2021
DOI: 10.4085/1062-6050-0072.20
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Symptom Provocation During Aerobic and Dynamic Supervised Exercise Challenges in Adolescents With Sport-Related Concussion

Abstract: Context Supervised exercise challenges (SECs) have been shown to be safe and beneficial in the early symptomatic period after concussion. Thus far, most in-clinic SECs studied have included a form of basic aerobic exercise only. An SEC that also includes dynamic forms of exercise mimics all steps of a standard return-to-play progression and may enhance the detection of concussion symptoms to guide in-clinic management decisions. Objective … Show more

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Cited by 7 publications
(11 citation statements)
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“…The identification of vestibular and ocular motor-related symptoms is important given their association with a worse recovery from concussion, but these symptoms may be missed during symptom reporting (such as from the SCAT5) or when VOMS items are completed only at rest. 13 The results of this study provide further support that there may be a large number of false negatives when a VOMS is completed at rest before an SEC compared with after an SEC. For the entire VOMS assessment, there were 27.4% false negatives when the pre-SEC VOMS was compared with a post-SEC VOMS.…”
Section: Discussionsupporting
confidence: 60%
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“…The identification of vestibular and ocular motor-related symptoms is important given their association with a worse recovery from concussion, but these symptoms may be missed during symptom reporting (such as from the SCAT5) or when VOMS items are completed only at rest. 13 The results of this study provide further support that there may be a large number of false negatives when a VOMS is completed at rest before an SEC compared with after an SEC. For the entire VOMS assessment, there were 27.4% false negatives when the pre-SEC VOMS was compared with a post-SEC VOMS.…”
Section: Discussionsupporting
confidence: 60%
“…Similar to the SEC protocol used in this study, a previous study has shown that SECs utilizing forms of multidirectional and rotational dynamic exercise, such as medicine ball exercises and agility drills, may enhance detection of symptoms that are potentially related to vestibular and ocular motor impairments, such as dizziness. 13 Because some forms of aerobic exercise, such as stationary bike, limit body movement, they may fail to detect symptoms that are only provoked by movement. This study's SEC protocol included 3 forms of medicine ball exercises, which were chosen to provide increasingly difficult challenges to the vestibular and ocular motor systems through head and body movement as well as visual tracking.…”
Section: Discussionmentioning
confidence: 99%
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“…The current results build on a recent finding that suggested supervised dynamic exertion challenges for postconcussion patients can improve clinical decision-making, 36 and provide a standardized series of functional and change-of-direction tasks with reliable performance and clinical outcomes. Total EXiT-endorsed symptoms also had moderate-to-high internal consistency at visits 1 ( α = 0.894) and 2 ( α = 0.805).…”
Section: Discussionsupporting
confidence: 56%