The Role of Physical Activity in Recovery From Concussion in Youth: A Neuroscience Perspective.
J Neurol Phys Ther
; 42(3): 155-162, 2018 07.
Article
em En
| MEDLINE
| ID: mdl-29864097
ABSTRACT
BACKGROUND AND PURPOSE:
Concussion is a major public health concern and one of the least understood neurological injuries. Children and youth are disproportionally affected by concussion, and once injured, take longer to recover. Current guidelines recommend a period of physical and cognitive rest with a gradual progressive return to activity. Although there is limited high-quality evidence (eg, randomized controlled trials) on the benefit of physical activity and exercise after concussion, most studies report a positive impact of exercise in facilitating recovery after concussion. In this article we characterize the complex and dynamic changes in the brain following concussion by reviewing recent results from neuroimaging studies and to inform physical activity participation guidelines for the management of a younger population (eg, 14-25 years of age) after concussion. SUMMARY OF KEY POINTS Novel imaging methods and tools are providing a picture of the changes in the structure and function of the brain following concussion. These emerging results will, in the future, assist in creating objective, evidence-based pathways for clinical decision-making. Until such time, physical therapists should be aware that current neuroimaging evidence supports participation in physical activity after an initial and brief period of rest, and consider how best to incorporate exercise into rehabilitation to enhance recovery following concussion. RECOMMENDATIONS FOR CLINICAL PRACTICE It is important that physical therapists understand the neurobiological impact of concussion injury and recovery, and be informed of the scientific rationale for the recommendations and guidelines for engagement in physical activity.Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, available at http//links.lww.com/JNPT/A205).
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Concussão Encefálica
/
Neurociências
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Terapia por Exercício
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Neuroimagem
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Reabilitação Neurológica
Tipo de estudo:
Clinical_trials
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Guideline
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Prognostic_studies
Limite:
Adolescent
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Adult
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Humans
Idioma:
En
Revista:
J Neurol Phys Ther
Assunto da revista:
MEDICINA FISICA
/
NEUROLOGIA
Ano de publicação:
2018
Tipo de documento:
Article