Preliminary safety and efficacy of head and neck cooling therapy after concussion in adolescent athletes: a randomized pilot trial
Objective:
To determine the safety and efficacy of head and neck cooling when applied up to 8 days after concussion among adolescent athletes.
Design:
A randomized nonblinded pilot trial.
Setting:
Sports Medicine Clinic in a tertiary hospital.
Patients:
Adolescent athletes aged 12 to 17 years diagnosed with a concussion within 1 week of injury.
Interventions and Main Outcome Measures:
The control group (n = 27) received standard treatment (short term brain rest), whereas the treatment group (n = 28) received standard treatment and head and neck cooling. Head and neck cooling treatment was applied to patients at the postinjury assessment visit and at 72 hours post-injury. The SCAT5 (Sport Concussion Assessment Tool) total symptom severity score was collected at postinjury assessment visit, pre- and post-treatment at 72 hours, and at 10 days, and 4 weeks post-treatment.
Results:
Athletes who received head and neck cooling had a faster symptom recovery (P = 0.003) and experienced significant reduction in symptom severity scores after treatment (P < 0.001). Sport type and gender did not influence the treatment outcome (P = 0.447 and 0.940, respectively).
Conclusions:
This pilot study demonstrates feasibility of head and neck cooling for the management of acute concussion in adolescent athletes.
© Copyright 2022 Clinical Journal of Sport Medicine. Lippincott Williams & Wilkins. Kaikki oikeudet pidätetään.
Aiheet: | vamma pää aivot kuntoutus hoito tehokkuus turvallisuus |
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Aihealueet: | biologiset ja lääketieteelliset tieteet |
Tagging: | Kühlung Gehirnerschütterung |
DOI: | 10.1097/JSM.0000000000000916 |
Julkaisussa: | Clinical Journal of Sport Medicine |
Julkaistu: |
2022
|
Vuosikerta: | 32 |
Numero: | 4 |
Sivuja: | 341-347 |
Julkaisutyypit: | artikkeli |
Kieli: | englanti (kieli) |
Taso: | kehittynyt |