The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
Is Rest After Concussion “The Best Medicine?”: Recommendations for Activity Resumption Following Concussion in Athletes, Civilians, and Military Service Members
Abstract
Practice guidelines universally recommend an initial period of rest for people who sustain a sports-related concussion or mild traumatic brain injury (MTBI) in daily life or military service. This practice is difficult to reconcile with the compelling evidence that other health conditions can be worsened by inactivity and improved by early mobilization and exercise. We review the scientific basis for the recommendation to rest after MTBI, the challenges and potential unintended negative consequences of implementing it, and how patient management could be improved by refining it. The best available evidence suggests that complete rest exceeding 3 days is probably not helpful, gradual resumption of preinjury activities should begin as soon as tolerated (with the exception of activities that have a high MTBI exposure risk), and supervised exercise may benefit patients with persistent symptoms.
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Cites
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Cited by
A review of post-concussion syndrome and psychological factors associated with concussion
Broshek, D. K., De Marco, A. P., & Freeman, J. R. (2015) · Brain Injury · doi:10.3109/02699052.2014.974674 · Cited by 379
A Multidimensional Approach to Post-concussion Symptoms in Mild Traumatic Brain Injury
Polinder, S., Cnossen, M. C., Real, R. G. L., Covic, A., Gorbunova, A., Voormolen, D. C., Master, C. L., Haagsma, J. A., Diaz-Arrastia, R., & von Steinbuechel, N. (2018) · Frontiers in Neurology · doi:10.3389/fneur.2018.01113 · Cited by 376
Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines
Silverberg, N. D., Iaccarino, M. A., Panenka, W. J., Iverson, G. L., McCulloch, K. L., Dams-O’Connor, K., Reed, N., McCrea, M., Cogan, A. M., Park Graf, M. J., et al. (2020) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2019.10.179 · Cited by 366
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Marshall, S., Bayley, M., McCullagh, S., Velikonja, D., Berrigan, L., Ouchterlony, D., & Weegar, K. (2015) · Brain Injury · doi:10.3109/02699052.2015.1004755 · Cited by 263
Metadata
- Authors
- Silverberg, N. D., & Iverson, G. L.
- Venue
- Journal of Head Trauma Rehabilitation
- Published
- 2013-07
- Volume
- 28
- Issue
- 4
- Pages
- 250-259
- ISSN
- 0885-9701 (ISSN-L)
- OpenAlex
- W2068359292
- Cited by
- 264
- References
- 10
- FWCI
- 10.77
- Type
- journal article
- Language
- en
- Open access
- closed
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- Silverberg, N. D., & Iverson, G. L. (2013). Is Rest After Concussion “The Best Medicine?”: Recommendations for Activity Resumption Following Concussion in Athletes, Civilians, and Military Service Members. Journal of Head Trauma Rehabilitation. https://doi.org/10.1097/htr.0b013e31825ad658
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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