Feasibility and Acceptability of a Cervico-vestibular Home Exercise Program Following Concussion in Children
Texas Scottish Rite Hospital for Children
Summary
The purpose of this pilot study is to: 1. Determine the feasibility of adherence to completing the home cervico-vestibular exercise program following concussion. 2. Investigate the acceptability of the cervico-vestibular home exercise program. 3. Investigate the impact of the cervico-vestibular home exercise program on symptom reduction, return to play, and return to learn 4. Analyze the timing at which a home exercise program is typically prescribed. Participants will be asked to do and keep track of exercises made to help in their concussion recovery over a two-week period. Participants will come back to see their doctor and complete surveys about how easy the exercises were to do and if they liked them.
Description
This will be a prospective clinical trial of the acceptability and feasibility of HEP prescription following a concussion in the pediatric population. Patients who consent to participate in this study will be given an informational handout by clinical athletic trainers that provides information about the study, the exercises in their exercise program, and a detailed progression to higher HEP levels/intensities based on their symptoms. The handout will also provide the purpose of the program, definitions of unfamiliar terms, a planning section for frequency and success, how to monitor symptoms…
Eligibility
- Age range
- Up to 17 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Patients \<18 years old 2. Presenting to clinic ≤1 month after injury 3. Diagnosed with a concussion at their clinic visit 4. Have a total symptom score of 3 or more on the PCSI 5. Visual acuity/hearing adequate for testing 6. Parent/patient must be fluent in English 7. Ability to provide assent, Legally Appointed Representative available to provide informed consent Exclusion Criteria: 1. Patients ≥18 years old 2. Moderate and severe TBI 3. History of seizures 4. History of \>3 prior concussions 5. History of chronic headaches/migraines 6. Presenting to clinic \>1 mon…
Interventions
- OtherCervico-vestibular Home Exercise Program
Patients who consent to participate in this study will be given an informational handout by clinical athletic trainers that provides information about the study, the exercises in their cervico-vestibular home exercise program, and a detailed progression to higher HEP levels/intensities based on their symptoms. The handout will also provide the purpose of the program, definitions of unfamiliar terms, a planning section for frequency and success, how to monitor symptoms through program completion, and how to properly access their exercises, log their completion, and track their progression in the Medbridge Go app.
Location
- Scottish Rite for ChildrenFrisco, Texas