title: Efficiency of an Active Rehabilitation Intervention in a Slow-to-Recover Paediatric Population following Mild Traumatic Brain Injury: A Pilot Study.
abstract: Objective. 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.Methods. 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.Results. The Active Rehabilitation Intervention lasted 49 ± 17 days. The duration of the intervention was correlated with self-reported participation ([Formula: see text]%,r= -0.792,p< 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 (Z= -3.18,p= 0.001).Conclusion. 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.
authors.affiliation: 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.
authors.forename: Sarah
authors.initials: S
authors.lastname: Imhoff
authors.affiliation: 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.
authors.forename: Philippe
authors.identifier: 0000-0002-2554-9273
authors.initials: P
authors.lastname: Fait
authors.affiliation: Cortex Médecine et Réadaptation Concussion Clinic, 205-1035 Avenue Wilfrid-Pelletier, Québec City, QC, Canada G1W 0C5; Clinique Neuropsychologique, 206-1379 Chemin Ste-Foy, Québec City, QC, Canada G1S 2N2.
authors.forename: Frédérike
authors.initials: F
authors.lastname: Carrier-Toutant
authors.affiliation: Cortex Médecine et Réadaptation Concussion Clinic, 205-1035 Avenue Wilfrid-Pelletier, Québec City, QC, Canada G1W 0C5; Clinique Neuropsychologique, 206-1379 Chemin Ste-Foy, Québec City, QC, Canada G1S 2N2.
authors.forename: Geneviève
authors.initials: G
authors.lastname: Boulard