Practical Management: Prescribing Subsymptom Threshold Aerobic Exercise for Sport-Related Concussion in the Outpatient Setting.
Clin J Sport Med
; 31(5): 465-468, 2021 09 01.
Article
em En
| MEDLINE
| ID: mdl-32058454
ABSTRACT
ABSTRACT Exercise intolerance is an objective biomarker of the physiological dysfunction after sport-related concussion (SRC). Several trials have established the safety and clinical efficacy of subsymptom threshold aerobic exercise prescribed within 1 week of injury as treatment for SRC. Clinicians, however, may not be comfortable prescribing aerobic exercise after SRC. This article presents 3 methods of exercise prescription for patients with SRC. The first requires a graded exertion test plus a home-based exercise program requiring a heart rate (HR) monitor. The second requires a graded exertion test but no HR monitor for home-based exercise. The third requires solely an HR monitor to safely progress through the home-based exercise prescription. Patients are encouraged to keep a symptom and exercise diary and return for re-evaluation every 1 to 2 weeks. Delayed recovery should prompt the clinician to evaluate for other potential symptom generators (eg, cervical, vestibular, oculomotor, mood, or migraine disorders).
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Traumatismos em Atletas
/
Concussão Encefálica
/
Terapia por Exercício
Limite:
Humans
Idioma:
En
Revista:
Clin J Sport Med
Assunto da revista:
MEDICINA ESPORTIVA
Ano de publicação:
2021
Tipo de documento:
Article