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Current Neurology and Neuroscience Reports
Published in: Current Neurology and Neuroscience Reports 11/2018

01-11-2018 | Neurotrauma (D. Sandsmark, Section Editor)

Graded Combined Aerobic Resistance Exercise (CARE) to Prevent or Treat the Persistent Post-concussion Syndrome

Authors: Karen A. Sullivan, Andrew P. Hills, Grant L. Iverson

Published in: Current Neurology and Neuroscience Reports | Issue 11/2018

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Abstract

Purpose of Review

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).

Recent Findings

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.

Summary

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.
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Metadata
Title
Graded Combined Aerobic Resistance Exercise (CARE) to Prevent or Treat the Persistent Post-concussion Syndrome
Authors
Karen A. Sullivan
Andrew P. Hills
Grant L. Iverson
Publication date
01-11-2018
Publisher
Springer US
Published in
Current Neurology and Neuroscience Reports / Issue 11/2018
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-018-0884-9

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