Evan Foster, Laura Langer, Mark Bayley, Paul Comper, Tharshini Chandra, Aidan Snaiderman, Ainsley Kempenaar, Elizabeth L Inness, Cynthia Danells, David W Lawrence
{"title":"促进脑震荡后早期有氧运动：一项实验性研究，研究处方方法如何影响非运动员成年人群的康复。来自多伦多脑震荡研究的结果。","authors":"Evan Foster, Laura Langer, Mark Bayley, Paul Comper, Tharshini Chandra, Aidan Snaiderman, Ainsley Kempenaar, Elizabeth L Inness, Cynthia Danells, David W Lawrence","doi":"10.1097/PHM.0000000000002732","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Research on aerobic exercise (AEx) post-concussion has focused on athletes recovering from sport-related concussion. The goal of this pilot study was to examine the feasibility and preliminary efficacy of three AEx prescription methods in a general adult population.DESIGNThis pilot study involves three cohorts of participants, including a nested randomized component. Participants who were not in the nested randomized component were followed regularly by the clinic physician (\"Usual Care\" [UC]). Participants in the nested randomized component were randomly assigned to either \"Exercise Testing (ET) + UC\", or \"Exercise Testing + Individualized Prescription (IP)\". All randomized participants completed a Buffalo Concussion Treadmill Test (BCTT). ET + UC received usual care AEx recommendations, while ET + IP received an individualized prescription based on their BCTT performance.</p><p><strong>Results: </strong>75 participants were included in this analysis. There was an observed longer time to recovery of UC compared to ET (p = 0.046). There was no significant difference in time to recovery between ET + UC and ET + IP (p = 0.35).</p><p><strong>Conclusion: </strong>Supervised initiation of AEx early after concussion appears to be feasible and improve outcomes compared to standard exercise recommendations. Individualized AEx prescription offered no additional recovery benefit in this sample; however, this finding is likely underpowered due to a small sample.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Promoting Early Aerobic Exercise Initiation Post-Concussion: A pilot study examining how prescription method can influence recovery in a non-athlete, adult population. Results from the Toronto Concussion Study.\",\"authors\":\"Evan Foster, Laura Langer, Mark Bayley, Paul Comper, Tharshini Chandra, Aidan Snaiderman, Ainsley Kempenaar, Elizabeth L Inness, Cynthia Danells, David W Lawrence\",\"doi\":\"10.1097/PHM.0000000000002732\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Research on aerobic exercise (AEx) post-concussion has focused on athletes recovering from sport-related concussion. The goal of this pilot study was to examine the feasibility and preliminary efficacy of three AEx prescription methods in a general adult population.DESIGNThis pilot study involves three cohorts of participants, including a nested randomized component. Participants who were not in the nested randomized component were followed regularly by the clinic physician (\\\"Usual Care\\\" [UC]). Participants in the nested randomized component were randomly assigned to either \\\"Exercise Testing (ET) + UC\\\", or \\\"Exercise Testing + Individualized Prescription (IP)\\\". All randomized participants completed a Buffalo Concussion Treadmill Test (BCTT). ET + UC received usual care AEx recommendations, while ET + IP received an individualized prescription based on their BCTT performance.</p><p><strong>Results: </strong>75 participants were included in this analysis. There was an observed longer time to recovery of UC compared to ET (p = 0.046). There was no significant difference in time to recovery between ET + UC and ET + IP (p = 0.35).</p><p><strong>Conclusion: </strong>Supervised initiation of AEx early after concussion appears to be feasible and improve outcomes compared to standard exercise recommendations. Individualized AEx prescription offered no additional recovery benefit in this sample; however, this finding is likely underpowered due to a small sample.</p>\",\"PeriodicalId\":7850,\"journal\":{\"name\":\"American Journal of Physical Medicine & Rehabilitation\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-03-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Physical Medicine & Rehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/PHM.0000000000002732\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Physical Medicine & Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PHM.0000000000002732","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
Promoting Early Aerobic Exercise Initiation Post-Concussion: A pilot study examining how prescription method can influence recovery in a non-athlete, adult population. Results from the Toronto Concussion Study.
Objective: Research on aerobic exercise (AEx) post-concussion has focused on athletes recovering from sport-related concussion. The goal of this pilot study was to examine the feasibility and preliminary efficacy of three AEx prescription methods in a general adult population.DESIGNThis pilot study involves three cohorts of participants, including a nested randomized component. Participants who were not in the nested randomized component were followed regularly by the clinic physician ("Usual Care" [UC]). Participants in the nested randomized component were randomly assigned to either "Exercise Testing (ET) + UC", or "Exercise Testing + Individualized Prescription (IP)". All randomized participants completed a Buffalo Concussion Treadmill Test (BCTT). ET + UC received usual care AEx recommendations, while ET + IP received an individualized prescription based on their BCTT performance.
Results: 75 participants were included in this analysis. There was an observed longer time to recovery of UC compared to ET (p = 0.046). There was no significant difference in time to recovery between ET + UC and ET + IP (p = 0.35).
Conclusion: Supervised initiation of AEx early after concussion appears to be feasible and improve outcomes compared to standard exercise recommendations. Individualized AEx prescription offered no additional recovery benefit in this sample; however, this finding is likely underpowered due to a small sample.
期刊介绍：
American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals.
Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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