{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T02:25:08Z","timestamp":1794277508402,"version":"4.9.0"},"reference-count":52,"publisher":"BMJ","issue":"12","funder":[{"name":"Publi Creations on behalf of the Organizing committee for the Concussion in Sport Consensus"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2023,4,4]]},"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We evaluated interventions to facilitate recovery in children, adolescents and adults with a sport-related concussion (SRC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review including risk of bias (modified Scottish Intercollegiate Guidelines Network tool).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>MEDLINE(R) and Epub Ahead of Print, In-Process &amp; Other Non-Indexed Citations, Embase, APA PsycINFO, Cochrane Central Register of Controlled Trials, CINAHL Plus with Full Text, SPORTDiscus and Scopus searched until March 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study eligibility criteria<\/jats:title>\n                    <jats:p>(1) Original research including randomised controlled trials (RCTs), quasi-experimental designs, cohort, comparative effectiveness studies; (2) focus on SRC; (3) English; (4) peer-reviewed and (5) evaluated treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>6533 studies were screened, 154 full texts reviewed and 13 met inclusion (10 RCTs, 1 quasi-experimental and 2 cohort studies; 1 high-quality study, 7 acceptable and 5 at high risk of bias). Interventions, comparisons, timing and outcomes varied, precluding meta-analysis. For adolescents and adults with dizziness, neck pain and\/or headaches &gt;10\u2009days following concussion, individualised cervicovestibular rehabilitation may decrease time to return to sport compared with rest followed by gradual exertion (HR 3.91 (95% CI 1.34 to 11.34)) and when compared with a subtherapeutic intervention (HR 2.91 (95% CI 1.01 to 8.43)). For adolescents with vestibular symptoms\/impairments, vestibular rehabilitation may decrease time to medical clearance (vestibular rehab group 50.2\u2009days (95%\u2009CI 39.9 to 60.4) compared with control 58.4 (95% CI 41.7 to 75.3)\u2009days). For adolescents with persisting symptoms &gt;30\u2009days, active rehabilitation and collaborative care may decrease symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cervicovestibular rehabilitation is recommended for adolescents and adults with dizziness, neck pain and\/or headaches for &gt;10\u2009days. Vestibular rehabilitation (for adolescents with dizziness\/vestibular impairments &gt;5\u2009days) and active rehabilitation and\/or collaborative care (for adolescents with persisting symptoms &gt;30\u2009days) may be of benefit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjsports-2022-106685","type":"journal-article","created":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T20:00:12Z","timestamp":1686772812000},"page":"771-779","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":90,"title":["Targeted interventions and their effect on recovery in children, adolescents and adults who have sustained a sport-related concussion: a systematic review"],"prefix":"10.1136","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5951-5899","authenticated-orcid":false,"given":"Kathryn J","family":"Schneider","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan L","family":"Critchley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicki","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8293-4496","authenticated-orcid":false,"given":"Gavin A","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantel T","family":"Debert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Feddermann-Demont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2043-1644","authenticated-orcid":false,"given":"Isabelle","family":"Gagnon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin M","family":"Guskiewicz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K Alix","family":"Hayden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley","family":"Herring","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corson","family":"Johnstone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Makdissi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6717-4270","authenticated-orcid":false,"given":"Christina L","family":"Master","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0893-4321","authenticated-orcid":false,"given":"Rosemarie Scolaro","family":"Moser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6829-4098","authenticated-orcid":false,"given":"Jon S","family":"Patricios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johna K","family":"Register-Mihalik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul E","family":"Ronksley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6378-148X","authenticated-orcid":false,"given":"Noah D","family":"Silverberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7680-2892","authenticated-orcid":false,"given":"Keith Owen","family":"Yeates","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,6,14]]},"reference":[{"key":"2024051423040527000_57.12.771.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.755"},{"key":"2024051423040527000_57.12.771.2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-094978"},{"key":"2024051423040527000_57.12.771.3","unstructured":"Children First Canada . 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