Changes in exertion-related symptoms in adults and youth who have sustained a sport-related concussion

Rutschmann, Trevor Dean; Miutz, Lauren N; Toomey, Clodagh; Yeates, Keith Owen; Emery, Carolyn A.; Schneider, Kathryn

doi:10.1016/j.jsams.2020.06.005

Cited by 8 publications

(14 citation statements)

References 19 publications

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“…Rutschmann et al . 31 found immediate increases in symptom severity and number of symptoms, whereas Leddy et al . 26 found no impact on symptom severity within 48 h of testing.…”

Section: Resultsmentioning

confidence: 92%

“…More evidence was available regarding the safety of implementation of the BCTT after a seven-day period following a concussion 8,12,31 and the findings consistently demonstrated no adverse responses to testing. It can therefore be concluded that the BCTT is safe to implement after a seven-day period.…”

Section: Discussionmentioning

confidence: 88%

“…It is expected that exertional testing will temporarily exacerbate concussive symptoms, but this symptom increase is generally expected to return to, or below baseline within 24 h. 26,31,39 Fear avoidance has been reported in those suffering from PPCD, 40,41 and exercise testing that exacerbates symptoms may therefore incur high attrition rates and affect adherence to further treatment. Further research is recommended to investigate the attrition rate of participants after completing the BCTT, and this may also be compared with that for those attempting other testing protocols (e.g., the Bruce protocol).…”

Section: Discussionmentioning

confidence: 99%

“…Based on the study categories used by the MMAT, one of the included studies was a randomised controlled trial, 26 five were quantitative non-randomised studies (with four being case-control studies), 10,15,18,27,28 and five were quantitative descriptive studies (case-series studies). 8,12,[29][30][31]…”

Section: Study Selectionmentioning

confidence: 99%

“…Four of the included studies investigated use of the BCTT or BCBT with acutely concussed participants, 18,[26][27][28] with another four studies involving patients experiencing PCS, 8,10,15,30 and three involving a mixed patient sample, including both acute concussion and PCS. 12,29,31 Only one study investigated the BCBT. 18 None of the included studies investigated the use of either test solely with adults; six studies investigated use of the tests in adolescents 12,18,[26][27][28][29] and five included people of ages ranging from adolescence to older age (50 + years).…”

Section: Study Characteristicsmentioning

confidence: 99%

See 4 more Smart Citations

Clinical application of the Buffalo Concussion Treadmill Test and the Buffalo Concussion Bike Test: A systematic review

Janssen

Pope

Rando

2022

Journal of Concussion

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Objective To identify and synthesise research evidence regarding psychometric properties and clinical utility of the Buffalo Concussion Treadmill Test (BCTT) and Buffalo Concussion Bike Test (BCBT) for use with patients with acute concussion, post-concussion syndrome (PCS) or physiological post-concussion disorder (PPCD). Data sources ProQuest (ProQuest Central), PEDro, Medline (Ovid), Emcare (Ovid), EBSCOhost (Health collection) and Google Scholar, searched September 8th-12th, 2020. Study selection Two authors independently selected studies that met eligibility criteria. Studies were selected if they were original research of any design, that investigated the properties of the testing protocols in either concussed or uninjured participants. Articles not published in English, that were not original research or that used significantly different testing protocols were excluded. The search yielded 250 articles, 11 of which were eligible and included in this review. Data extraction Included studies were critically appraised independently by two authors, using the Mixed Methods Appraisal Tool (MMAT). Data relating to study characteristics and key findings were extracted from the studies, documented in tables, and used to inform a critical narrative synthesis of findings. Data synthesis To provide recommendations relating to each aim of the review, a strength of evidence scoring system was used. Available evidence supported use of the BCTT, with strong evidence supporting the safety and construct validity of the test and moderate evidence supporting its prognostic value. There has been very limited research investigating use of the BCBT. Conclusion The findings support a recommendation for use of the BCTT in clinical settings for management of acute concussion, PCS and PPCD. There is limited evidence available for the BCBT. Additional studies are needed of both tests to further establish their clinical value.

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“…Rutschmann et al . 31 found immediate increases in symptom severity and number of symptoms, whereas Leddy et al . 26 found no impact on symptom severity within 48 h of testing.…”

Section: Resultsmentioning

confidence: 92%