OBJECTIVE: To investigate the effect of physical interventions (subthreshold aerobic exercise, cervical, vestibular and/or oculomotor therapies) on days to recovery and symptom scores in the management of concussion. DESIGN: A systematic review and meta-analysis. DATA SOURCES: Medline, CINAHL, Embase, SportDiscus, Cochrane library, Scopus and PEDro. ELIGIBILITY CRITERIA: Randomised controlled trials of participants with concussion that evaluated the effect of subthreshold aerobic exercise, cervical, vestibular and/or oculomotor therapies on days to recovery/return to activity, symptom scores, balance, gait and/or exercise capacity. RESULTS: =0%) when compared with control. CONCLUSIONS: Subthreshold aerobic exercise appears to lower symptom scores but not time to recovery in concussed individuals. Individually tailored multimodal interventions have a worthwhile effect in providing faster return to sport and clinical improvement, specifically in those with persistent symptoms. PROSPERO REGISTRATION NUMBER: CRD42020108117.
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