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Return to Full Functioning after Graded Exercise Assessment and Progressive Exercise Treatment of Postconcussion Syndrome

机译:脑震后综合征分级运动评估和渐进运动治疗后恢复全功能

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Exercise assessment and aerobic exercise training for postconcussion syndrome (PCS) may reduce concussion-related physiological dysfunction and symptoms by restoring autonomic balance and improving cerebral blood flow autoregulation. In a descriptive pilot study of 91 patients referred to a university clinic for treatment of PCS, a subset of 63 patients were contacted by telephone for assessment of symptoms and return to full daily functioning. Those who experienced symptoms during a graded exercise treadmill test (physiologic PCS,n=40) were compared to those who could exercise to capacity (PCS,n=23). Both groups had been offered progressive exercise rehabilitation. Overall 41 of 57 (72%) who participated in the exercise rehabilitation program returned to full daily functioning. This included 27 of 35 (77%) from the physiologic PCS group, and 14 of 22 (64%) from the PCS group. Only 1 of the 6 patients who declined exercise rehabilitation returned to full functioning. Interpretation of these results is limited by the descriptive nature of the study, the small sample size, and the relatively few patients who declined exercise treatment. Nonetheless, exercise assessment indicates that approximately one third of those examined did not have physiologic PCS.
机译:脑震荡后综合征(PCS)的运动评估和有氧运动训练可通过恢复自主神经平衡和改善脑血流自动调节来减轻脑震荡相关的生理功能障碍和症状。在一项描述性的初步研究中,有91位患者转诊到大学诊所治疗PCS,通过电话联系了63位患者的一部分,以评估症状并恢复其日常功能。将那些在分级跑步机测试中经历过症状(生理学PCS,n = 40)的人与那些能够进行极限运动的人(PCS,n = 23)进行比较。两组都进行了渐进式锻炼康复。参加运动康复计划的57人中,有41人(占72%)恢复了日常运作。这包括来自生理PCS组的35个中的27个(77%),以及来自PCS组的22个中的14个(64%)。拒绝运动康复的6名患者中只有1名恢复了正常功能。这些结果的解释受到研究的描述性,样本量小以及拒绝运动治疗的患者相对较少的限制。尽管如此,运动评估表明,大约三分之一的被检查者没有生理性PCS。

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