Art Kylie, Ridenour Courtney, Durbin Stephanie, Bauer Max, Hassen-Miller Amy
Physical Therapy Walsh University.
Int J Sports Phys Ther. 2023 Feb 1;18(1):26-38. doi: 10.26603/001c.68071. eCollection 2023.
Sports-related concussions are the most common cause of head injury in adolescents and young adults. Typical treatment methods for this injury include cognitive and physical rest. Evidence suggests that physical activity and physical therapy interventions can be beneficial to decrease post-concussion symptoms.
The aim of this systematic review was to investigate the effectiveness of physical therapy interventions for adolescent and young adult athletes post-concussion.
Systematic Review.
The following databases were utilized for the search: PubMed, CINAHL, Proquest, MEDLINE, SPORTDiscus, and SCOPUS. The search strategy focused on athletes, concussions, and physical therapy interventions. Data extraction from each article included: Authors, subjects, gender, mean age, age range, specific sport, acute or chronic concussion, first or recurrent concussion, treatments for intervention and control group, and outcomes measured.
Eight studies met the inclusion criteria. Six of the eight articles scored seven or higher on the PEDro Scale. Physical therapy intervention(s), such as an aerobic intervention or a multimodal approach, show improvements in time to recovery and reduction of post-concussion symptoms in patients who have had a concussion. Physical activity and physical therapy as early as a couple days following injury, is beneficial at decreasing post-concussion symptoms, allows for earlier return to play, and/or shorter days to recovery, and is considered safe for treating post-concussion symptoms.
This systematic review demonstrates that physical therapy interventions including aerobic exercise and multimodal approaches have been found to be beneficial in treating adolescent and young adult athletes post-concussion. Utilizing aerobic or multimodal interventions for this population allows for a quicker symptom recovery and return to sport than traditional treatment of physical and cognitive rest. Future research should investigate the superior intervention for adolescents and young adults with post-concussion syndrome and determine if a single treatment or a multimodal approach is more beneficial.
与运动相关的脑震荡是青少年和青年头部受伤的最常见原因。这种损伤的典型治疗方法包括认知和身体休息。有证据表明，体育活动和物理治疗干预可能有助于减轻脑震荡后症状。
本系统评价的目的是研究物理治疗干预对青少年和青年运动员脑震荡后的有效性。
系统评价。
利用以下数据库进行检索：PubMed、CINAHL、Proquest、MEDLINE、SPORTDiscus和SCOPUS。检索策略聚焦于运动员、脑震荡和物理治疗干预。从每篇文章中提取的数据包括：作者、受试者、性别、平均年龄、年龄范围、特定运动、急性或慢性脑震荡、首次或复发性脑震荡、干预组和对照组的治疗方法以及测量的结果。
八项研究符合纳入标准。八项文章中有六项在PEDro量表上得分7分或更高。物理治疗干预，如有氧干预或多模式方法，显示出脑震荡患者恢复时间缩短和脑震荡后症状减轻。受伤后几天尽早进行体育活动和物理治疗，有利于减轻脑震荡后症状，允许更早重返比赛和/或缩短恢复天数，并且被认为对治疗脑震荡后症状是安全的。
本系统评价表明，包括有氧运动和多模式方法在内的物理治疗干预已被发现对治疗青少年和青年运动员脑震荡后有益。对这一人群采用有氧运动或多模式干预比传统的身体和认知休息治疗能更快地恢复症状并重返运动。未来的研究应调查对患有脑震荡后综合征的青少年和青年的最佳干预措施，并确定单一治疗或多模式方法是否更有益。
