The acute, systemic effects of aerobic exercise in recently concussed adolescent student-athletes: preliminary findings

Objectives Examine the acute effects (pre-, during, post-intervention) of two different intensities of aerobic exercise or rest on autonomic, oculomotor, and vestibular function and symptom burden in patients with a recent sport-related concussion (SRC) and compare their responses to sex-matched, ag...

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Bibliographic Details
Published in:European journal of applied physiology 2022-06, Vol.122 (6), p.1441-1457
Main Authors: Worts, P. R., Mason, J. R., Burkhart, S. O., Sanchez-Gonzalez, M. A., Kim, J-S.
Format: Article
Language:English
Subjects:
Acute effects
Aerobics
Autonomic nervous system
Biomedical and Life Sciences
Biomedicine
Blood pressure
Concussion
Exercise
Heart rate
Human Physiology
Intervention
NCT
NCT03575455
Occupational Medicine/Industrial Medicine
Original Article
Physical fitness
Physical training
Sports Medicine
Student athletes
Teenagers
Vestibular system
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Summary:Objectives Examine the acute effects (pre-, during, post-intervention) of two different intensities of aerobic exercise or rest on autonomic, oculomotor, and vestibular function and symptom burden in patients with a recent sport-related concussion (SRC) and compare their responses to sex-matched, age-stratified, non-concussed (HEALTHY) student-athletes. Methods Student-athletes between the ages of 13 and 18 that presented to the sports medicine clinic within Day 3–7 post-SRC and from local schools were recruited for a randomized controlled trial (RCT). The participants were administered the Vestibular/Ocular Motor Screening (VOMS), King-Devick (K-D), and Post-Concussion Symptom Scale (PCSS) before and after the intervention. Heart rate variability (HRV) and mean arterial pressure (MAP) were collected before, during, and after the intervention. The intervention was either a single, 20-min session of treadmill walking at 40% (40HR) or 60% of age-predicted max heart rate (60HR), or seated, rest (NOEX). Results 30 participants completed the intervention with the SRC group treated 4.5 ± 1.3 days post-injury. Pre-exercise HRV and MAP were significantly different ( p ’s 
ISSN:1439-6319
1439-6327
DOI:10.1007/s00421-022-04932-4