Article

OBJECTIVE: To review the literature to identify and summarize strategies for
evaluating responses to physical exertion after mild traumatic brain injury
(mTBI) for clinical and research purposes. DATA SOURCES: PubMed and EBSCOhost
through December 31, 2016. STUDY SELECTION: Two independent reviewers selected
studies based on the following criteria: (1) inclusion of participants with
mTBI/concussion, (2) use of a measurement of physiological or psychosomatic
response to exertion, (3) a repeatable description of the exertion protocol was
provided, (4) a sample of at least 10 participants with a mean age between 8 and
65 years, and (5) the article was in English. The search process yielded 2685
articles, of which 14 studies met the eligibility requirements. DATA EXTRACTION:
A quality assessment using a checklist was conducted for each study by 2
independent study team members and verified by a third team member. Data were
extracted by one team member and verified by a second team member. DATA
SYNTHESIS: A qualitative synthesis of the studies revealed that most protocols
used a treadmill or cycle ergometer as the exercise modality. Protocol methods
varied across studies including differences in initial intensity determination,
progression parameters, and exertion duration. Common outcome measures were
self-reported symptoms, heart rate, and blood pressure. CONCLUSIONS: The
strongest evidence indicates that exertional assessments can provide important
insight about mTBI recovery and should be administered using symptoms as a guide.
Additional studies are needed to verify optimal modes and protocols for post-mTBI
exertional assessments.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS