Imhoff Sarah, Fait Philippe, Carrier-Toutant Frédérike, Boulard Geneviève
Department of Human Kinetics, Université du Québec à Trois-Rivières (UQTR), 3351 Boulevard des Forges, Trois-Rivières, QC, Canada G9A 5H7; Research Group on Neuromusculoskeletal Dysfunctions (GRAN), UQTR, 3351 Boulevard des Forges, Trois-Rivières, QC, Canada G9A 5H7; Cortex Médecine et Réadaptation Concussion Clinic, 205-1035 Avenue Wilfrid-Pelletier, Québec City, QC, Canada G1W 0C5.
Department of Human Kinetics, Université du Québec à Trois-Rivières (UQTR), 3351 Boulevard des Forges, Trois-Rivières, QC, Canada G9A 5H7; Research Group on Neuromusculoskeletal Dysfunctions (GRAN), UQTR, 3351 Boulevard des Forges, Trois-Rivières, QC, Canada G9A 5H7; Cortex Médecine et Réadaptation Concussion Clinic, 205-1035 Avenue Wilfrid-Pelletier, Québec City, QC, Canada G1W 0C5; Research Center in Neuropsychology and Cognition (CERNEC), Université de Montréal, 90 rue Vincent d'Indy, Montréal, QC, Canada H2V 2S9.
J Sports Med (Hindawi Publ Corp). 2016;2016:5127374. doi: 10.1155/2016/5127374. Epub 2016 Dec 18.
. The aim of this study was to identify whether the addition of an individualised Active Rehabilitation Intervention to standard care influences recovery of young patients who are slow-to-recover following a mTBI. . Fifteen participants aged 15 ± 2 years received standard care and an individualised Active Rehabilitation Intervention which included (1) low- to high-intensity aerobic training; (2) sport-specific coordination exercises; and (3) therapeutic balance exercises. The following criteria were used to measure the resolution of signs and symptoms of mTBI: (1) absence of postconcussion symptoms for more than 7 consecutive days; (2) cognitive function corresponding to normative data; and (3) absence of deficits in coordination and balance. . The Active Rehabilitation Intervention lasted 49 ± 17 days. The duration of the intervention was correlated with self-reported participation ([Formula: see text]%, = -0.792, < 0.001). The average postconcussion symptom inventory (PCSI) score went from a total of 36.85 ± 23.21 points to 4.31 ± 5.04 points after the intervention ( = -3.18, = 0.001). . A progressive submaximal Active Rehabilitation Intervention may represent an important asset in the recovery of young patients who are slow-to-recover following a mTBI.
本研究的目的是确定在标准护理基础上增加个体化的主动康复干预是否会影响轻度创伤性脑损伤（mTBI）后恢复缓慢的年轻患者的康复情况。15名年龄在15±2岁的参与者接受了标准护理和个体化的主动康复干预，该干预包括：（1）低强度到高强度的有氧运动训练；（2）特定运动的协调练习；（3）治疗性平衡练习。采用以下标准来衡量mTBI体征和症状的消退情况：（1）连续7天以上无脑震荡后症状；（2）认知功能与正常数据相符；（3）协调和平衡无缺陷。主动康复干预持续了49±17天。干预持续时间与自我报告的参与度相关（[公式：见正文]%，r = -0.792，P < 0.001）。干预后，脑震荡后症状量表（PCSI）的平均总分从36.85±23.21分降至4.31±5.04分（t = -3.18，P = 0.001）。渐进性次最大强度的主动康复干预可能是mTBI后恢复缓慢的年轻患者康复的一项重要资产。
