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

Br J Sports Med. 2013 Apr;47(5):304-7. doi: 10.1136/bjsports-2013-092190.

Abstract

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.

Publication types

  • Evaluation Study
  • Review
  • Systematic Review

MeSH terms

  • Athletic Injuries / rehabilitation
  • Athletic Injuries / therapy*
  • Brain Concussion / rehabilitation
  • Brain Concussion / therapy*
  • Exercise Therapy / methods
  • Humans
  • Recovery of Function
  • Rest*
  • Treatment Outcome