Effectiveness of return to activity and return to school protocols for children postconcussion: a systematic review
| Autor: | Katie Falla, Carol DeMatteo, Sarah Randall, E Dimitra Bednar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Medicine (General) Sports medicine MEDLINE Poison control physical activity Physical Therapy Sports Therapy and Rehabilitation CINAHL Review 03 medical and health sciences 0302 clinical medicine R5-920 030225 pediatrics Injury prevention Concussion Medicine Orthopedics and Sports Medicine child sports medicine business.industry Human factors and ergonomics 030229 sport sciences medicine.disease Systematic review adolescent Physical therapy concussion business |
| Zdroj: | BMJ Open Sport — Exercise Medicine BMJ Open Sport & Exercise Medicine, Vol 6, Iss 1 (2020) |
| ISSN: | 2055-7647 |
| Popis: | ObjectiveTo determine the effects of following return to activity (RTA) and return to school (RTS) protocols on clinical outcomes for children with concussion. The 12 subquestions of this review focus on the effectiveness of protocols, guidelines and recommendations, and the evidence supporting content of the protocols including rest, exercise and school accommodations.DesignSystematic review.Data sourcesPubMed, MEDLINE, EMBASE, CINAHL, ERIC and manual reference list check.Eligibility criteria for selecting studiesStudies were included if they evaluated RTA or RTS protocols in children aged 5–18 years with a concussion or if they reported a rigorous study design that provided evidence for the recommendations. Included studies were original research or systematic reviews. Articles were excluded if they did not report on their methodology or included participants with significant neurological comorbidities.ResultsThe literature search retrieved 198 non-duplicate articles and a total of 13 articles were included in this review. Despite the adoption of several RTS and RTA protocols in clinical practice there is little evidence to determine their efficacy in the paediatric population.SummaryThe current data support the recommendation that children in the acute stage postconcussion should undergo 1–2 days physical and cognitive rest as they initiate graduated RTA/RTS protocols. Prolonged rest may increase reported symptoms and time to recovery. Further interventional studies are needed to evaluate the effectiveness of RTA/RTS protocols in youth with concussion. |
| Databáze: | OpenAIRE |
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