School of Psychology and Counselling, Queensland University of Technology, Brisbane, Queensland, Australia.
Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia.
Curr Neurol Neurosci Rep. 2018 Sep 12;18(11):75. doi: 10.1007/s11910-018-0884-9.
To review the growing body of indirect and direct evidence that suggests that exercise can be helpful for children, adolescents, and adults with persistent symptoms following a mild traumatic brain injury (mTBI).
The direct evidence shows that graded exercise assessments are safe, and that aerobic exercise interventions are associated with improvement of multiple symptoms and other benefits, including earlier return-to-sport. The indirect evidence supports this approach via studies that reveal the potential mechanisms, and show benefits for related presentations and individual symptoms, including headaches, neck pain, vestibular problems, sleep, stress, anxiety, and depression. We document the forms of exercise used for the post-acute management of mTBI, highlight the knowledge gaps, and provide future research directions. We recommend trialing a new approach that utilizes a graduated program of individually prescribed combined aerobic resistance exercises (CARE) if mTBI symptoms persist. This program has the potential to improve patient outcomes and add to the management options for providers.
综述越来越多的间接和直接证据表明，运动对于持续性轻度创伤性脑损伤（mTBI）后儿童、青少年和成人可能有益。
直接证据表明，分级运动评估是安全的，有氧运动干预与多种症状的改善和其他益处相关，包括更早地恢复运动。间接证据通过揭示潜在机制的研究支持这种方法，并显示出对相关表现和个体症状的益处，包括头痛、颈部疼痛、前庭问题、睡眠、压力、焦虑和抑郁。我们记录了 mTBI 后急性期管理中使用的运动形式，强调了知识空白，并提供了未来的研究方向。我们建议尝试一种新方法，如果 mTBI 症状持续存在，利用个体化规定的有氧阻力运动（CARE）的分级方案。该方案有可能改善患者预后，并为提供者提供更多的治疗选择。
