{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T15:10:26Z","timestamp":1790176226973,"version":"4.1.0"},"reference-count":27,"publisher":"International Journal of Sports Physical Therapy","issue":"3","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Background<\/jats:title>\n Sports-related concussions (SRC) are a common injury sustained by many athletes of all different age groups and sports. The current standard treatment is rest followed by aerobic activity. Minimal research has been done on the effects of vestibular rehabilitation for concussion treatment, especially in physical therapy practice.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The purpose of this study was to examine the effects of early intervention of vestibular rehabilitation (VRT) on an athlete\u2019s time to return to play compared to rest alone.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Systematic Review<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Two searches were conducted (August 2021 and January 2022) using databases: CINAHL complete, MEDLINE, PubMed, and Wiley online database. One hand search was performed to find relevant articles. Search terms included \u201cvestibular rehabilitation\u201d or \u201cvestibular therapy\u201d and \u201cconcussion\u201d or \u201cmild traumatic brain injury\u201d or \u201cmTBI\u201d and \u201cathletes\u201d or \u201csports\u201d or \u201cathletics\u201d or \u201cperformance\u201d, and \u201cearly interventions\u201d or \u201ctherapy\u201d or \u201ctreatment\u201d. Inclusion criteria were athletes with a SRC, incorporation of vestibular rehabilitation in athletes\u2019 recovery, and early vestibular intervention tools. Tools used to assess quality and risk of bias were the PEDro scale and the\n Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence<\/jats:italic>\n . The PRISMA method for determining inclusion and exclusion criteria.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Eleven articles were included, six randomized control trials and five retrospective cohort studies. Various balance interventions, visual interventions utilizing vestibulo-ocular reflex (VOR), and cervical manual therapy were used during VRT for athletes\u2019 post-concussion. Incorporating visual interventions and cervical manual therapy into early rehabilitation significantly reduced symptoms and time to return to sport. However, balance interventions did not have a significant effect on reducing time to return to sport when used as a sole intervention.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Addressing VRT deficits in the acute stages of a concussion may contribute to a quicker resolution of symptoms and a quicker return to sport. More research needs to be performed to determine the effectiveness of early intervention of VRT in concussion recovery.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 1<\/jats:p>\n <\/jats:sec>","DOI":"10.26603\/001c.75369","type":"journal-article","created":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T10:24:22Z","timestamp":1685615062000},"source":"Crossref","is-referenced-by-count":18,"title":["Vestibular Rehabilitation as an Early Intervention in Athletes Who are Post-concussion: A Systematic Review"],"prefix":"10.26603","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0476-5732","authenticated-orcid":false,"given":"Gabrielle","family":"Babula","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00d2y1254","id-type":"ROR","asserted-by":"publisher"}],"name":"Misericordia University","department":["Physical Therapy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Warunek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Cure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Nikolski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Fritz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Barker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11140","published-online":{"date-parts":[[2023,6,1]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"publisher","first-page":"2479","DOI":"10.1177\/0363546514543775","article-title":"A Brief Vestibular\/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings","volume":"42","author":"Anne Mucha","year":"2014","journal-title":"The American Journal of Sports Medicine","ISSN":"https:\/\/id.crossref.org\/issn\/0363-5465","issn-type":"print"},{"issue":"6","key":"ref2","doi-asserted-by":"publisher","first-page":"842","DOI":"10.1080\/02699052.2020.1755055","article-title":"Association of acute vestibular\/ocular motor screening scores to prolonged recovery in collegiate athletes following sport-related concussion","volume":"34","author":"Susan L. 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