The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
Prolonged Activity Restriction After Concussion: Are We Worsening Outcomes?
Abstract
The current treatment of concussion or mild traumatic brain injury (mTBI) is primarily based on expert consensus. Most clinical practice guidelines advise cognitive and physical rest after injury including withdrawal from normal life activities such as school attendance, sports participation, and technology use until symptoms resolve. Some individuals who sustain an mTBI experience persistent physical, cognitive, and mental health problems. Activity restriction itself may contribute to protracted recovery and other complications. Williamson’s Activity Restriction Model of Depression, formulated more than 20 years ago, is central to this hypothesis. We review research evidence for potential harms of prolonged activity restriction and report an mTBI case as an example of how an “activity restriction cascade” can unfold. According to this model, psychological consequences of removal from validating life activities, combined with physical deconditioning, contribute to the development and persistence of postconcussive symptoms after mTBI in some youth. A modification to mTBI guidelines that emphasizes prompt reengagement in life activities as tolerated is encouraged.
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Cites
Functional connectivity in the resting brain: a network analysis of the default mode hypothesis
Greicius, M. D., Krasnow, B., Reiss, A. L., & Menon, V. (2003) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0135058100 · Cited by 6,358
Alterations in brain and immune function produced by mindfulness meditation
Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., Urbanowski, F., Harrington, A., Bonus, K., & Sheridan, J. F. (2003) · Psychosomatic Medicine · doi:10.1097/01.psy.0000077505.67574.e3 · Cited by 2,925 · cited 1×
“Although experienced meditators can volitionally reduce their brain activity,(38) the most apparent effects of meditation in novice subjects is an altered pattern of regional brain activation.(39,40) A related concern after mTBI is that cognitively demanding tasks will increase brain activation and that this brain act…”
BackgroundThe extended iSelf: The impact of iPhone separation on cognition, emotion, and physiology
Clayton, R. B., Leshner, G., & Almond, A. (2015) · Journal of Computer-Mediated Communication · doi:10.1111/jcc4.12109 · Cited by 430
Cognitive and Behavioral Outcome Following Mild Traumatic Head Injury in Children
Ponsford, J., Willmott, C., Rothwell, A., Cameron, P., Ayton, G., Nelms, R., Curran, C., & Ng, K. T. (1999) · Journal of Head Trauma Rehabilitation · doi:10.1097/00001199-199908000-00005 · Cited by 299
McNally, K. A., Bangert, B., Dietrich, A., Nuss, K., Rusin, J., Wright, M., Taylor, H. G., & Yeates, K. O. (2013) · Neuropsychology · doi:10.1037/a0031370 · Cited by 228
Cited by
Grool, A. M., Aglipay, M., Momoli, F., Meehan, W. P., Freedman, S. B., Yeates, K. O., Gravel, J., Gagnon, I., Boutis, K., Meeuwisse, W., et al. (2016) · JAMA · doi:10.1001/jama.2016.17396 · Cited by 346
Sport-Related Concussion in Children and Adolescents
Halstead, M. E., Walter, K. D., Moffatt, K., COUNCIL ON SPORTS MEDICINE AND FITNESS, LaBella, C. R., Brooks, M. A., Canty, G., Diamond, A. B., Hennrikus, W., Logan, K., et al. (2018) · Pediatrics · doi:10.1542/peds.2018-3074 · Cited by 247
Ledoux, A.-A., Barrowman, N., Bijelić, V., Borghese, M. M., Davis, A., Reid, S., Sangha, G., Yeates, K. O., Tremblay, M. S., McGahern, C., et al. (2022) · British Journal of Sports Medicine · doi:10.1136/bjsports-2021-105030 · Cited by 59
Metadata
- Authors
- DiFazio, M., Silverberg, N. D., Kirkwood, M. W., Bernier, R., & Iverson, G. L.
- Venue
- Clinical Pediatrics
- Publisher
- SAGE Publications
- Published
- 2015-06-29
- Volume
- 55
- Issue
- 5
- Pages
- 443-451
- ISSN
- 0009-9228 (ISSN-L)
- 1938-2707
- OpenAlex
- W2098395168
- Cited by
- 212
- References
- 5
- FWCI
- 24.08
- Type
- journal article
- Language
- en
- Open access
- closed
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