Effects of Physiotherapy in Individuals With Persistent Symptoms Following Concussion
- Conditions
- Sport-related Concussion
- Registration Number
- NCT01860755
- Lead Sponsor
- Sport Injury Prevention Research Centre
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 31
- Diagnosis of Sport-related concussion as per the Third International Consensus Guidelines
- Persistent symptoms (greater than 10 days) of dizziness, unsteadiness, neck pain and/or headaches reported on the Sport Concussion Assessment Tool 2 (SCAT2)
- Clinical examination findings suggesting vestibular and/or cervical spine involvement
- Fracture, other neurological conditions, musculoskeletal injuries (other than the cervical spine) that restrict activity and medications that affect neural adaptation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Primary Outcome Measures
Name Time Method Days to medical clearance to return to sport up to 8 weeks Number of days to medical clearance by study physician
- Secondary Outcome Measures
Name Time Method Change in Numeric Pain Rating Scale Score-Neck Pain Change between Baseline and 8 weeks or time of medical clearance Self-reported cervical spine pain rated on a scale of 0-10
Change in Numeric Dizziness rating Score Change between Baseline and 8 weeks or time of medical clearance Self reported dizziness on a scale of 0-10
Change in Numeric Pain Rating Scale Score-Headache Change between Baseline and 8 weeks or at time of medical clearance Self-report score for headache on a scale of 0-10
Change in Activities Specific Balance Confidence Scale Score Change between Baseline and 8 weeks or time of medical clearance Self report measure of confidence during 16 balance activities
Change in Dizziness Handicap Index Score Change between Baseline and 8 weeks or time of medical clearance Self report measure evaluating perceived handicap secondary to dizziness
Change in Sport Concussion Assessment Tool 2 (SCAT2) Change between Baseline and 8 weeks or time of medical clearance Multifaceted tool used in the assessment of concussion and includes domains of symptom report, cognitive function, balance and coordination
Change in Dynamic Visual Acuity Change between Baseline and 8 weeks or time of medical clearance 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.
Head Thrust Test Baseline and at 8 weeks or time of medical clearance 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.
Change in modified Motion Sensitivity Test Score Change between Baseline and 8 weeks or time of medical clearance Patient report of intensity and duration of dizziness with eight head or body motions
Change in Functional Gait Assessment Score Change between Baseline and 8 weeks or time of medical clearance Dynamic Balance Measure that includes 10 different movements and the ability to complete each activity is rated by the examiner.
Change in Cervical Flexor Endurance Change between Baseline and 8 weeks or time of medical clearance 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 in Joint Position Error Change between Baseline and 8 weeks or time of medical clearance 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.
Trial Locations
- Locations (1)
Sport Injury Prevention Research Centre
🇨🇦Calgary, Alberta, Canada
Sport Injury Prevention Research Centre🇨🇦Calgary, Alberta, Canada