Prior head injury but not sex or sports-participation affects expectations for post-injury rest and activity in simulated mild traumatic brain injury

Sullivan, Karen A.; Cox, Rebecca

doi:10.1080/23279095.2018.1433180

Cited by 3 publications

(3 citation statements)

References 29 publications

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“…Despite these limitations, this study is the first of its kind to measure activity intentions post simulated concussion at two critical periods; at 48 h when rest is usually recommended, and at 10 days when usual activities would usually have resumed. 6 Up until now, it was known that people expected to reduce physical activities if they were injured, 32,33 but it was not known if or when the activities would be increased, and whether cognitive activities would be viewed similarly. This study has shown that irrespective of whether or not CISG-type advice is issued, people anticipate changing their behavior in a manner that is broadly consistent with the current recommendations for improved recovery; but also that there is room to discuss with patients when the recovery should be complete, and what is meant by cognitive rest.…”

Section: Discussionmentioning

confidence: 99%

“…These studies have generally shown an intention to reduce physical activities, 32 and that factors such as the injured person's sex and sports participation do not alter intentions, whereas a prior head injury does. 33 If the general intention to take rest is followed by an intention to resume physical and cognitive activities by about day 10 post-injury, this would be broadly consistent with a notion of graded return to activity, 26 but this has yet to be shown.…”

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confidence: 88%

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An experimental study of the effect on activity intentions of postconcussion recovery advice

Sullivan

Billing

2019

Journal of Concussion

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This study tested the effect of issuing return-to-activity advice on activity intentions at Day 2 and Day 10 days post simulated mild traumatic brain injury. One hundred and twenty-eight volunteers were randomly allocated to one of two groups who received (n ¼ 65) or did not receive standardized post-injury advice (n ¼ 63). To prime the simulation, the participants read a mild traumatic brain injury vignette about a person who is concussed while playing sport. Then the participants role-played the injured person and reported activity intentions for three activity types (cognitive, physical and restful) twice, once for each time frame (i.e. Day 2 and Day 10). The advice was to rest for the first 24-48 h and then gradually resume normal activities. There was no significant group by activity-type interaction (p > .05) at Day 2. When both time frames were considered, there was no significant group Â time frame interaction for any activity type or any item, except for an increase in non-manual (clerical) work and weight training at Day 10 compared to Day 2 in the group with the advice. In general, the intentions for all activity types were consistent with the recovery advice (i.e., rest then increasing activity), even when the advice was not given. However, at Day 10, cognitive and physical activity levels were still expected to be lower than usual (pre-injury), and many participants were uncertain about the concept of cognitive rest. These factors, along with individual patient circumstances, should be taken into account in rehabilitation planning.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 88%

An experimental study of the effect on activity intentions of postconcussion recovery advice

Sullivan

Billing

2019

Journal of Concussion

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“…For example, when 224 community members were asked for concussion recovery recommendations, rest was mentioned by 70% of the sample, medical referral by a third of the sample, and active recovery by less than 10% of the sample (Singaravelu 2022). Even in the studies framed around postconcussion activity plans, some gaps in community understanding of active recovery are evident (Sullivan and Finnis 2020) and rest duration is overestimated by the public compared to current advice (Sullivan and Billing 2019;Sullivan and Cox 2019). It remains unclear from this past research if members of the community would offer different concussion advice if given different timeframes to consider (e.g.…”

Section: Introductionmentioning

confidence: 99%

A comparison of public views about sports concussion recovery with current guidelines: where are the gaps and overlaps?

Sullivan,

Jaganathan

2024

Brain I.

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Background Sports concussion (SC) management guidelines have recently been updated. A key focus is the emphasis on rest (immediately postinjury) followed by gradual resumption of activity (active recovery). This study aimed to explore community views on SC management and compared these with the guidelines. Methods A total of 157 volunteers completed an online SC survey, including listing three pieces of advice for a concussed person immediately postinjury, and after 2 weeks (subacute). Quantitative data were statistically compared, and qualitative data underwent content analysis. Results Almost all participants offered different immediate versus subacute advice; however, rest featured highly at both timepoints. Commonly expressed themes, consistent with guidelines were immediate rest; safety and reinjury prevention; and symptom monitoring. Two themes were identified in the community advice with limited emphasis in the guidelines: general health advice and psychological and social support. Expert clinical assessment was not always identified in community advice. Conclusion Community members hold some views that align with expert advice for SC, particularly the importance of immediate postinjury rest. However, there is scope to grow public awareness of some recommended practices, including expert clinical assessment following injury and when to engage in active recovery.

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Proposal for Physical Fitness Enhancement Methods Based on Survey of Musculoskeletal Injuries and Treatment Experience in Active Duty Soldiers

Do¹

2020

KSSPT

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Prior head injury but not sex or sports-participation affects expectations for post-injury rest and activity in simulated mild traumatic brain injury

Cited by 3 publications

References 29 publications

An experimental study of the effect on activity intentions of postconcussion recovery advice

An experimental study of the effect on activity intentions of postconcussion recovery advice

A comparison of public views about sports concussion recovery with current guidelines: where are the gaps and overlaps?

Proposal for Physical Fitness Enhancement Methods Based on Survey of Musculoskeletal Injuries and Treatment Experience in Active Duty Soldiers

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