Abstract

Background - Every year in the United States, athletes experience approximately 1.6 to 3.8 million sports-related concussions (Darling et al., 2014; Leddy et al., 2012). Estimates as high as 33% of these individuals may experience prolonged symptoms leading to a diagnosis of postconcussion syndrome (PCS) (Kozlowski et al., 2013; Leddy et al., 2012). Subsymptom threshold treadmill testing and exercise training has proven to be safe, effective, and reliable in treating individuals with PCS (Baker et al., 2012; Darling et al., 2014; Kozlowski et al., 2013; Leddy et al., 2012; Leddy & Willer, 2013; Leddy et al., 2013). Purpose - The purpose of this literature review was to systematically review current literature on subsymptom threshold treadmill testing and exercise training for treating concussions and PCS. Case Description - The patient was a 17 year old male high school junior diagnosed with PCS, presenting to physical therapy with multiple PCS symptoms including headaches, neck pain, reduced cervical ROM, and fatigue. Outcomes - During physical therapy the patient participated in a subsymptom threshold treadmill test and exercise training protocol, manual therapy, and exercises for the cervical spine and surrounding musculature. Upon discharge the patient displayed full cervical AROM, reported no headaches, no neck pain, and was able to exercise without increase in concussion symptoms. The patient met all physical therapy goals. Discussion - The majority of concussed individuals who have participated in subsymptom threshold treadmill testing and exercise training protocols returned to their prior level of functioning, work and sport (Baker et al., 2012; Darling et al., 2014; Leddy et al., 2010), and show recovery of brain activity (Leddy et al., 2013).

Provenance

Submitted by David Edward Scussel (dscussel@salud.unm.edu) on 2015-06-10T20:38:47Z No. of bitstreams: 2 Subsymptom Threshold Exercise Training for Recovery from Postconcussion Syndrome.pdf: 1288106 bytes, checksum: e07d69d8e22b6e7a821a66119e17c028 (MD5) Subsymptom Threshold Exercise Training for Recovery from Postconcussion Syndrome - Poster.pdf: 291580 bytes, checksum: 162b32000b45053200ce9e8f4d3a6eca (MD5), Made available in DSpace on 2015-06-10T20:38:47Z (GMT). No. of bitstreams: 2 Subsymptom Threshold Exercise Training for Recovery from Postconcussion Syndrome.pdf: 1288106 bytes, checksum: e07d69d8e22b6e7a821a66119e17c028 (MD5) Subsymptom Threshold Exercise Training for Recovery from Postconcussion Syndrome - Poster.pdf: 291580 bytes, checksum: 162b32000b45053200ce9e8f4d3a6eca (MD5) Previous issue date: 2015

Document Type

Capstone

Keywords

Concussion, Treadmill, Training, Exercise, Testing

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