Cognitive rest and school-based recommendations following pediatric concussion: the need for primary care support

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Updated: May 13, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Kristy B Arbogast1, Alexander D McGinley, Christina L Master

  • 1The Children's Hospital of Philadelphia, Center for Injury Research and Prevention, 3535 Market Street, Philadelphia, PA 19104, USA. arbogast@email.chop.edu

Clinical Pediatrics
|March 1, 2013
PubMed

Insights

Pediatric providers recognize cognitive rest importance for concussion but rarely document it. This gap highlights a need for improved concussion management practices in primary care settings.

Area of Science:

  • Pediatric medicine
  • Neurology
  • Sports medicine

Background:

  • Concussion is a common pediatric injury requiring careful management.
  • Cognitive rest is a key component of concussion recovery, but its implementation varies.

Purpose of the Study:

  • To evaluate pediatric primary care providers' comprehension of cognitive rest for concussion.
  • To document current concussion management strategies employed by these providers.

Main Methods:

  • A survey was administered to general pediatric providers regarding concussion treatment recommendations.
  • An electronic medical record (EMR) review analyzed concussion cases in children aged 5–18.
  • Survey responses and EMR data were coded to identify mentions and documentation of cognitive rest.

Main Results:

  • 62% of surveyed providers mentioned cognitive rest, but only 11% included written recommendations in EMRs.
  • A significant discrepancy exists between providers' stated understanding and documented practice of cognitive rest.

Conclusions:

  • While pediatric providers acknowledge the significance of cognitive rest in concussion care, its consistent documentation is lacking.
  • This study underscores a need for enhanced provider education and standardized protocols for concussion management, particularly regarding cognitive rest.
Abstract

Keywords:
cognitive restconcussionmild traumatic brain injuryprimary careschool

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