Cervico-vestibular Home Exercise Program Feasibility

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 17
SponsorTexas Scottish Rite Hospital for Children

About this trial

The purpose of this pilot study is to:

1. Determine the feasibility of adherence to completing the home cervico-vestibular exercise program following concussion. 2. Investigate the acceptability of the cervico-vestibular home exercise program. 3. Investigate the impact of the cervico-vestibular home exercise program on symptom reduction, return to play, and return to learn 4. Analyze the timing at which a home exercise program is typically prescribed.

Participants will be asked to do and keep track of exercises made to help in their concussion recovery over a two-week period. Participants will come back to see their doctor and complete surveys about how easy the exercises were to do and if they liked them.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients <18 years old

Presenting to clinic ≤1 month after injury

Diagnosed with a concussion at their clinic visit

Have a total symptom score of 3 or more on the PCSI

Disqualifiers

Patients ≥18 years old

Moderate and severe TBI

History of seizures

History of >3 prior concussions

Trial design

Design model

Single group

Treatments tested in this trial

  • Cervico-vestibular Home Exercise Program

    Other intervention

    Patients who consent to participate in this study will be given an informational handout by clinical athletic trainers that provides information about the study, the exercises in their cervico-vestibular home exercise program, and a detailed progression to higher HEP levels/intensities based on their symptoms. The handout will also provide the purpose of the program, definitions of unfamiliar terms, a planning section for frequency and success, how to monitor symptoms through program completion, and how to properly access their exercises, log their completion, and track their progression in the Medbridge Go app.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Home Exercise ProgramExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Cervico-vestibular HEP Acceptability of Intervention Measure (AIM)

Time frame
Follow-up visit (~1-3 weeks after initial clinic visit)
2

1 week Protocol Adherence

Time frame
~1 week after initial visit
3

Concussion Home Exercise Program Tracking Log

Paper sheet that allows patients to track the cervico-vestibular exercises they complete each day, the level at which they complete them, if completing them made their symptoms worse, and if they were able to complete the exercises.

Time frame
Follow-up visit (~1-3 weeks after initial clinic visit)
4

Wong-Baker Faces Pain Rating Scale

Measured on a scale 0 - 10; 0 = Feeling Good, 10 = Worst I have ever felt

Time frame
Up to 2 weeks after initial visit

Secondary outcomes

1

King-Devick Test

Time frame
Initial visit and follow-up visit (~1-3 weeks after initial visit)
2

Modified Balance Error Scoring System (mBESS)

Measures patient's ability to balance. Three different stances: Double Leg Stance, Single Leg Stance, Tandem Stance. Measured 0-30 (0 = 30 total errors, 30 = 0 total errors)

Time frame
Initial visit and follow-up visit (~1-3 weeks after initial visit)
3

Child Balance Error Scoring System (Child BESS)

Measures patient's ability to balance. Two different stances: Double Leg Stance, Tandem Stance. Measured 0-20 (0 = 20 total errors, 20 = 0 total errors)

Time frame
Initial visit and follow-up visit (~1-3 weeks after initial visit)
4

ImPACT Test

Time frame
Initial visit and follow-up visit (~1-3 weeks after initial visit)

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: