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The effects of rest and treatment following sport-related concussion: a systematic review of the literature

Kathryn J Schneider, Grant L Iverson, Carolyn A Emery, Paul McCrory, Stanley A Herring, Willem H Meeuwisse
British Journal of Sports Medicine 2013, 47 (5): 304-7
23479489

OBJECTIVE: To evaluate the evidence for rest, treatment, and rehabilitation following sport-related concussion (SRC).

DATA SOURCES: PubMed, CINAHL, PsychInfo, Cochrane Controlled Trials Registers, Health STAR, Sport Discus, EMBASE, Web of Science, and ProQuest.

STUDY SELECTION: Articles were included if they met the following criteria: original research, reported SRC as a source of injury, and evaluated the effect of rest or treatment.

DATA EXTRACTION: Study design, participants, treatment, outcome measures, and key findings.

DATA SYNTHESIS: Three studies met the inclusion criteria for evaluating the effects of rest and twelve for treatment. Low-intensity aerobic exercise may be of benefit.

CONCLUSIONS: The current evidence evaluating the effect of rest and treatment following SRC is sparse. An initial period of rest may be of benefit. Low-level exercise and multimodal physiotherapy may be of benefit for those who are slow to recover. There is a strong need for high level studies evaluating the effects of rest and treatment following SRC.

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