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MEDICAL: CONDITIONS: CONCUSSIONS :
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Early Return to Activity after Concussion
May Reduce Post-Concussive Symptoms in Youth
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Early Return to Activity after Concussion
May Reduce Post-Concussive Symptoms in Youth
Owens, Sarah
Neurology Today
2 February 2017 –
Volume 17 – Issue 3 – pp 1,2125
doi: 10.1097/01.NT.0000512941.15486.b2 Features
http://journals.lww.com/neurotodayonline/Fulltext/2017/ 02020/Early_Return_to_Activity_after_Concussion_May.2.aspx
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A shorter URL for the above link:
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A new report found that children and young adults who resumed physical activity within the first week of an acute concussion had a reduced risk of persistent post-concussive symptoms four weeks latercompared to those who did not engage in any physical activity.
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Children and young adults who resumed physical activity within the first week of an acute concussion had a reduced risk of persistent post-concussive symptoms four weeks later compared to those who did not engage in any physical activity, according to a report published on December 20 in the Journal of the American Medical Association.
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Current pediatric concussion guidelines, including the most recent version of the AAN’s sports concussion guideline released in 2013, recommend a period of physical and cognitive rest following a concussion until post-concussive symptoms like dizziness, fatigue, headache, and irritability have resolved. Children and young adults who have sustained a concussion should not return to play until they are asymptomatic, the guidelines state, and they should increase their engagement in physical activity only if their symptoms do not worsen.
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But limited evidence exists that this protocol results in positive long-term outcomes, the current study authors noted. Additionally, they pointed out, young athletes who rest for an extended period may be unnecessarily deprived of physical activity’s benefits on the growing body, including its positive effects on body composition, skeletal health, and cardiorespiratory fitness. Too much rest may also lead to secondary symptoms like depression, anxiety, social isolation, and physiological deconditioning.
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We may need to reconsider the current recommendations for strict conservative rest until patients are symptom-free, study author Roger Zemek, MD, PhD, associate professor and director of research at the University of Ottawa in Canada, said in an interview with Neurology Today. Patients should be encouraged to participate in some form of active physical rehabilitation following concussion as long as the activity does not put them at risk of re-injury.
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Additional Sections of This Web Page
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STUDY DESIGN
EXPERTS COMMENT
EXPERTS: ON THE RETURN TO ACTIVITY AFTER CONCUSSION
Article Outline
ARTICLE IN BRIEF
STUDY DESIGN
EXPERTS COMMENT
EXPERTS: ON THE RETURN TO ACTIVITY AFTER CONCUSSION
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