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| Name | Class |
|---|---|
| Alberta Centre for Child, Family & Community Research | OTHER |
| University of Calgary | OTHER |
| University of British Columbia | OTHER |
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The purpose of this study is to determine the effects of a combined physiotherapy treatment (including vestibular rehabilitation and treatment for the cervical spine) in youth and young adults with ongoing symptoms of dizziness, neck pain and headaches following a sport-related concussion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Physiotherapy | Experimental | Physiotherapy: including vestibular rehabilitation and multimodal treatment for the cervical spine, once weekly with the study physiotherapist for 8 weeks or until time of medical clearance to return to sport. This group also received the control intervention. |
|
| Control | Active Comparator | Control: postural education, general range of motion and strengthening in addition to the standard of care rest followed by graded exertion. Individuals were seen once weekly for eight weeks or until time of medical clearance to return to sport. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Control postural education, general range of motion and strengthening in addition to the standard of care | Other | Control: postural education, general range of motion and strengthening in addition to the standard of care rest followed by graded exertion. Individuals were seen once weekly for eight weeks or until time of medical clearance to return to sport. |
| Measure | Description | Time Frame |
|---|---|---|
| Days to medical clearance to return to sport | Number of days to medical clearance by study physician | up to 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Numeric Pain Rating Scale Score-Neck Pain | Self-reported cervical spine pain rated on a scale of 0-10 | Change between Baseline and 8 weeks or time of medical clearance |
| Change in Numeric Dizziness rating Score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Willem H Meeuwisse, MD, PhD | Sport Injury Prevention Research Centre, University of Calgary | Principal Investigator |
| Carolyn A Emery, PT, PhD | Sport Injury Prevention Research Centre, University of Calgary | Principal Investigator |
| Kathryn J Schneider, PT, PhD | Sport Injury Prevention Research Centre, University of Calgary | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sport Injury Prevention Research Centre | Calgary | Alberta | T2N 1N4 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24855132 | Derived | Schneider KJ, Meeuwisse WH, Nettel-Aguirre A, Barlow K, Boyd L, Kang J, Emery CA. Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial. Br J Sports Med. 2014 Sep;48(17):1294-8. doi: 10.1136/bjsports-2013-093267. Epub 2014 May 22. |
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|
| Physiotherapy | Other | Physiotherapy: including vestibular rehabilitation and multimodal treatment for the cervical spine, once weekly with the study physiotherapist for 8 weeks or until time of medical clearance to return to sport. |
|
Self reported dizziness on a scale of 0-10
| Change between Baseline and 8 weeks or time of medical clearance |
| Change in Numeric Pain Rating Scale Score-Headache | Self-report score for headache on a scale of 0-10 | Change between Baseline and 8 weeks or at time of medical clearance |
| Change in Activities Specific Balance Confidence Scale Score | Self report measure of confidence during 16 balance activities | Change between Baseline and 8 weeks or time of medical clearance |
| Change in Dizziness Handicap Index Score | Self report measure evaluating perceived handicap secondary to dizziness | Change between Baseline and 8 weeks or time of medical clearance |
| Change in Sport Concussion Assessment Tool 2 (SCAT2) | Multifaceted tool used in the assessment of concussion and includes domains of symptom report, cognitive function, balance and coordination | Change between Baseline and 8 weeks or time of medical clearance |
| Change in Dynamic Visual Acuity | Assessed clinically using an eye chart and a metronome set at 2 Hz. Static visual acuity is measured 13 feet from the target. The subjects head is rotated at 2 Hz and visual acuity is measured dynamically. The difference between static and dynamic visual acuity is calculated. | Change between Baseline and 8 weeks or time of medical clearance |
| Head Thrust Test | Clinical test performed in sitting with head flexed and high velocity low amplitude motion into 5-15 degrees rotation is performed while the subject is asked to maintain focus with the examiner's nose. | Baseline and at 8 weeks or time of medical clearance |
| Change in modified Motion Sensitivity Test Score | Patient report of intensity and duration of dizziness with eight head or body motions | Change between Baseline and 8 weeks or time of medical clearance |
| Change in Functional Gait Assessment Score | Dynamic Balance Measure that includes 10 different movements and the ability to complete each activity is rated by the examiner. | Change between Baseline and 8 weeks or time of medical clearance |
| Change in Cervical Flexor Endurance | Test to evaluate the time (seconds) that an individual can maintain the head in a position of craniovertebral flexion and two finger widths above a pillow in crook lying. | Change between Baseline and 8 weeks or time of medical clearance |
| Change in Joint Position Error | Clinical test using a laser pointer affixed to a head piece on top of the head that is projected onto a bull's eye target. Subject rotates head to left, right (rotation) or up (extension) to the maximum comfortable range and relocates to the perceived point of neutral head position with eyes closed. A measures from the centre of the bull's eye is recorded. A mean of three trials is recorded for each direction. | Change between Baseline and 8 weeks or time of medical clearance |
| ID | Term |
|---|---|
| D004244 | Dizziness |
| D019547 | Neck Pain |
| D006261 | Headache |
| ID | Term |
|---|---|
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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