Effect of Early Rest on Recovery From Pediatric Concussion

Medical College of Wisconsin99 enrolled

Overview

The purpose of this study is to find out if strict rest for 5 days helps children get better after concussion.

The purpose of this study is to find out if strict rest for 5 days helps children get better after concussion. This research is being done because, currently, there is no effective treatment for concussion. Physical activity (for example; running, playing sports) and brain activity (for example; homework and tests) may make concussion symptoms worse. We are studying whether strict rest after concussion may help improve symptoms. About 110 children, ages 11-22 years old will take part in this study at the Children's Hospital of Wisconsin. This study is being funded by the Injury Research Center. The research grant pays for study procedures, follow-up testing, and patient reimbursement. Research staff is not being provided incentives to enroll subjects.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Mild Traumatic Brain Injury Concussion Post-concussive Syndrome

Interventions

Mandated Rest, InterventionBEHAVIORAL

In addition to CDC based discharge instructions, the intervention group will receive instructions with strict activity restriction explicitly stating "No return to school" and "No Physical Activity" for the next five days. Patients and parents in the intervention group will be provided school and work excuses for the five days post-injury.

Eligibility

Sex: ALLMin age: 11 YearsMax age: 22 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 11-22 years * present to the Emergency Department within 24 hours of a head injury Exclusion Criteria: * patients who are being admitted, * non-English speaking patient/family, * mental retardation (IQ \< 70) * Suspected intoxication * restricted used of dominant hand or limited vision * injury or conditions affecting balance assessment * prior mental defect or disease (e.g., developmental delay, learning disability, or moderate to severe cerebral palsy) * known intracranial injury (e.g., intracranial bleeding, cerebral contusion) * patients for whom a legal guardian is not present or cannot be contacted. * ED clinician preference

Locations (1)

Children's Hospital of Wisconsin

Milwaukee, Wisconsin, United States

Outcomes

Primary Outcomes

Neurocognitive Outcomes

Neurocogntive outcomes assessed using computer-based neurocogntive testing based on changes from scores obtained in the emergency department to scores obtained at 3 days and 10 days.

Time frame: 10 days post injury

Secondary Outcomes

Ancillary Neurocogntive Test Battery

Assess neurocognitive outcome using a battery of neuro psych tests at 3 days and 10 days

Time frame: 10 days

Parental Attitude to Concussion:

Assess potential barriers to compliance, we will assess parental attitudes toward concussion by administering a survey to parents or caregivers during the ten day home visit.

Time frame: 10 days

Data from ClinicalTrials.gov

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