The Role of Subsymptom Threshold Aerobic Exercise for Persistent Concussion Symptoms in Patients With Postconcussion Syndrome
| Autor: | Ainsley Kempenaar, Mohammadreza Amiri, Seyed Mohammad Alavinia, Dinesh Kumbhare, McKyla McIntyre |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty medicine.medical_treatment MEDLINE Poison control Physical Therapy Sports Therapy and Rehabilitation CINAHL 03 medical and health sciences 0302 clinical medicine Concussion Heart rate medicine Humans Aerobic exercise Adverse effect Exercise Brain Concussion Rehabilitation Post-Concussion Syndrome business.industry medicine.disease Exercise Therapy Physical therapy 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 99:257-264 |
| ISSN: | 1537-7385 0894-9115 |
| DOI: | 10.1097/phm.0000000000001340 |
| Popis: | In recent years, there has been a shift away from rest until total symptom resolution after concussion, due to the potential adverse consequences of inactivity. Aerobic exercise has been increasingly investigated for the treatment of postconcussion syndrome, whereby symptoms persist beyond 4 wks. The aim of this review was to systematically review the literature on subsymptom threshold aerobic exercise as a treatment for postconcussion syndrome. We conducted systematic literature searches in databases: MEDLINE (Ovid), CINAHL, PubMed, and Embase. After thorough review, 12 articles met the eligibility criteria and were included in the systematic review. The quality of selected studies was low to moderate. Subsymptom threshold aerobic exercise was associated with improvement in symptoms in patients with postconcussion syndrome for all included studies. The most commonly used protocols incorporated 20 mins of exercise at 80% of the heart rate that provoked symptoms, 5-6 days per week, with no adverse events documented. However, there was considerable variation in exercise protocols, and many studies incorporated subsymptom threshold aerobic exercise as part of a broader rehabilitation plan. Evidence supports subsymptom threshold aerobic exercise as a promising treatment for postconcussion syndrome. Further studies are required to delineate the optimal intensity, duration, and frequency of exercise for postconcussion syndrome in a variety of populations. |
| Databáze: | OpenAIRE |
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