Effects of Physiotherapy in Individuals With Persistent Symptoms Following Concussion (PTConc)

Sport Injury Prevention Research Centre

Status: Completed

Conditions: Sport-related Concussion

Treatments: Other: Control postural education, general range of motion and strengthening in addition to the standard of care; Other: Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT01860755

SIPRC-PT-conc-01

Details and patient eligibility

About

The purpose of this study is to determine the effects of a combined physiotherapy treatment (including vestibular rehabilitation and treatment for the cervical spine) in youth and young adults with ongoing symptoms of dizziness, neck pain and headaches following a sport-related concussion.

Enrollment: 31 patients

Sex: All

Ages: 12 to 30 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of Sport-related concussion as per the Third International Consensus Guidelines
• Persistent symptoms (greater than 10 days) of dizziness, unsteadiness, neck pain and/or headaches reported on the Sport Concussion Assessment Tool 2 (SCAT2)
• Clinical examination findings suggesting vestibular and/or cervical spine involvement

Exclusion criteria

• Fracture, other neurological conditions, musculoskeletal injuries (other than the cervical spine) that restrict activity and medications that affect neural adaptation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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31 participants in 2 patient groups

Physiotherapy

Experimental group

Description:

Physiotherapy: including vestibular rehabilitation and multimodal treatment for the cervical spine, once weekly with the study physiotherapist for 8 weeks or until time of medical clearance to return to sport. This group also received the control intervention.

Treatment:

Other: Physiotherapy

Other: Control postural education, general range of motion and strengthening in addition to the standard of care

Control

Active Comparator group

Description:

Control: postural education, general range of motion and strengthening in addition to the standard of care rest followed by graded exertion. Individuals were seen once weekly for eight weeks or until time of medical clearance to return to sport.

Treatment:

Other: Control postural education, general range of motion and strengthening in addition to the standard of care