Strict rest might not be the best medicine for chil­dren with con­cus­sions

The Denver Post - - OBITUARIES & MEMORIAMS - By Lind­sey Tan­ner

chicago» A Cana­dian study chal­lenges the idea that phys­i­cal ac­tiv­ity should be avoided un­til con­cus­sion symp­toms dis­ap­pear in chil­dren.

A month af­ter their con­cus­sions, on­go­ing or worse symp­toms were more com­mon in chil­dren and teens who were in­ac­tive dur­ing the week fol­low­ing in­jury, com­pared with those who en­gaged in phys­i­cal ac­tiv­ity dur­ing that first week. Ac­tiv­ity was mostly low-im­pact ex­er­cise, in­clud­ing walk­ing and swim­ming.

The re­sults were sim­i­lar even among those who early on had three or more con­cus­sion symp­toms, which can in­clude nau­sea, headaches and con­fu­sion. Phys­i­cal ac­tiv­ity still seemed to re­duce chances for lin­ger­ing symp­toms a month af­ter the con­cus­sion.

“It’s still im­por­tant to have cau­tion in the im­me­di­ate post-in­jury pe­riod,” said lead au­thor Dr. Roger Ze­mek, an emer­gency medicine spe­cial­ist. Af­ter a con­cus­sion, kids “should al­ways be re­moved from play and not re­turn that day.”

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