Clinical trial NCT01860755: Effects of Physiotherapy in Individuals With Persistent Symptoms Following Concussion
Official title: Physiotherapy Treatment (Including Vestibular Rehabilitation) Compared to Rest in Individuals With Persistent Symptoms of Dizziness, Neck Pain and/or Headache Following Sport-related Concussion.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Sport-related Concussion
Keywords: Sport-related concussion
Dizziness
Neck pain
Headaches
Physiotherapy
Treatment
Lead sponsor: Sport Injury Prevention Research Centre
Sponsor class: OTHER
Collaborators: name: Alberta Centre for Child, Family & Community Research
name: University of Calgary
name: University of British Columbia
First posted: 2013-05-23
Enrollment: 31
Sex: ALL
Minimum age (years): 12
Maximum age (years): 30
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

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.


Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

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

Primary outcomes:
measure: Days to medical clearance to return to sport
timeFrame: up to 8 weeks
Secondary outcomes:
measure: Change in Numeric Pain Rating Scale Score-Neck Pain
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Change in Numeric Dizziness rating Score
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Change in Numeric Pain Rating Scale Score-Headache
timeFrame: Change between Baseline and 8 weeks or at time of medical clearance
measure: Change in Activities Specific Balance Confidence Scale Score
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Change in Dizziness Handicap Index Score
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Change in Sport Concussion Assessment Tool 2 (SCAT2)
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Change in Dynamic Visual Acuity
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Head Thrust Test
timeFrame: Baseline and at 8 weeks or time of medical clearance
measure: Change in modified Motion Sensitivity Test Score
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Change in Functional Gait Assessment Score
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Change in Cervical Flexor Endurance
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
measure: Change in Joint Position Error
timeFrame: Change between Baseline and 8 weeks or time of medical clearance
Other outcomes:
Locations:
city: Calgary
country: Canada
facility: Sport Injury Prevention Research Centre
state: Alberta
Study officials:
affiliation: Sport Injury Prevention Research Centre, University of Calgary
name: Willem H Meeuwisse, MD, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Sport Injury Prevention Research Centre, University of Calgary
name: Carolyn A Emery, PT, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Sport Injury Prevention Research Centre, University of Calgary
name: Kathryn J Schneider, PT, PhD
role: STUDY_DIRECTOR
References:
citation: 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.