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Impact of Early Activity and Behavioral Management on Acute Concussion Recovery: A Randomized Controlled Trial. J Pediatr 2025 Aug;283:114596

Date

04/21/2025

Pubmed ID

40254050

DOI

10.1016/j.jpeds.2025.114596

Scopus ID

2-s2.0-105004917264 (requires institutional sign-in at Scopus site)

Abstract

OBJECTIVE: To determine the efficacy of early physical activity and behavioral management for acute concussion in pediatric patients.

STUDY DESIGN: A multicenter, prospective, 2 × 2 factorial randomized controlled trial was conducted among patients aged 11-24 years who presented within 72 hours of injury. Participants were randomized into 4 groups based on early physical activity (or usual care [UC]) and behavioral management (or none). The early activity (EA) group was encouraged to meet step targets despite symptoms. The primary outcomes were postconcussion symptom severity and quality of life at 14 days postenrollment.

RESULTS: A total of 239 participants were randomized, and 210 completed all study procedures. The EA group demonstrated higher daily step counts compared with the UC group. However, no significant differences were observed in postconcussion symptom severity or quality of life at 14 days between groups. The EA group experienced higher daily postconcussion symptom severity during the first 7 days and took longer to recover compared with the UC group. Behavioral management showed no effect on outcomes.

CONCLUSIONS: Early prescribed physical activity and behavioral management did not improve postconcussion outcomes in the first 2 weeks following injury. Early prescribed activity despite symptoms was associated with delayed symptom resolution.

TRIAL REGISTRATION: ClinicalTrials.gov NCT03869970.

Author List

Thomas DG, Erpenbach H, Smith CN, Hickey RW, Waltzman D, Haarbauer-Krupa J, Nelson LD, Patterson CG, McCrea M, Collins MW, Kontos AP

Authors

Michael McCrea PhD Professor in the Neurosurgery department at Medical College of Wisconsin
Lindsay D. Nelson PhD Professor in the Neurosurgery department at Medical College of Wisconsin
Danny G. Thomas MD, MPH Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Behavior Therapy
Brain Concussion
Child
Exercise
Exercise Therapy
Female
Humans
Male
Post-Concussion Syndrome
Prospective Studies
Quality of Life
Recovery of Function
Treatment Outcome
Young Adult