Measurement of improvement on repeat exercise intolerance testing for suspected dysautonomia in protracted concussion recovery: a retrospective cohort study.
Physiother Theory Pract
; : 1-9, 2022 Sep 08.
Article
em En
| MEDLINE
| ID: mdl-36074009
ABSTRACT
BACKGROUND:
Research has demonstrated concussion likely causes autonomic dysfunction leading to exercise intolerance.OBJECTIVE:
To measure improvement in exercise intolerance due to suspected dysautonomia associated with protracted concussion recovery, using objective measurements on a Buffalo Concussion Treadmill Test (BCTT) following participation in a prescribed exercise program.METHODS:
This is a retrospective cohort study of 101 patient charts post-concussion. Exercise intolerance was assessed using a BCTT to identify suspected dysautonomia and an exercise prescription was provided using guidelines for treating concussion-associated exercise intolerance. Patients without symptom improvement and/or inability to achieve 80-85% of age-expected maximum heart rate (HR) without symptom exacerbation received a repeat BCTT.RESULTS:
Twelve patient charts met inclusion criteria and were included in data analysis. There were significant improvements from pre-intervention to post-intervention testing in maximum BCTT stage mean scores (p = .02); maximum HR mean scores (p = .01); prescription HR (RxHR) mean scores (p = .01); and HR delta (HR δ) mean scores (p = .00).CONCLUSIONS:
Maximum stage, HR threshold, RxHR, and newly identified HR delta (HR δ) are potential objective measurements of progress for dysautonomia treatment post-concussion. Future studies are indicated to create a tailored protocol in the management of protracted concussion-associated dysautonomia.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article