{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:14:11Z","timestamp":1747188851485,"version":"3.40.5"},"reference-count":16,"publisher":"Human Kinetics","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Clinical Scenario<\/jats:bold>:<\/jats:italic> As of 2020, the lifetime prevalence of at least one self-reported concussion is 24.6%. Athletic trainers in all settings work with patients who are at risk of sustaining a concussion or mild traumatic brain injury (mTBI) and developing persistent postconcussive symptoms. Aerobic exercise is emerging as an intervention for decreasing symptoms in patients who have sustained mTBI; however, the majority of research has been performed on pediatric patients. It is of interest whether aerobic exercise is an effective intervention for adult patients with mTBI. <jats:italic><jats:bold>Focused Clinical Question<\/jats:bold>:<\/jats:italic> In adults who have sustained mTBI, does traditional therapy decrease symptoms more than aerobic exercise? <jats:italic><jats:bold>Summary of Search<\/jats:bold>:<\/jats:italic> A systematic search of 4 databases was performed to answer this question. Three randomized controlled trials were identified that compared aerobic exercise to traditional therapy, which consists of physical and cognitive rest. Two studies found no significant differences in symptoms between the 2 groups while 1 study found decreased symptoms in the aerobic exercise group. <jats:italic><jats:bold>Clinical Bottom Line<\/jats:bold>:<\/jats:italic> The current evidence is clear that there is no decrease in mTBI symptoms with traditional therapy as compared with\u00a0aerobic exercise, with 1 study showing decreased symptoms with aerobic exercise. <jats:italic><jats:bold>Strength of Evidence<\/jats:bold>:<\/jats:italic> Based on the Center for Evidence-Based Medicine grades of evidence, the clinical bottom line is based on grade A evidence.<\/jats:p>","DOI":"10.1123\/jsr.2023-0314","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T18:43:24Z","timestamp":1718822604000},"page":"473-477","source":"Crossref","is-referenced-by-count":1,"title":["Aerobic Exercise as an Intervention for Mild Traumatic Brain Injury: A Critically Appraised Topic"],"prefix":"10.1123","volume":"33","author":[{"given":"Makayla","family":"Florez","sequence":"first","affiliation":[{"name":"Moravian University, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Roberge","sequence":"additional","affiliation":[{"name":"Moravian University, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4964-9647","authenticated-orcid":true,"given":"Jennifer","family":"Ostrowski","sequence":"additional","affiliation":[{"name":"Moravian University, Bethlehem, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"Clin Sports Med","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2010.08.006","article-title":"The epidemiology of sport-related concussion","volume":"30","author":"Daneshvar D","year":"2011","unstructured":"Daneshvar D, Nowinski C, McKee A, Cantu R. The epidemiology of sport-related concussion. Clin Sports Med. 2011;30(1):6. doi:10.1016\/j.csm.2010.08.006"},{"issue":"8","key":"r2","series-title":"J Rehabil Med","doi-asserted-by":"publisher","first-page":"758","DOI":"10.2340\/16501977-1182","article-title":"Long-term follow-up of patients with mild traumatic brain injury: a mixed-method study","volume":"45","author":"\u00c5hman S","year":"2013","unstructured":"\u00c5hman S, Saveman B, Styrke J, Bj\u00f6rnstig U, St\u00e5lnacke B. Long-term follow-up of patients with mild traumatic brain injury: a mixed-method study. J Rehabil Med. 2013;45(8):758\u2013764. doi:10.2340\/16501977-1182"},{"issue":"6","key":"r3","series-title":"Restor Neurol Neurosci","doi-asserted-by":"publisher","first-page":"643","DOI":"10.3233\/RNN-170761","article-title":"Therapy and rehabilitation of mild brain injury\/concussion: systematic review","volume":"35","author":"Thomas R","year":"2017","unstructured":"Thomas R, Alves J, Vaska Mlis M, Magalhaes R. Therapy and rehabilitation of mild brain injury\/concussion: systematic review. Restor Neurol Neurosci. 2017;35(6):643\u2013666. doi:10.3233\/RNN-170761"},{"issue":"3","key":"r4","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1136\/bjsports-2016-096674","article-title":"Cognitive rest following concussions: rethinking \u2018cognitive rest.\u2019","volume":"51","author":"Halstead M","year":"2017","unstructured":"Halstead M, Eagan Brown B, McAvoy K. Cognitive rest following concussions: rethinking \u2018cognitive rest.\u2019\u00a0Br J Sports Med. 2017;51(3):147\u2013147. doi:10.1136\/bjsports-2016-096674"},{"issue":"12","key":"r5","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1136\/bjsports-2022-106676","article-title":"Rest and exercise early after sport-related concussion: a systematic review and meta-analysis","volume":"57","author":"Leddy J","year":"2023","unstructured":"Leddy J, Burma J, Toomey C, et\u00a0al. Rest and exercise early after sport-related concussion: a systematic review and meta-analysis. Br J Sports Med. 2023;57(12):762\u2013770. doi:10.1136\/bjsports-2022-106676"},{"issue":"2","key":"r6","series-title":"Sports Health Multidiscip Approach","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1177\/1941738120946015","article-title":"Exercise for sport-related concussion and persistent postconcussive symptoms","volume":"13","author":"Haider M","year":"2021","unstructured":"Haider M, Bezherano I, Wertheimer A, et\u00a0al. Exercise for sport-related concussion and persistent postconcussive symptoms. Sports Health Multidiscip Approach. 