{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:05:48Z","timestamp":1790082348617,"version":"4.0.1"},"reference-count":51,"publisher":"SAGE Publications","issue":"7-8","license":[{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neurotrauma"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>\n                    The objective of this study was to compare the effects of a cervicovestibular rehabilitation program combined with symptom-limited aerobic exercise (SLAE) program to a SLAE program alone in adults with persistent symptoms after mild traumatic brain injury (mTBI) on severity of symptoms and other indicators of clinical recovery. In this single-blind, parallel-group randomized controlled trial, 60 adults with persistent symptoms after mTBI were randomly assigned to: (1) a 6-week SLAE program or (2) a 6-week cervicovestibular rehabilitation program combined with a SLAE program. All participants took part in four evaluation sessions (baseline, week 6, 12, and 26) performed by a blinded evaluator. The primary outcome was the Post-Concussion Symptoms Scale (PCSS). The secondary outcomes were Numerical Pain Rating Scale (NPRS), Neck Disability Index (NDI), Headache Disability Inventory (HDI), Dizziness Handicap Inventory (DHI), time to return to function, and physical cervical and vestibular measures. Non-parametric analysis for longitudinal data was used to evaluate the effect of interventions on outcomes. For PCSS, NPRS, NDI, HDI, DHI, and return to function, there were no group-by-time interactions at any time points follow-up (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&gt;\u20090.05); clinically significant time effects were, however, observed (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.05). There were group-by-time interactions at weeks 6 and 12 for vestibulo-ocular reflex (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.003) and the craniovertebral mobility (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.001) measures in favor of the cervicovestibular rehabilitation group. The study indicates that a cervicovestibular rehabilitation program combined with SLAE was not superior to a SLAE program alone in term of symptoms and functional level improvement but resulted in improved physical cervical and vestibular function.\n                  <\/jats:p>","DOI":"10.1089\/neu.2021.0508","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T05:41:11Z","timestamp":1643694071000},"page":"487-496","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Cervicovestibular Rehabilitation in Adults with Mild Traumatic Brain Injury: A Randomized Clinical Trial"],"prefix":"10.1177","volume":"39","author":[{"given":"Pierre","family":"Langevin","sequence":"first","affiliation":[{"name":"Clinique Cortex and Physio Interactive, Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Department of Rehabilitation, Faculty of Medicine, Universit\u00e9 Laval, Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Qu\u00e9bec Rehabilitation Institute (CIRRIS), Qu\u00e9bec City, Qu\u00e9bec, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Fr\u00e9mont","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Faculty of Medicine, Universit\u00e9 Laval, Qu\u00e9bec City, Qu\u00e9bec, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Fait","sequence":"additional","affiliation":[{"name":"Clinique Cortex and Physio Interactive, Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Qu\u00e9bec Rehabilitation Institute (CIRRIS), Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Department of Human Kinetics, Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res, Trois-Rivi\u00e8res, Qu\u00e9bec, Canada."},{"name":"Research Center in Neuropsychology and Cognition (CERNEC), Montr\u00e9al, Qu\u00e9bec, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc-Olivier","family":"Dub\u00e9","sequence":"additional","affiliation":[{"name":"Clinique Cortex and Physio Interactive, Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Department of Rehabilitation, Faculty of Medicine, Universit\u00e9 Laval, Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Qu\u00e9bec Rehabilitation Institute (CIRRIS), Qu\u00e9bec City, Qu\u00e9bec, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u00ebl","family":"Bertrand-Charette","sequence":"additional","affiliation":[{"name":"Clinique Cortex and Physio Interactive, Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Department of Rehabilitation, Faculty of Medicine, Universit\u00e9 Laval, Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Qu\u00e9bec Rehabilitation Institute (CIRRIS), Qu\u00e9bec City, Qu\u00e9bec, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-S\u00e9bastien","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Faculty of Medicine, Universit\u00e9 Laval, Qu\u00e9bec City, Qu\u00e9bec, Canada."},{"name":"Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Qu\u00e9bec Rehabilitation Institute (CIRRIS), Qu\u00e9bec City, Qu\u00e9bec, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/nature16035"},{"key":"e_1_3_8_3_2","article-title":"Centers for Disease Control and Prevention Guideline on the diagnosis and management of mild traumatic brain injury among children","volume":"172","author":"Lumba-Brown A.","year":"2018","unstructured":"Lumba-Brown A., , Yeates K.O., , Sarmiento K., , Breiding M.J., , Haegerich T.M., , Gioia G.A., , Turner M., , Benzel E.C., , Suskauer S.J., , Giza C.C., , Joseph M., , Broomand C., , Weissman B., , Gordon W., , Wright D.W., , Moser R.S., , McAvoy K., , Ewing-Cobbs L., , Duhaime A.C., , Putukian M., , Holshouser B., , Paulk D., , Wade S.L., , Herring S.A., , Halstead M., , Keenan H.T., , Choe M., , Christian C.W., , Guskiewicz K., , Raksin P.B., , Gregory A., , Mucha A., , Taylor H.G., , Callahan J.M., , DeWitt J., , Collins M.W., , Kirkwood M.W., , Ragheb J., , Ellenbogen R.G., , Spinks T.J., , Ganiats T.G., , Sabelhaus L.J., , Altenhofen K., , Hoffman R., , Getchius T., , Gronseth G., , Donnell Z., , O'Connor R.E., , and Timmons S.D. 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