Related Experiment Video
Updated: Jan 22, 2026
10:31
A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
13.9K
Pilot Randomized Controlled Trial of an Exercise Program Requiring Minimal In-person Visits for Youth With Persistent
Sara P D Chrisman1,2,3, Kathryn B Whitlock1, Jason A Mendoza1,2
1Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, United States.
Frontiers in Neurology
|July 19, 2019
Summary
A pilot study found a 6-week sub-threshold exercise program with minimal visits to be feasible and acceptable for treating persistent concussion in youth. This program showed faster symptom reduction compared to stretching, suggesting potential benefits for young athletes.
Area of Science:
- Sports Medicine
- Pediatric Neurology
- Rehabilitation Science
Background:
- Persistent concussion symptoms significantly impact youth athletes' quality of life.
- Current treatment protocols often involve frequent in-person visits, posing accessibility challenges.
- Sub-threshold exercise is a promising, yet under-explored, therapeutic avenue for concussion recovery.
Purpose of the Study:
- To assess the feasibility and acceptability of a low-contact, sub-threshold exercise program for youth with persistent sport-related concussion.
- To explore the efficacy of this program in improving concussion symptoms, quality of life, and fear-avoidance behaviors.
- To compare the sub-threshold exercise program against an active control (stretching) in a pilot randomized controlled trial.
Main Methods:
- A 6-week pilot randomized controlled trial involving 12-18 year old youth with persistent concussion.
- Intervention group received a sub-threshold exercise program with two in-person visits and weekly phone support.
- Control group received a stretching program; outcomes measured via accelerometry, surveys, and qualitative interviews.
Main Results:
- The sub-threshold exercise program was feasible and acceptable to youth and parents, who valued the minimal in-person visits.
- Concussive symptoms declined significantly faster in the intervention group compared to the control group (p=0.02).
- While quality of life and fear-avoidance improved over time, group differences were not statistically significant.
Conclusions:
- A 6-week sub-threshold exercise program with minimal in-person contact is feasible and shows potential benefits for youth with persistent concussion.
- The program's structure and reduced visit frequency enhance acceptability for young athletes.
- Further research is warranted to explore factors like fear-avoidance and optimize treatment protocols for long-term recovery.
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