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Active rehabilitation after a concussion

Is sub-symptomatic activity more beneficial to concussion recovery than rest alone?

Rest was once thought to be the most important factor in recovery from concussion, and post-concussion syndrome. However, a recent literature review looks at the role of activity, and how this can impact recovery. The authors discuss that 80-90% of all sport-related concussions resolve within a span of 1-2 weeks. Nevertheless, Post-Concussion Syndrome (PCS), persisting symptoms for an extended period of time following injury, can result in a clustering of symptoms due to a multi-physiological reaction. Thus advice to simply 'rest' may not be targeted enough for the management of the several symptoms resulting from PCS. 

While rest plays a critical role in the intial recovery of concussion, recent literature supports the use of a sub-symptomatic approach to therapy. Gradual exposure back to activity can help in a timely recovery and return to activities of daily living rather than rest alone. 

> From: Leddy et al., Phys Med Rehabil Clin N Am 27 (2017-06-07 21:25:56) 437-454 . All rights reserved to Elsiever Inc. Click here for the online summary.

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