{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T09:30:41Z","timestamp":1780047041941,"version":"3.53.1"},"reference-count":52,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:sec><jats:title\/><\/jats:sec><jats:sec><jats:title>CONTEXT<\/jats:title><jats:p>Concussions in youth are highly prevalent. Previously, rest was prescribed to prevent adverse outcomes; however, early return to activity is emerging to improve the recovery trajectory.<\/jats:p><\/jats:sec><jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>To evaluate the effectiveness of early return to physical and social activity interventions on recovery outcomes in youth with concussion.<\/jats:p><\/jats:sec><jats:sec><jats:title>DATA SOURCES<\/jats:title><jats:p>A systematic review was conducted up to October 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY SELECTION<\/jats:title><jats:p>We included randomized controlled trials (RCTs) and non-RCTs that reported effects of activity-based interventions on symptoms, quality-of-life (QoL), and return to preinjury activity levels in children and youth after a concussion.<\/jats:p><\/jats:sec><jats:sec><jats:title>DATA EXTRACTION<\/jats:title><jats:p>Three authors independently extracted data on publication year and country, study setting and design, sample size, participant demographics, intervention, outcome(s), and author conclusion. Meta-analysis was conducted on appropriate RCTs.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Twenty-four studies were included in the final review, of which 10 were RCTs. There was a significant effect of activity interventions on symptom reporting (standardized mean difference, 0.39 [95% confidence interval, 0.15 to 0.63]; I2, 0%; P = .002). There was not a significant effect of activity-based interventions on QoL (mean difference, \u22120.91 [95% confidence interval, \u22127.76 to 5.94]; I2, 0%; P = .79). No meta-analysis was performed on return to preinjury activity levels because of insufficient number of RCTs conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>LIMITATIONS<\/jats:title><jats:p>One outcome was excluded from the meta-analysis. Interventions emphasizing social activity were lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Findings indicate that activity-based interventions may significantly improve concussion symptoms. There is insufficient data to understand the effect of activity-based intervention on QoL and return to preinjury activity levels.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2022-059592","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T08:19:14Z","timestamp":1681892354000},"source":"Crossref","is-referenced-by-count":7,"title":["Activity and Recovery Among Youth With Concussion: A Meta-analysis"],"prefix":"10.1542","volume":"151","author":[{"given":"Rochelle","family":"Chauhan","sequence":"first","affiliation":[{"name":"aUniversity of British Columbia, Vancouver, British Columbia, Canada"},{"name":"bRehabilitation Research Program, GF Strong Rehabilitation Centre, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika","family":"Cheng","sequence":"additional","affiliation":[{"name":"aUniversity of British Columbia, Vancouver, British Columbia, Canada"},{"name":"bRehabilitation Research Program, 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