RecruitingPhase 2NCT05434130

Modulating Exercise Dosage to Improve Concussion Recovery

Modulating Exercise Dosage to Improve Concussion Recovery: a Randomized Clinical Trial


Sponsor

University of Colorado, Denver

Enrollment

216 participants

Start Date

Aug 5, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Aerobic exercise has emerged as an effective treatment to reduce sport-related concussion symptom severity, yet existing work lacks rigor regarding the precise exercise volume and intensity required to elicit therapeutic effects, how exercise can alter concussion-related pathophysiology, and whether exercise can prevent the development of secondary sequelae. Our objective is to examine if a high dose exercise program (higher volume than currently prescribed at an individualized, safe intensity level) initiated within 14 days of concussion results in faster symptom resolution, altered physiological function, or reduced secondary sequalae. Findings from this research will lead to more rigorous and precise rehabilitation guidelines and improved understanding about how exercise affects neurophysiological function among adolescents with concussion.


Eligibility

Min Age: 13 YearsMax Age: 18 Years

Inclusion Criteria3

  • years of age
  • Post-Concussion Symptom Scale (PCSS) score \>10 to ensure participants are not recovered by enrollment
  • Concussion diagnosis by a sports medicine physician

Exclusion Criteria3

  • Pre-existing neurological disorders
  • Exercise contraindications
  • Concussion \<6 months before enrollment (excluding the current injury)

Interventions

BEHAVIORALHigh Dose Exercise

The investigators will initially test and randomize adolescents ages 13-18 years old ≤14 days post-concussion to high dose aerobic exercise (\>150 min/week, individualized intensity level) or standard-of-care (symptom limited, self-guided physical activity), and re-test upon symptom resolution and 8-weeks post symptom resolution


Locations(3)

University of Colorado Denver

Aurora, Colorado, United States

Boston Children's Hospital

Boston, Massachusetts, United States

Spaulding Rehabilitation Hospital

Cambridge, Massachusetts, United States

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NCT05434130


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