What question did this study set out to answer?

To determine whether combining vestibular rehabilitation with cervical spine physiotherapy reduces the time to medical clearance in individuals experiencing persistent postconcussion symptoms.

May 22, 2014British Journal of Sports Medicine

Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial

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Authors

KSKathryn SchneiderUniversity of Calgary WMWillem MeeuwisseUniversity of North Carolina at Chapel Hill ANAlberto Nettel‐AguirreAustralian Bureau of Statistics

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Implication

Randomized trial reveals cervical and vestibular rehabilitation speeds medical clearance in individuals with persistent concussion symptoms, highlighting targeted physiotherapy benefits.

Key Points

To determine whether combining vestibular rehabilitation with cervical spine physiotherapy reduces the time to medical clearance in individuals experiencing persistent postconcussion symptoms.
Randomized controlled trial (NCT01860755) conducted in 31 patients (aged 12–30 years; 18 male, 13 female) with ongoing dizziness, neck pain, or headaches following a sport-related concussion.
Both arms received weekly physiotherapy for up to 8 weeks with postural education, range-of-motion exercises, rest, and graded exertion; the intervention arm additionally received targeted cervical spine and vestibular rehabilitation.
The primary outcome was medical clearance to return to sport, determined by a sport medicine physician blinded to treatment allocation.
In the intervention arm, 73% (11/15) of participants attained medical clearance within 8 weeks, compared with 7% (1/14) in the control group.
Intention-to-treat analysis showed that participants undergoing cervicovestibular rehabilitation were 3.91 times more likely to achieve medical clearance by 8 weeks (relative likelihood 3.91, 95% CI 1.34 to 11.34).

Cite This Study

Schneider et al. (2014) studied this question.

synapsesocial.com/papers/696a4d4fa14b2bc915cfa3f8 https://doi.org/10.1136/bjsports-2013-093267

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Implication

Randomized trial reveals cervical and vestibular rehabilitation speeds medical clearance in individuals with persistent concussion symptoms, highlighting targeted physiotherapy benefits.

Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial

Discussion

Member takes

Implication

Key Points

Cite This Study

Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial

Discussion

Member takes

Implication

Key Points

Cite This Study

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