NCT02257749

Brief Summary

The purpose of this randomized control trial study is to determine if an active rehabilitation (low intensity exercise program) in combination with a comprehensive education intervention (standard care) is more effective than the comprehensive education intervention alone in reducing post-concussion symptoms and improving participation in daily activities in youth who have persistent post-concussion symptoms.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2016

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 2, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 6, 2014

Completed
1.2 years until next milestone

Study Start

First participant enrolled

January 1, 2016

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2017

Completed
Last Updated

March 25, 2022

Status Verified

March 1, 2022

Enrollment Period

1.9 years

First QC Date

October 2, 2014

Last Update Submit

March 10, 2022

Conditions

Keywords

ConcussionPersistent SymptomsChildrenExerciseAdolescentsActive RehabilitationEducation

Outcome Measures

Primary Outcomes (3)

  • Post-Concussion Symptoms

    The Post-Concussion Symptom Inventory will be used. This is a self report questionnaire that asks about subjectively experienced symptoms (presence and severity) such as headache, dizziness, memory troubles, after concussion.

    Week 0 (Baseline)

  • Post Concussion Symptoms

    The Post-Concussion Symptom Inventory will be used. This is a self report questionnaire that asks about subjectively experienced symptoms (presence and severity) such as headache, dizziness, memory troubles, after concussion.

    Week 2

  • Post Concussion Symptoms

    The Post-Concussion Symptom Inventory will be used. This is a self report questionnaire that asks about subjectively experienced symptoms (presence and severity) such as headache, dizziness, memory troubles, after concussion.

    Week 6 (upon completion of intervention)

Secondary Outcomes (24)

  • Mood

    Week 0 (Baseline)

  • Mood

    Week 6 (upon completion of the intervention)

  • Behavior

    Week 0 (Baseline)

  • Behavior

    Week 6 (upon completion of the intervention)

  • Energy Level

    Week 0 (Baseline)

  • +19 more secondary outcomes

Study Arms (2)

Active Rehabilitation

EXPERIMENTAL

Active Rehabilitation Intervention and Comprehensive Education Intervention (Standard Care)

Other: Active RehabilitationOther: Comprehensive Education Intervention (Standard Care)

Comprehensive Education Intervention

ACTIVE COMPARATOR

Comprehensive Education Intervention (Standard Care) only

Other: Comprehensive Education Intervention (Standard Care)

Interventions

The active rehabilitation intervention is a 6-week graded rehabilitation program, consisting of four components that are anchored in neuroscience evidence.The four components include: 1) aerobic exercise 2) coordination exercise 3) visualization 4) home program.

Active Rehabilitation

An initial education session will be provided by an occupational therapist related to general concussion information and outcomes, as well as strategies for symptom management following concussion.

Active RehabilitationComprehensive Education Intervention

Eligibility Criteria

Age10 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • confirmed diagnosis of concussion
  • have at least one post-concussion symptom (as measured by the Post Concussion Symptom Inventory)
  • are at least 4 weeks post injury
  • between the ages of 10 and 18 years
  • ability to speak English
  • ability to demonstrate capacity to consent to study

You may not qualify if:

  • prior moderate or severe brain injury
  • neck pain/dysfunction or oculormotor/vestibular dysfunction, developmental delays, mental health disorders or chronic pain conditions that prevent participation in active rehabilitation, assessment of gait and balance, or participation in cognitive testing
  • participating in any other physical rehabilitation interventions for post-concussion symptoms (e.g., physiotherapy, massage therapy, chiropractic) at time of enrollment and throughout the duration of the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Holland Bloorview Kids Rehabilitation Hospital

Toronto, Ontario, M4G 1R8, Canada

Location

Related Publications (1)

  • Reed N, Greenspoon D, Iverson GL, DeMatteo C, Fait P, Gauvin-Lepage J, Hunt A, Gagnon IJ. Management of persistent postconcussion symptoms in youth: a randomised control trial protocol. BMJ Open. 2015 Jul 31;5(7):e008468. doi: 10.1136/bmjopen-2015-008468.

MeSH Terms

Conditions

Brain ConcussionMotor Activity

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Brain Injuries, TraumaticBrain InjuriesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesCraniocerebral TraumaTrauma, Nervous SystemHead Injuries, ClosedWounds and InjuriesWounds, NonpenetratingBehavior

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Study Officials

  • Nick Reed, PhD, MSc(OT)

    Holland Bloorview Kids Rehabilitation Hospital/ Bloorview Research Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 2, 2014

First Posted

October 6, 2014

Study Start

January 1, 2016

Primary Completion

December 1, 2017

Study Completion

December 1, 2017

Last Updated

March 25, 2022

Record last verified: 2022-03

Locations