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Concussion Screen Use Recovery Time

Not Applicable
Completed
Conditions
Sport-related Concussion
Registration Number
NCT05373992
Lead Sponsor
Children's Health
Brief Summary

A two-year parallel randomized clinical trial study to examine the effect of screen time (ST) restriction, exercise alone, and combined ST-restricted-exercise when compared to stretching only (control group) on sports related concussion recovery time among adolescents aged 12 to 17 years. Study hypothesis 1 - There will be significant differences between the treatment and the control arms' mean recovery time (days). Study hypothesis 2 - The ST-restricted \& exercise treatment arm will have a significantly shorter mean recovery time (days) compared with the other treatment arms and control arm.

Detailed Description

The investigators will randomize a sports related concussion (SRC) treatment protocol (n=313) of Children's Health Andrews Institute for Orthopaedics and Sports Medicine (Andrews) pediatric SRC patients (aged 12-17 years) to one of four treatment groups:1. Screen Time (ST) restricted group, 2.Exercise group, 3.ST restricted \& exercise group, and Control \[stretching only\]) group. The treatments will occur for the first 72-hours following the first clinic appointment. The investigators will monitor treatment adherence and 24-hour movement behaviors over a 72-hour period using the ActiGraph GT9X Link and heart rate monitor; a state-of-the-art research grade wearable device that our research team has expertise in administering and analyzing in field-based studies.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
85
Inclusion Criteria
  • Male or female subjects
  • Age 12-17 years of age presenting to the Children's Health Andrews Institute for Orthopaedics and Sports Medicine (Andrews) concussion clinic in Plano, Texas, to be treated for a diagnosed SRC
  • Patients who suffered a sport-related concussion within 72-hours of first clinic visit
Exclusion Criteria
  • Patients who suffered a sport-related concussion outside of 72-hours of first clinic visit
  • Is not diagnosed with a SRC
  • Is already taking part in another study that measures their physical activity, sleep, screen-time, or is related to concussion
  • Has a current diagnosis of and treatment with medication for attention deficit/hyperactivity disorder, learning disorder, depression, anxiety, or a history of more than 3 prior concussions (because these factors are associated with delayed recovery
  • Has a co-existing musculoskeletal injury that may impact their ability to be physically active during recovery
  • Has an increased cardiac event risk according to the American College of Sports Medicine criteria
  • Has a symptom severity score of less than 5 points on the post-concussion symptom scale during the initial clinical examination
  • Has an ability to exercise to exhaustion without symptom provocation during the initial clinical examination
  • Has limited English language proficiency

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Primary Outcome Measures
NameTimeMethod
Recovery TimeDay-1 of the participant's self-reported asymptomatic response to unrestricted physical and cognitive activities

Primary outcome is recovery time (days) as measured as the number of days between the date of injury and day-1 of the participant's self-reported asymptomatic response to unrestricted physical and cognitive activities, which must occur for at least three consecutive days.

Secondary Outcome Measures
NameTimeMethod
Protracted recoveryGreater than 30-days

Secondary outcome is protracted recovery. A positive classification for protracted recovery is defined as a recovery time, as specified previously, greater than 30-days.

Trial Locations

Locations (1)

Children's Health - Andrews Institute

🇺🇸

Plano, Texas, United States

Children's Health - Andrews Institute
🇺🇸Plano, Texas, United States

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