans
Literature reviews
Medical treatment
Recovery of Function
Rehabilitation
Rest
Sports injuries
Sports medicine
Studies
Traumatic brain injury
Treatment Outcome
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Summary:Objective To evaluate the evidence for rest, treatment, and rehabilitation following sport-related concussion (SRC). Data sources PubMed, CINAHL, PsychInfo, Cochrane Controlled Trials Registers, Health STAR, Sport Discus, EMBASE, Web of Science, and ProQuest. Study selection Articles were included if they met the following criteria: original research, reported SRC as a source of injury, and evaluated the effect of rest or treatment. Data extraction Study design, participants, treatment, outcome measures, and key findings. Data synthesis Three studies met the inclusion criteria for evaluating the effects of rest and twelve for treatment. Low-intensity aerobic exercise may be of benefit. Conclusions The current evidence evaluating the effect of rest and treatment following SRC is sparse. An initial period of rest may be of benefit. Low-level exercise and multimodal physiotherapy may be of benefit for those who are slow to recover. There is a strong need for high level studies evaluating the effects of rest and treatment following SRC.
ISSN:0306-3674
1473-0480
DOI:10.1136/bjsports-2013-092190