UBMD Orthopaedics and Sports Medicine, State University of New York at Buffalo, Buffalo, New York.
Department of Emergency Medicine, State University of New York at Buffalo, Buffalo, New York.
Sports Health. 2021 Mar;13(2):154-160. doi: 10.1177/1941738120946015. Epub 2020 Nov 4.
Emerging research supports the use of mild to moderate aerobic exercise for treating sport-related concussion (SRC) and persistent postconcussive symptoms (PPCS), yet the current standard of care remains to be strict rest. The purpose of this review is to summarize the existing literature on physical activity and prescribed exercise for SRC and PPCS.
PubMed and Embase were searched in April of 2019 for studies assessing rest or prescribed exercise for SRC and PPCS. No specific search syntax was used.
Clinical review.
Level 4.
A majority of studies show that spontaneous physical activity is safe after SRC and that subsymptom threshold aerobic exercise safely speeds up recovery after SRC and reduces symptoms in those with PPCS. Exercise tolerance can safely be assessed using graded exertion test protocols within days of injury, and the degree of early exercise tolerance has diagnostic and prognostic value.
Subsymptom threshold aerobic exercise is safe and effective for the treatment of SRC as well as in athletes with PPCS. Further research is warranted to establish the most effective method and dose of aerobic exercise for the active treatment of SRC and whether early exercise treatment can prevent PPCS in athletes.
新兴研究支持轻度至中度有氧运动治疗与运动相关的脑震荡（SRC）和持续性脑震荡后症状（PPCS），但目前的标准治疗仍是严格休息。本综述的目的是总结现有的关于 SRC 和 PPCS 的体力活动和规定运动的文献。
2019 年 4 月，在 PubMed 和 Embase 上搜索了评估 SRC 和 PPCS 中休息或规定运动的研究。未使用特定的搜索语法。
临床综述。
4 级。
大多数研究表明，SRC 后自发性体力活动是安全的，亚症状阈有氧运动可安全加速 SRC 后的恢复，并减轻 PPCS 患者的症状。运动耐量可在损伤后几天内使用分级用力测试方案安全评估，早期运动耐量的程度具有诊断和预后价值。
亚症状阈有氧运动治疗 SRC 以及患有 PPCS 的运动员是安全有效的。需要进一步的研究来确定治疗 SRC 的最有效方法和有氧运动剂量，以及早期运动治疗是否可以预防运动员的 PPCS。
2。
