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Related Experiment Video

Updated: Aug 6, 2025

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
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Exercise Parameters for Postconcussion Symptom Rehabilitation: A Systematic Review.

Kannan Singaravelu Jaganathan1, Karen A Sullivan1, Sally Kinmond1

  • 1School of Psychology & Counseling, Queensland University of Technology, Brisbane, QLD,Australia.

Journal of Sport Rehabilitation
|March 20, 2023
PubMed
Summary

Exercise rehabilitation can help adolescent athletes with postconcussion symptoms (PCS). This review synthesizes evidence on exercise parameters for treating PCS, offering guidance for future research.

Keywords:
adolescentshead injuryrehabilitation

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Area of Science:

  • Sports Medicine
  • Neurology
  • Rehabilitation Science

Background:

  • Postconcussion symptoms (PCS) impact adolescent athletes, with limited evidence synthesis on exercise interventions.
  • Unimodal exercise may offer benefits for PCS, necessitating clear parameter identification.

Approach:

  • Systematic review of health databases and clinical trial registries (inception to June 2022).
  • Searches included terms for mild traumatic brain injury (mTBI), PCS, and exercise.
  • Methodological quality assessed using Cochrane Risk of Bias-2 tool.

Key Points:

  • Seven studies, mostly on adolescent athletes with sports-related concussion, were included.
  • Exercise showed benefits over control conditions for both acute and persistent PCS.
  • Programmatic exercise after 24-48 hours of rest is supported.

Conclusions:

  • Moderate evidence supports exercise rehabilitation for PCS, based on a small study pool.
  • Identified exercise parameters can guide future research for optimal PCS treatment.
  • Progressive aerobic exercise (10-15 min, 4x/week, 50% HR subsymptom threshold) is a potential starting point.