Document Detail

Is Rest After Concussion "The Best Medicine?": Recommendations for Activity Resumption Following Concussion in Athletes, Civilians, and Military Service Members.
MedLine Citation:
PMID:  22688215     Owner:  NLM     Status:  Publisher    
Practice guidelines universally recommend an initial period of rest for people who sustain a sports-related concussion or mild traumatic brain injury (MTBI) in daily life or military service. This practice is difficult to reconcile with the compelling evidence that other health conditions can be worsened by inactivity and improved by early mobilization and exercise. We review the scientific basis for the recommendation to rest after MTBI, the challenges and potential unintended negative consequences of implementing it, and how patient management could be improved by refining it. The best available evidence suggests that complete rest exceeding 3 days is probably not helpful, gradual resumption of preinjury activities should begin as soon as tolerated (with the exception of activities that have a high MTBI exposure risk), and supervised exercise may benefit patients with persistent symptoms.
Noah D Silverberg; Grant L Iverson
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-8
Journal Detail:
Title:  The Journal of head trauma rehabilitation     Volume:  -     ISSN:  1550-509X     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8702552     Medline TA:  J Head Trauma Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
GF Strong Rehab Centre & Department of Medicine, Division of Physical Medicine & Rehabilitation (Dr Silverberg) and Department of Psychiatry (Dr Iverson), University of British Columbia, Vancouver, British Columbia, Canada; and Defense and Veterans Brain Injury Center, Washington DC (Dr Iverson).
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