Mobile Subthreshold Exercise Program for Concussion--R01 (MSTEP-R01)
Concussion, Brain, Concussion, Mild, Brain Injuries, Traumatic
About this trial
This is an interventional treatment trial for Concussion, Brain focused on measuring Traumatic brain injury, Concussion, Exercise, Physical activity, Subthreshold, Treatment, Pediatric, Child
Eligibility Criteria
Inclusion Criteria:
- Youth 11-18 years
- Concussion occurring 1 week to 12 months prior to the start of the study and diagnosed by a clinician trained in concussion management consistent with the 2017 Berlin consensus definition of concussion ("A traumatic brain injury, induced by biomechanical forces")
- Persistent post-concussive symptoms as defined by the presence of at least 3 concussive symptoms rated at least 2 or greater on the Health and Behavior Inventory (HBI) and a total score of at least 10
Exclusion Criteria:
- Youth not fluent in English or at least one Parent not fluent in English or Spanish
- Other injuries or medical conditions in addition to concussion that have prompted a clinician to recommend against MVPA, such as concerning abnormalities on routine brain imaging
- Youth who indicate that they are completing an average of 30 minutes per day or greater of physical activity that increases their heart rate (indicative of a minimal need for a physical activity intervention)
- Youth who have previously engaged with a Physical Therapist to increase aerobic activity
- Youth who have been fully cleared for sport
Sites / Locations
- Seattle Childrens HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Intervention group (MSTEP)
Control group (Stretching)
REHABILITATIVE EXERCISE: Participants will be asked to exercise at home daily for 6 weeks, meeting with an RA weekly via video conference to gradually increase the intensity and duration of exercise based on symptom tolerance. The eventual goal will be to achieve 60 minutes of MVPA daily (US Federal recommendations). They will wear a personal fitness device (Fitbit) to track whether they are achieving their HR goals.
STRETCHING: Participants will be asked to complete stretches daily. They will initially be given two stretches, primarily focused on the neck and upper back. Additional stretches will be added through weekly discussions with the study RA.