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NCT03170856

The Effects of a Sub-maximal Exercise Program on Adolescents Who Sustained a Concussion

Completed NA Results posted Last updated 31 January 2023
What this trial tests

NA trial testing Sub-maximal exercise in Concussion, Mild in 41 participants. Completed in 1 September 2021.

Timeline
1 October 2018
Primary endpoint
20 July 2020
1 September 2021

Quick facts

Lead sponsorBoston Children's Hospital
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment41
Start date1 October 2018
Primary completion20 July 2020
Estimated completion1 September 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Boston Children's Hospital

Who can join

Adults 14 to 21, any sex, with Concussion, Mild or Concussion, Brain. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Vasoreactivity During Exercise at Baseline and 8-week Visits. Primary · Measured at initial visit and 8-weeks.

Cerebral vasoreactivity was determined by assessing cerebrovascular conductance response to incremental hypercapnia elicited by rebreathing. Participants were fitted with a mouthpiece attached to a three-way respiratory valve unit, which, in turn, was attached to a 5-L rubber rebreathing bag. The valve allowed for an instantaneous switch from room air to the rebreathing bag, which had been prefilled with room air. EtCO2 was measured continuously via a sample line connecting the mouthpiece to an infrared CO2 analyzer.

Baseline
GroupValue95% CI
Concussed Participant Group0.031± 0.013
8-week
GroupValue95% CI
Concussed Participant Group0.028± 0.010
Change in Concussion Symptoms From Baseline, 4-weeks, and 8-weeks Post-injury, During an Exercise Intervention. Primary · The PSCI symptom severity be a repeated measured at the time of injury, 4 weeks post-injury and 8 weeks post-injury, to look for a change in symptom score over the duration of the study.

Symptoms measured by the Post-concussion Symptom Inventory (PSCI). The PCSI ranges from 0-150 for symptom severity. The greater the number of symptoms reported, the more symptomatic the participant is. The forms focus on symptoms in the cognitive, emotional, sleep, and physical domains. There are 25 possible symptoms total. Participants answer on a scale of 0-6 for symptom severity (0- not a problem, 3- moderate problem, 6- severe problem).

Initial
GroupValue95% CI
Exercise Intervention Group1510 – 42
Usual Care Group2011 – 35.5
4weeks post injury
GroupValue95% CI
Exercise Intervention Group40 – 28
Usual Care Group5.50.5 – 21.5
8weeks post injury
GroupValue95% CI
Exercise Intervention Group6.50 – 27.5
Usual Care Group00 – 4
End-tidal CO2 Secondary · Measured at initial visit and 8-week post injury visit.

Will be monitored using infrared analyzer during sub-maximal exercise testing at baseline and 8-week post injury visits.

Baseline
GroupValue95% CI
Concussed Participant Group33.4± 3.0
8-week
GroupValue95% CI
Concussed Participant Group33.2± 2.6
Heart Rate Secondary · Measured at initial visit and 8 weeks to look for a change as a person becomes asymptomatic.

Monitored via standard 3 lead ECG during sub-maximal exercise testing at initial and 8-week visits.

Baseline Baseline
GroupValue95% CI
Exercise Intervention Group162.5± 19
Usual Care Group164.5± 14.9
4-Week
GroupValue95% CI
Exercise Intervention Group171.1± 9.6
Usual Care Group170± 9.8
8-Week
GroupValue95% CI
Exercise Intervention Group170.2± 8.1
Usual Care Group167.4± 12.3
Volume of Self-reported Exercise Per Week Secondary · Average volume of exercise (min) that was self-reported by participants over the 8-week study period.

Volume exercise was monitored by self-reported exercise diary. All participants were asked to track their exercise and complete weekly exercise logs for the 8-week study duration. The participants randomized into the Exercise Intervention Group were prescribed a specific heart rate to exercise 5x/week for 8-weeks. Heart rate was determined by their performance from the corresponding exercise testing visit. Participants enrolled in the Usual Care Group were not prescribed any specific exercise. These participants were instructed to follow their Doctors requests. Values are presented as average

GroupValue95% CI
Exercise Intervention Group11554 – 225
Usual Care Group8828 – 230
Rate of Perceived Exhaustion at Baseline, 4-week, and 8-week Visits. Secondary · Measured at initial visit, 4 weeks and 8 weeks to look for a change in perceived exhaustion as a person becomes asymptomatic

Using the Borg Scale. The Borg scale is a way of measuring physical intensity level. The scale ranges from 6- no exertion at all, to 20- maximal exertion. The higher the RPE reported, the harder the participant perceives themselves to be physically working.

baseline
GroupValue95% CI
Exercise Intervention Group15.8± 2.3
Usual Care Group15.4± 1.7
4-Week
GroupValue95% CI
Exercise Intervention Group16.7± 1.8
Usual Care Group15.5± 1.9
8-Week
GroupValue95% CI
Exercise Intervention Group16.7± 1.9
Usual Care Group15.1± 2.1

Sponsor's own description

Patients who sustain a concussion will undergo a sub-maximal exercise protocol throughout their recovery. Cerebrovascular function, heart rate, and symptom severity, and exercise volume will be monitored throughout.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Association of Hemodynamic and Cerebrovascular Responses to Exercise With Symptom Severity in Adolescents and Young Adults With Concussion.
    Howell DR, Hunt DL, Aaron SE, Hamner JW, et al · · 2021 · cited 16× · PMID 34635563 · DOI 10.1212/wnl.0000000000012929
  2. Dizziness, Psychosocial Function, and Postural Stability Following Sport-Related Concussion.
    Hunt DL, Oldham J, Aaron SE, Tan CO, et al · · 2022 · cited 12× · PMID 34009789 · DOI 10.1097/jsm.0000000000000923
  3. Postconcussion Exercise Volume Associations With Depression, Anxiety, and Dizziness Symptoms, and Postural Stability: Preliminary Findings.
    Howell DR, Hunt DL, Oldham JR, Aaron SE, et al · · 2022 · cited 7× · PMID 34320557 · DOI 10.1097/htr.0000000000000718
  4. Factors Associated with Symptom Resolution after Aerobic Exercise Intervention in Adolescent and Young Adults with Concussion.
    Wingerson MJ, Hunt DL, Wilson JC, Mannix RC, et al · · 2024 · cited 2× · PMID 38109187 · DOI 10.1249/mss.0000000000003358

Verify or expand the search:

Other recruiting trials for Concussion, Mild

Currently open trials in the same condition.

Other Boston Children's Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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