2021;13(2):154\u2013160. doi:10.1177\/1941738120946015"},{"issue":"suppl 3","key":"r7","series-title":"PM&R","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2015.10.017","article-title":"The role of controlled exercise in concussion management","volume":"8","author":"Leddy J","year":"2016","unstructured":"Leddy J, Hinds A, Sirica D, Willer B. The role of controlled exercise in concussion management. PM&R. 2016;8(suppl 3):17. doi:10.1016\/j.pmrj.2015.10.017"},{"issue":"1","key":"r8","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1136\/bjsports-2012-091941","article-title":"American medical society for sports medicine position statement: concussion in sport","volume":"47","author":"Harmon K","year":"2013","unstructured":"Harmon K, Drezner J, Gammons M, et\u00a0al. American medical society for sports medicine position statement: concussion in sport. Br J Sports Med. 2013;47(1):15\u201326. doi:10.1136\/bjsports-2012-091941"},{"issue":"11","key":"r9","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1136\/bjsports-2023-106898","article-title":"Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport\u2013Amsterdam, October 2022","volume":"57","author":"Patricios J","year":"2023","unstructured":"Patricios J, Schneider K, Dvorak J, et\u00a0al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport\u2013Amsterdam, October 2022. Br J Sports Med. 2023;57(11):695\u2013711. doi:10.1136\/bjsports-2023-106898"},{"issue":"3","key":"r10","series-title":"Am J Sports Med","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1177\/0363546514560994","article-title":"Adolescents demonstrate greater gait balance control deficits after concussion than young adults","volume":"43","author":"Howell D","year":"2015","unstructured":"Howell D, Osternig L, Chou LS. Adolescents demonstrate greater gait balance control deficits after concussion than young adults. Am J Sports Med. 2015;43(3):625\u2013632. doi:10.1177\/0363546514560994"},{"issue":"2","key":"r11","series-title":"J Athl Train","doi-asserted-by":"publisher","first-page":"142","DOI":"10.4085\/1062-6050-51.4.04","article-title":"Age differences in recovery after sport-related concussion: a comparison of high school and collegiate athletes","volume":"51","author":"Nelson L","year":"2016","unstructured":"Nelson L, Guskiewicz K, Barr W, et\u00a0al. Age differences in recovery after sport-related concussion: a comparison of high school and collegiate athletes. J Athl Train. 2016;51(2):142\u2013152. doi:10.4085\/1062-6050-51.4.04"},{"issue":"1","key":"r12","series-title":"Arch Physiother","doi-asserted-by":"publisher","DOI":"10.1186\/s40945-022-00133-6","article-title":"Reliability of the PEDro scale: comparison between trials published in predatory and non-predatory journals","volume":"12","author":"Paci M","year":"2022","unstructured":"Paci M, Bianchini C, Baccini M. Reliability of the PEDro scale: comparison between trials published in predatory and non-predatory journals. Arch Physiother. 2022;12(1):10. doi:10.1186\/s40945-022-00133-6"},{"issue":"1","key":"r13","series-title":"J Physiother","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2019.08.005","article-title":"Clinimetrics: Physiotherapy Evidence Database (PEDro) scale","volume":"66","author":"Cashin A","year":"2020","unstructured":"Cashin A, McAuley J. Clinimetrics: Physiotherapy Evidence Database (PEDro) scale. J Physiother. 2020;66(1):59. doi:10.1016\/j.jphys.2019.08.005"},{"issue":"8","key":"r14","series-title":"J Int Neuropsychol Soc","doi-asserted-by":"publisher","first-page":"790","DOI":"10.1017\/S1355617721000886","article-title":"The effect of aerobic exercise on concussion recovery: a pilot clinical trial","volume":"27","author":"Snyder A","year":"2021","unstructured":"Snyder A, Greif S, Clugston J, et\u00a0al. The effect of aerobic exercise on concussion recovery: a pilot clinical trial. J Int Neuropsychol Soc. 2021;27(8):790\u2013804. doi:10.1017\/S1355617721000886"},{"issue":"5","key":"r15","series-title":"Acad Emerg Med","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1111\/acem.14215","article-title":"A randomized trial comparing prescribed light exercise to standard management for emergency department patients with acute mild traumatic brain injury","volume":"28","author":"Varner C","year":"2021","unstructured":"Varner C, Thompson C, De Wit K, Borgundvaag B, Houston R, McLeod S. A randomized trial comparing prescribed light exercise to standard management for emergency department patients with acute mild traumatic brain injury. Acad Emerg Med. 2021;28(5):493\u2013501. doi:10.1111\/acem.14215"},{"issue":"3","key":"r16","series-title":"Brain Inj","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1080\/02699052.2018.1552022","article-title":"Specialized interdisciplinary rehabilitation reduces persistent post-concussive symptoms: a randomized clinical trial","volume":"33","author":"Rytter H","year":"2019","unstructured":"Rytter H, Westenbaek K, Henriksen H, Christiansen P, Humle F. Specialized interdisciplinary rehabilitation reduces persistent post-concussive symptoms: a randomized clinical trial. Brain Inj. 2019;33(3):266\u2013281. doi:10.1080\/02699052.2018.1552022"}],"container-title":["Journal of Sport Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jsr\/33\/6\/article-p473.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jsr\/33\/6\/article-p473.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jsr\/33\/6\/article-p473.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T16:04:41Z","timestamp":1722441881000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jsr\/33\/6\/article-p473.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,1]]},"references-count":16,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.1123\/jsr.2023-0314","relation":{},"ISSN":["1056-6716","1543-3072"],"issn-type":[{"type":"print","value":"1056-6716"},{"type":"electronic","value":"1543-3072"}],"subject":[],"published":{"date-parts":[[2024,8,1]]}}}