Abstract:
To systematically review the evidence for rest, treatment, and rehabilitation after sport-related concussion. Nine databases including PubMed, Cochrane Central Register of Controlled Trials, Sport Discus, and Web of Science were searched for studies that evaluated the effect of rest separately from the effects of treatment and/or rehabilitation, using words related to concussion, mild traumatic brain injury, rest, treatment outcome, and therapy. Inclusion criteria were published reports (either articles or abstracts) of original peer-reviewed research that investigated sport-related concussions and evaluated the effects of rest or treatment on the symptoms. One investigator performed the searches. From 749 articles evaluating rest and 1175 evaluating treatment, 2 studies met criteria for the effect of rest and 10 abstracts met criteria for treatment. Three further treatment articles were identified by the authors. Details of study design, samples, type and duration of treatment, outcome measures, and main results, with effect sizes, were extracted. Confidence intervals (CI) were extracted or calculated where possible. Level of evidence was graded (1-5; best to poorest) using Downs and Black criteria to assess study quality.
Brolinson, , , , , , , , (2014). Management of sport-related concussion: a review. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 2014 Jan;24(1):89-90. https://www.ncbi.nlm.nih.gov/pubmed/24366016