Preliminary Safety and Efficacy of Head and Neck Cooling Therapy After Concussion in Adolescent Athletes: A Randomized Pilot Trial.

Journal: Clinical Journal Of Sport Medicine : Official Journal Of The Canadian Academy Of Sport Medicine

Objective: To determine the safety and efficacy of head and neck cooling when applied up to 8 days after concussion among adolescent athletes.

Methods: A randomized nonblinded pilot trial. Methods: Sports Medicine Clinic in a tertiary hospital. Methods: Adolescent athletes aged 12 to 17 years diagnosed with a concussion within 1 week of injury. Methods: The control group (n = 27) received standard treatment (short term brain rest), whereas the treatment group (n = 28) received standard treatment and head and neck cooling. Head and neck cooling treatment was applied to patients at the postinjury assessment visit and at 72 hours post-injury. The SCAT5 (Sport Concussion Assessment Tool) total symptom severity score was collected at postinjury assessment visit, pre- and post-treatment at 72 hours, and at 10 days, and 4 weeks post-treatment.

Results: Athletes who received head and neck cooling had a faster symptom recovery ( P = 0.003) and experienced significant reduction in symptom severity scores after treatment ( P < 0.001). Sport type and gender did not influence the treatment outcome ( P = 0.447 and 0.940, respectively).

Conclusions: This pilot study demonstrates feasibility of head and neck cooling for the management of acute concussion in adolescent athletes.

Joseph Congeni, Tamara Murray, Peyton Kline, Rachida Bouhenni, Danielle Morgan, Christopher Liebig, Alexandria Lesak, Neil Mcninch

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