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Updated: Jan 28, 2026

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
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Mindfulness-Based Yoga for Youth With Persistent Concussion: A Pilot Study.

Melissa Paniccia1, Ruby Knafo2, Scott Thomas3

  • 1Melissa Paniccia, PhD, MScOT, OT Reg. (Ont.), is Postdoctoral Fellow, Concussion Centre, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Postdoctoral Fellow, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada; melissa.paniccia@utoronto.ca.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|March 7, 2019
PubMed
Summary
This summary is machine-generated.

Mindfulness-based yoga (MBY) shows positive trends for adolescents with persistent concussion symptoms, improving self-efficacy and heart rate variability. This safe intervention warrants further investigation in larger studies.

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Area of Science:

  • Neuroscience
  • Occupational Therapy
  • Pediatrics

Background:

  • Persistent concussion symptoms in youth can significantly impact daily functioning and well-being.
  • Current interventions for prolonged post-concussion symptoms require further exploration for efficacy.

Purpose of the Study:

  • To investigate the effects of mindfulness-based yoga (MBY) on occupation-based and neurophysiological outcomes in adolescents with persistent concussion.
  • To assess the feasibility and preliminary impact of an 8-week MBY program.

Main Methods:

  • A case series study involving 6 participants aged 13-17 with concussion symptoms lasting over 4 weeks.
  • An 8-week MBY intervention delivered weekly, with assessments of participation, self-efficacy, and 24-hour heart rate variability (HRV) pre-, post-, and 3-month follow-up.
  • In-session HRV was also monitored during MBY sessions.

Main Results:

  • Trends indicated increased self-efficacy across academic, social, and emotional domains post-intervention, maintained at 3-month follow-up.
  • Trends showed improvements in heart rate variability from pre- to post-intervention and within MBY sessions.
  • The intervention was found to be safe for the participating youth.

Conclusions:

  • Mindfulness-based yoga demonstrates promising preliminary results as a novel and safe intervention for youth experiencing persistent concussion symptoms.
  • The study highlights the importance of evaluating both occupation-based and neurophysiological measures in concussion recovery.
  • Further research with larger sample sizes and control groups is recommended to confirm these findings.