Effects of Physiotherapy in Individuals With Persistent Symptoms Following Concussion

NCT01860755 | Completed

• 1 other identifier: SIPRC-PT-conc-01
• Study Type: interventional
• Target: 31
• Locations: 1 country
• Sites: 1

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.

Conditions

Sport-related Concussion

Keywords

Sport-related concussion; Dizziness; Neck pain; Headaches; Physiotherapy; Treatment

Outcome Measures

Primary Outcomes (1)

• Days to medical clearance to return to sport

  Number of days to medical clearance by study physician

  up to 8 weeks

Secondary Outcomes (12)

• Change in Numeric Pain Rating Scale Score-Neck Pain

  Change between Baseline and 8 weeks or time of medical clearance

• Change in Numeric Dizziness rating Score

  Change between Baseline and 8 weeks or time of medical clearance

• Change in Numeric Pain Rating Scale Score-Headache

  Change between Baseline and 8 weeks or at time of medical clearance

• Change in Activities Specific Balance Confidence Scale Score

  Change between Baseline and 8 weeks or time of medical clearance

• Change in Dizziness Handicap Index Score

  Change between Baseline and 8 weeks or time of medical clearance

Study Arms (2)

Physiotherapy

EXPERIMENTAL

Physiotherapy: including vestibular rehabilitation and multimodal treatment for the cervical spine, once weekly with the study physiotherapist for 8 weeks or until time of medical clearance to return to sport. This group also received the control intervention.

Other: Control postural education, general range of motion and strengthening in addition to the standard of care; Other: Physiotherapy

Control

ACTIVE COMPARATOR

Control: postural education, general range of motion and strengthening in addition to the standard of care rest followed by graded exertion. Individuals were seen once weekly for eight weeks or until time of medical clearance to return to sport.

Other: Control postural education, general range of motion and strengthening in addition to the standard of care

Interventions

Control postural education, general range of motion and strengthening in addition to the standard of care OTHER

Control: postural education, general range of motion and strengthening in addition to the standard of care rest followed by graded exertion. Individuals were seen once weekly for eight weeks or until time of medical clearance to return to sport.

Control; Physiotherapy

Physiotherapy OTHER

Physiotherapy: including vestibular rehabilitation and multimodal treatment for the cervical spine, once weekly with the study physiotherapist for 8 weeks or until time of medical clearance to return to sport.

Physiotherapy

Eligibility Criteria

• Age: 12 Years - 30 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• 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

You may not qualify if:

• Fracture, other neurological conditions, musculoskeletal injuries (other than the cervical spine) that restrict activity and medications that affect neural adaptation

Sponsors & Collaborators

• Sport Injury Prevention Research Centre: lead
• Alberta Centre for Child, Family & Community Research: collaborator
• University of Calgary: collaborator
• University of British Columbia: collaborator

Study Sites (1)

Sport Injury Prevention Research Centre

Calgary, Alberta, T2N 1N4, Canada

Location

Related Publications (1)

• Schneider KJ, Meeuwisse WH, Nettel-Aguirre A, Barlow K, Boyd L, Kang J, Emery CA. Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial. Br J Sports Med. 2014 Sep;48(17):1294-8. doi: 10.1136/bjsports-2013-093267. Epub 2014 May 22.

  PMID: 24855132 DERIVED

MeSH Terms

Conditions

Dizziness; Neck Pain; Headache

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Sensation Disorders; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Pain

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Willem H Meeuwisse, MD, PhD

  Sport Injury Prevention Research Centre, University of Calgary

  PRINCIPAL INVESTIGATOR

• Carolyn A Emery, PT, PhD

  Sport Injury Prevention Research Centre, University of Calgary

  PRINCIPAL INVESTIGATOR

• Kathryn J Schneider, PT, PhD

  Sport Injury Prevention Research Centre, University of Calgary

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 20, 2013
• First Posted: May 23, 2013
• Study Start: November 1, 2010
• Primary Completion: December 1, 2011
• Study Completion: December 1, 2011
• Last Updated: May 24, 2013

Record last verified: 2013-05

Locations

CA (1)