{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T10:23:46Z","timestamp":1776939826032,"version":"3.51.4"},"reference-count":56,"publisher":"Human Kinetics","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Context<\/jats:bold>:<\/jats:italic> Exercise rehabilitation for postconcussion symptoms (PCS) has shown some benefits in adolescent athletes; but a synthesis of evidence on exercise <jats:italic>per se<\/jats:italic> has been lacking. <jats:italic><jats:bold>Objective<\/jats:bold>:<\/jats:italic> This systematic review aimed to determine if unimodal exercise interventions are useful to treat PCS and if so, to identify a set of clearly defined and effective exercise parameters for further research. <jats:italic><jats:bold>Evidence Acquisition<\/jats:bold>:<\/jats:italic> Relevant health databases and clinical trial registries were searched from inception to June 2022. The searches used a combination of subject headings and keywords related to mild traumatic brain injury (mTBI), PCSs, and exercise. Two independent reviewers screened and appraised the literature. The Cochrane Collaboration\u2019s Risk of Bias-2 tool for randomized controlled trials was used to assess methodological quality of studies. <jats:italic><jats:bold>Evidence Synthesis<\/jats:bold>:<\/jats:italic> Seven studies were included in the review. Four studies were assessed to have a low overall risk of bias, 2 with low risk and 1 with some concerns. Participants in the studies comprised mostly adolescents with sports-related concussion. The review found exercise to be more beneficial than control conditions in 2 studies investigating acute PCS and 2 studies investigating persistent PCS. Within-group differences showing symptom improvement over time were observed in all 7 studies. In general, the review found support for programmatic exercise that commences after an initial period of rest for 24 to 48\u00a0hours. Recommendations for exercise parameters that can be explored in subsequent research include progressive aerobic exercise starting from 10 to 15\u00a0minutes at least 4 times a week, at a starting intensity of 50% HR of the subsymptom threshold, with length of program depending on recovery. <jats:italic><jats:bold>Conclusion<\/jats:bold>:<\/jats:italic> The evidence in support of exercise rehabilitation for PCSs is moderate based on the small pool of eligible studies. Further research can be guided by the exercise parameters identified in this review.<\/jats:p>","DOI":"10.1123\/jsr.2022-0122","type":"journal-article","created":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T16:34:48Z","timestamp":1679330088000},"page":"483-492","source":"Crossref","is-referenced-by-count":3,"title":["Exercise Parameters for Postconcussion Symptom Rehabilitation: A Systematic Review"],"prefix":"10.1123","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4141-6876","authenticated-orcid":true,"given":"Kannan Singaravelu","family":"Jaganathan","sequence":"first","affiliation":[{"name":"School of Psychology & Counseling, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5952-5114","authenticated-orcid":true,"given":"Karen A.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"School of Psychology & Counseling, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Kinmond","sequence":"additional","affiliation":[{"name":"School of Psychology & Counseling, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6844-2775","authenticated-orcid":true,"given":"Sara","family":"Berndt","sequence":"additional","affiliation":[{"name":"School of Psychology & Counseling, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6545-4738","authenticated-orcid":true,"given":"Steve","family":"Street","sequence":"additional","affiliation":[{"name":"School of Psychology & Counseling, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0677-3464","authenticated-orcid":true,"given":"Catherine","family":"Haden","sequence":"additional","affiliation":[{"name":"QUT Library, Academic Division, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6970-5573","authenticated-orcid":true,"given":"Jaimi","family":"Greenslade","sequence":"additional","affiliation":[{"name":"School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, Australia"},{"name":"Emergency and Trauma Centre, RBWH Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6357-615X","authenticated-orcid":true,"given":"Katie","family":"McMahon","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences, Center for Biomedical Technologies, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6440-3683","authenticated-orcid":true,"given":"Gary","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Centre, RBWH Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1008-256X","authenticated-orcid":true,"given":"Graham","family":"Kerr","sequence":"additional","affiliation":[{"name":"School of Exercise & Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"5","key":"r1","series-title":"Curr Treat Options Neurol","first-page":"415","article-title":"Management of concussion and post-concussion syndrome","volume":"8","author":"Willer B","year":"2006","unstructured":"Willer B, Leddy JJ. 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