Keyword search (4,163 papers available)

"brain injury" Keyword-tagged Publications:

Title Authors PubMed ID
1 A Fully Virtual Graded Exertion Test Is Safe and Feasible in Symptomatic and Asymptomatic Children With Concussion Coupal J; Shabanova D; Gagnon I; Grilli L; Beaulieu C; Teel E; 41816309
SOH
2 Characteristics and associated weight-loss responses to the diabetes prevention program for adults with acquired brain injury: secondary analysis of two randomized control trials Quilico E; Alrawi S; Callender L; McShan E; Park S; Bennett M; Driver S; 41610975
CONCORDIA
3 Updated Status of Physical Activity Research for People With Traumatic Brain Injury Quilico EL; Driver SJ; 41606762
CONCORDIA
4 Preexisting Mental Health Disorders Are Associated With Acute Clinical Presentation and Longitudinal Recovery Trajectories in Adolescents With Concussion Iuliano SG; Gagnon IJ; Iverson GL; Cook NE; Zemek R; Teel EF; 41505351
SOH
5 Mechanism of Injury and Clinical Recovery Outcomes Following Pediatric Concussion Gudymenko A; Iuliano SG; Gagnon IJ; Iverson GL; Cook NE; Zemek R; Teel EF; 40244878
SOH
6 5P Risk Classification Predicts Performance on Self-Reported but Not Objective Clinical Outcomes at 4-Weeks Post-Concussion in Children Teel E; Brossard-Racine M; Corbin-Berrigan LA; Gagnon I; 39988038
HKAP
7 A Concussion Management Policy Change Promoted Earlier Initiation of Rehabilitation Services and Improved Clinical Recovery Outcomes in Concussion Teel EF; Dobney D; Friedman D; Grilli L; Beaulieu C; Gagnon IJ; 39798559
HKAP
8 Feasibility and acceptability of an adapted peer-based walking intervention for adults with moderate-to-severe traumatic brain injury Quilico EL; Wilkinson S; Duncan LR; Sweet SN; Alarie C; Bédard E; Gheta I; Brodeur CL; Colantonio A; Swaine BR; 39051571
CONCORDIA
9 Athlete Fear Avoidance, Depression, and Anxiety Are Associated with Acute Concussion Symptoms in Athletes Patlan I; Gamelin G; Khalaj K; Castonguay T; Dover G; 38673675
HKAP
10 Parent and Youth Athlete Perceptions of Concussion Injury: Establishing a Factor Structure Bretzin AC; Schmitt AJ; Teel E; Holmes JH; Wiebe DJ; Beidler E; 38244578
HKAP
11 An At-Home, Virtually Administered Graded Exertion Protocol for Use in Concussion Management: Preliminary Evaluation of Safety and Feasibility for Determining Clearance to Return to High-Intensity Exercise in Healthy Youth and Children With Subacute Concussion Teel E; Alarie C; Swaine B; Cook NE; Iverson GL; Gagnon I; 37212272
HKAP
12 COVID-19's impact on a community-based physical activity program for adults with moderate-to-severe TBI Quilico EL; Wilkinson S; Bédard E; Duncan LR; Sweet SN; Swaine BR; Colantonio A; 37184357
AHSC
13 Exploring a peer-based physical activity program in the community for adults with moderate-to-severe traumatic brain injury Quilico E; Sweet S; Duncan L; Wilkinson S; Bonnell K; Alarie C; Swaine B; Colantonio A; 37157834
AHSC
14 Participatory co-creation of an adapted physical activity program for adults with moderate-to-severe traumatic brain injury Quilico E; Wilkinson S; Duncan L; Sweet S; Bédard E; Trudel E; Colantonio A; Swaine B; 36188895
AHSC

 

Title:An At-Home, Virtually Administered Graded Exertion Protocol for Use in Concussion Management: Preliminary Evaluation of Safety and Feasibility for Determining Clearance to Return to High-Intensity Exercise in Healthy Youth and Children With Subacute Concussion
Authors:Teel EAlarie CSwaine BCook NEIverson GLGagnon I
Link:pubmed.ncbi.nlm.nih.gov/37212272/
DOI:10.1089/neu.2022.0370
Publication:Journal of neurotrauma
Keywords:exerciseheart ratemild traumatic brain injuryrate of perceived exertionsportssymptomstelemedicine
PMID:37212272 Category: Date Added:2023-05-22
Dept Affiliation: HKAP
1 Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montréal, Québec, Canada.
2 École de Réadaptation, Faculté de Médecine, Université de Montréal, Montréal, Québec, Canada.
3 Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal (CRIR), Montréal, Québec, Canada.
4 Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
5 MassGeneral Hospital for Children Sports Concussion Program, Boston, Massachusetts, USA.
6 Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, Massachusetts, USA.
7 Spaulding Research Institute, Charlestown, Massachusetts, USA.
8 School of Physical and Occupational Therapy, McGill University, Montréal, Québec, Canada.
9 Division of Pediatric Emergency Medicine, Department of Pediatrics, Montréal Children's Hospital, McGill University Health Centre, Montréal, Québec, Canada.

Description:

Graded exertion testing (GXT) is an important tool for concussion management, as it is used to personalize post-concussion exercise prescription and return athletes to sport. However, most GXT requires expensive equipment and in-person supervision. Our objective was to assess the safety and feasibility of the Montreal Virtual Exertion (MOVE) protocol, a no-equipment, virtually compatible GXT, in healthy children and children with subacute concussion. The MOVE protocol consists of seven stages of bodyweight and plyometric exercises performed for 60 sec each. Twenty healthy (i.e., non-concussed) children completed the MOVE protocol virtually over Zoom Enterprise. Next, 30 children with subacute concussion (median: 31.5 days post-injury) were randomized to the MOVE protocol or Buffalo Concussion Treadmill Test (BCTT), which increases the incline or speed of the treadmill every minute until maximum exertion. Out of an abundance of caution, all concussed participants completed the MOVE protocol in an in-person clinical space. However, the test evaluator was stationed in a different room within the clinic and administered the MOVE protocol using Zoom Enterprise software to mimic telehealth conditions. Safety and feasibility outcomes were recorded throughout GXT, including heart rate, rate of perceived exertion (RPE), and symptom outcomes. No adverse events were recorded, and all feasibility criteria were successfully met in healthy youth and youth with concussion. Among concussed youth, increases in heart rate (MOVE: 82.4 ± 17.9 bpm, BCTT: 72.1 ± 23.0 bpm; t<sub>(28)</sub> = 1.36, p = 0.18), RPE (MOVE: 5.87 ± 1.92, BCTT: 5.07 ± 2.34, t<sub>(28)</sub> = 1.02, p = 0.32), and overall symptom presentation were similar between the MOVE and BCTT protocols. The MOVE protocol is a safe and feasible GXT in healthy youth and youth with subacute concussion. Future studies should assess the fully virtual administration of the MOVE in children with concussion, MOVE protocol tolerability in children with acute concussion, and whether the MOVE protocol can be used to guide individualized exercise prescription.




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