{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T11:35:26Z","timestamp":1788003326856,"version":"build-2784847793"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T00:00:00Z","timestamp":1579219200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Assistant Secretary of Defense for Health Affairs","award":["W81XWH-17-1-0424"],"award-info":[{"award-number":["W81XWH-17-1-0424"]}]},{"DOI":"10.13039\/100000005","name":"Department of Defense","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4,17]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Clinical practice for rehabilitation after mild traumatic brain injury (mTBI) is variable, and guidance on when to initiate physical therapy is lacking. Wearable sensor technology may aid clinical assessment, performance monitoring, and exercise adherence, potentially improving rehabilitation outcomes during unsupervised home exercise programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objectives of this study were to: (1) determine whether initiating rehabilitation earlier than typical will improve outcomes after mTBI, and (2) examine whether using wearable sensors during a home-exercise program will improve outcomes in participants with mTBI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was a randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>This study will take place within an academic hospital setting at Oregon Health &amp; Science University and Veterans Affairs Portland Health Care System, and in the home environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>This study will include 160 individuals with mTBI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>The early intervention group (n\u00a0=\u00a080) will receive one-on-one physical therapy 8 times over 6\u00a0weeks and complete daily home exercises. The standard care group (n\u00a0=\u00a080) will complete the same intervention after a 6- to 8-week wait period. One-half of each group will receive wearable sensors for therapist monitoring of patient adherence and quality of movements during their home exercise program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>The primary outcome measure will be the Dizziness Handicap Inventory score. Secondary outcome measures will include symptomatology, static and dynamic postural control, central sensorimotor integration posturography, and vestibular-ocular-motor function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Limitations<\/jats:title><jats:p>Potential limitations include variable onset of care, a wide range of ages, possible low adherence and\/or withdrawal from the study in the standard of care group, and low Dizziness Handicap Inventory scores effecting ceiling for change after rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>If initiating rehabilitation earlier improves primary and secondary outcomes post-mTBI, this could help shape current clinical care guidelines for rehabilitation. Additionally, using wearable sensors to monitor performance and adherence may improve home exercise outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ptj\/pzaa007","type":"journal-article","created":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T13:45:03Z","timestamp":1579182303000},"page":"687-697","source":"Crossref","is-referenced-by-count":23,"title":["The Sensor Technology and Rehabilitative Timing (START) Protocol: A Randomized Controlled Trial for the Rehabilitation of Mild Traumatic Brain Injury"],"prefix":"10.1093","volume":"100","author":[{"given":"Lucy","family":"Parrington","sequence":"first","affiliation":[{"name":"Department of Neurology, Oregon Health & Science University , Portland, Oregon; and Veterans Affairs Portland Health Care System, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah A","family":"Jehu","sequence":"additional","affiliation":[{"name":"Department of Neurology, Oregon Health & Science University ; Djavad 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Surg."},{"key":"2023011801095161100_ref24","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1097\/01.phm.0000179521.70639.83","article-title":"International classification of functioning, disability, and health (ICF): a promising framework and classification for rehabilitation medicine","volume":"84","author":"Stucki","year":"2005","journal-title":"Am J Phys Med Rehabil."},{"key":"2023011801095161100_ref25","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1080\/010503900750022862","article-title":"Symptoms, disability and handicap in unilateral peripheral vestibular disorders. Effects of early presentation and initiation of balance exercises","volume":"29","author":"Bamiou","year":"2000","journal-title":"Scand Audiol."},{"key":"2023011801095161100_ref26","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/S0194-5998(98)70374-2","article-title":"Efficacy of vestibular rehabilitation","volume":"118","author":"Cowand","year":"1998","journal-title":"Otolaryngol Head Neck Surg."},{"key":"2023011801095161100_ref27","doi-asserted-by":"crossref","first-page":"1746","DOI":"10.1097\/00005537-200310000-00016","article-title":"Objective vestibular tests as outcome measures in head injury patients","volume":"113","author":"Gottshall","year":"2003","journal-title":"Laryngoscope."},{"key":"2023011801095161100_ref28","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1177\/1740774512438980","article-title":"National institute of neurological disorders and stroke common data element project\u2013approach and methods","volume":"9","author":"Grinnon","year":"2012","journal-title":"Clin Trials."},{"key":"2023011801095161100_ref29","author":"National Institute of Neurological Disorders and Stroke"},{"key":"2023011801095161100_ref30","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1053\/apmr.2003.50034","article-title":"An assessment of gait and balance deficits after traumatic brain injury","volume":"84","author":"Basford","year":"2003","journal-title":"Arch Phys Med Rehabil."},{"key":"2023011801095161100_ref31","doi-asserted-by":"crossref","first-page":"41","DOI":"10.3109\/02699052.2014.955881","article-title":"Balance function and sensory integration after mild traumatic brain injury","volume":"29","author":"Lin","year":"2015","journal-title":"Brain Inj."},{"key":"2023011801095161100_ref32","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1152\/jn.2002.88.3.1097","article-title":"Sensorimotor integration in human postural 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trial","volume":"32","author":"Kurowski","year":"2017","journal-title":"J Head Trauma Rehabil."},{"key":"2023011801095161100_ref36","volume-title":"The Pathology, Symptomatology and Diagnosis of Certain Common Disorders of the Vestibular System","author":"Dix","year":"1952"},{"key":"2023011801095161100_ref37","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1097\/JSM.0000000000000431","article-title":"Safety and prognostic utility of provocative exercise testing in acutely concussed adolescents: a randomized trial","volume":"28","author":"Leddy","year":"2018","journal-title":"Clin J Sport Med"},{"key":"2023011801095161100_ref38","first-page":"32","article-title":"Executive functioning in TBI from rehabilitation to social reintegration: COMPASS (goal,) a randomized controlled trial (grant: 1I01RX000637-01A3 by the VA ORD RR&D, 2013-2016)","volume":"2","author":"Libin","year":"2015","journal-title":"Mil Med Res."},{"key":"2023011801095161100_ref39","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1136\/jnnp.73.3.330","article-title":"Impact of early intervention on outcome following mild head injury in adults","volume":"73","author":"Ponsford","year":"2002","journal-title":"J Neurol Neurosurg Psychiatry."},{"key":"2023011801095161100_ref40","first-page":"173","article-title":"Programmatic vestibular rehabilitation","volume":"112","author":"Shepard","year":"1995","journal-title":"Otolaryngol Head Neck Surg."},{"key":"2023011801095161100_ref41","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/1741-7015-8-18","article-title":"CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials","volume":"8","author":"Schulz","year":"2010","journal-title":"BMC med."},{"key":"2023011801095161100_ref42","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1186\/s12874-017-0442-1","article-title":"When and how should multiple imputation be used for handling missing data in randomised clinical trials\u2013a practical guide with flowcharts","volume":"17","author":"Jakobsen","year":"2017","journal-title":"BMC Med Res Methodol."},{"key":"2023011801095161100_ref43","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1097\/JSM.0b013e3181c12c7b","article-title":"The reliability of the modified balance error scoring system","volume":"19","author":"Hunt","year":"2009","journal-title":"Clin J Sport Med."},{"key":"2023011801095161100_ref44","doi-asserted-by":"crossref","first-page":"323","DOI":"10.2340\/16501977-0537","article-title":"Using psychometric techniques to improve the Balance Evaluation Systems Test: the mini-BESTest","volume":"42","author":"Franchignoni","year":"2010","journal-title":"J Rehabil Med."},{"key":"2023011801095161100_ref45","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.gaitpost.2017.06.419","article-title":"Using wearable inertial sensors to track body kinematics during 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