Neuromuscular Rehabilitation for Concussion

TA
Overseen ByTyler A Wood, PhD, LAT, ATC
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The trial aims to improve recovery from concussions by incorporating a new rehabilitation strategy into the usual return-to-activity plan. This approach, known as the Neuromuscular Rehabilitation Strategy Based on Clinical Pilates Principles, uses clinical Pilates principles, such as improved posture and balance, to address movement and balance issues that can persist after a concussion. Participants will be divided into two groups: one will follow the new strategy, while the other will adhere to the standard recovery process. This trial may suit college athletes aged 18 to 24 who have experienced a concussion within the last week. As an unphased trial, the study offers a unique opportunity to explore innovative recovery methods that could enhance the rehabilitation experience.

What prior data suggests that this neuromuscular rehabilitation strategy is safe for concussion recovery?

Research has shown that Clinical Pilates for neuromuscular rehabilitation is generally safe for people recovering from concussions. Pilates helps retrain muscles and improves movement and body control. Studies have found that this exercise enhances posture, balance, and strength without major side effects.

Early research indicates that starting physical therapy, such as this Pilates-based method, soon after a concussion is safe and feasible. Teens, in particular, demonstrated better recovery when they began physical therapy earlier, without major problems. This suggests that the treatment is well-tolerated and unlikely to cause harm. However, individual experiences may vary with any treatment.12345

Why are researchers excited about this trial?

Researchers are excited about the Neuromuscular Rehabilitation Strategy based on Clinical Pilates Principles because it offers a novel approach to treating concussions. Most traditional treatments focus on rest and gradually returning to normal activities. However, this strategy emphasizes targeted neuromuscular exercises that aim to improve coordination and balance by engaging deep muscle groups. By leveraging Clinical Pilates principles, the treatment could enhance rehabilitation outcomes, potentially speeding up recovery and improving overall physical function in concussion patients.

What evidence suggests that this neuromuscular rehabilitation strategy is effective for concussion recovery?

Research has shown that Pilates exercises can aid in concussion recovery. In this trial, participants in the Supplementary Neuromuscular Rehabilitation arm will follow a neuromuscular rehabilitation strategy based on Clinical Pilates principles. One study suggested that this type of training can reduce the risk of future injuries, which often occur due to untreated muscle and nerve issues after a concussion. Pilates has also been found to relieve pain and improve movement, sometimes surpassing traditional therapies. It can enhance body awareness and muscle control, which concussions often affect. Overall, these findings support the potential effectiveness of this rehabilitation approach in improving recovery after a concussion.678910

Are You a Good Fit for This Trial?

This trial is for people recovering from a recent concussion who are having trouble walking or moving normally. It may also include those with related issues like abnormal gait, lymphatic disorders, or cerebral atrophy. Specific inclusion and exclusion criteria were not listed.

Inclusion Criteria

Be a registered member of an intercollegiate sports team
I had a doctor-confirmed concussion within the past 7 days.
I am between 18 and 24 years old.

Exclusion Criteria

I have a leg injury that keeps me from walking or exercising safely.
I have a medical condition that stops me from doing physical activity.
An uncorrected visual impairment that prevents completion of testing
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive supplementary neuromuscular rehabilitation added to standard return-to-activity protocols during acute concussion recovery

4 weeks
Weekly sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Neuromuscular Rehabilitation Strategy Based on Clinical Pilates Principles

Trial Overview

The study tests whether adding neuromuscular rehabilitation exercises (based on clinical Pilates) to the usual return-to-activity program helps improve movement, balance, posture, and confidence after a concussion.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Supplementary Neuromuscular RehabilitationExperimental Treatment1 Intervention
Group II: Standard Return to ActivityActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Northern Illinois University

Lead Sponsor

Trials
9
Recruited
940+

Citations

Current and Emerging Rehabilitation for Concussion

Most adults demonstrate clinical recovery in 2-4 weeks; however, some may need up to a month or longer to recover (Broglio et al., 2015; McCrory et al., 2017), ...

Study: Neuromuscular Training May Reduce Injury Risk ...

A recent study suggests that neuromuscular training following a concussion may help reduce future injuries to other parts of the body.

Neuromuscular training for rehabilitation of sports injuries

The effectiveness of proprioceptive and neuromuscular training compared to bracing in reducing the recurrence rate of ankle sprains in athletes: A systematic ...

Is pilates an effective rehabilitation tool? A systematic review

Nineteen papers found Pilates to be more effective than the control or comparator group at improving outcomes including pain and disability levels.

Can neuromuscular training after concussion mitigate ...

Gilbert et al (2016) found a significant association between both reported and unreported concussion and LE injury with an OR of 1.6-2.9x ...

Pilates for neurological rehabilitation and recovery

Neuromuscular Re-education: Pilates promotes neuromuscular re-education in functional positions and planes, while focusing on stabilizing ...

Brain Injury Professional - Best Practices in Concussion ...

Our big focus quantitatively will be analyzing the VA TBIMS and IMAP data on 10 and 15-year outcomes across each mandated element.

The exercise and concussion health study (TECHS): Pilot ...

Current clinical management and recommendations lack evidence based therapeutic interventions, with treatment approaches limited to symptom ...