return to full functioning after graded exercise assessment and progressive exercise treatment of postconcussion syndrome渐进式锻炼后返回完整的功能评估和进步运动postconcussion综合症的治疗.pdfVIP

Hindawi Publishing Corporation Rehabilitation Research and Practice Volume 2012, Article ID 705309, 7 pages doi:10.1155/2012/705309 Research Article Return to Full Functioning after Graded Exercise Assessment and Progressive Exercise Treatment of Postconcussion Syndrome John G. Baker,1, 2 Michael S. Freitas,3 John J. Leddy,2 Karl F. Kozlowski,4 and Barry S. Willer5 1 Department of Nuclear Medicine, University at Buff alo, SUNY, Buff alo, NY 14214, USA 2 Department of Orthopedics, University at Buff alo, SUNY, Buff alo, NY 14221, USA 3 Department of Family Medicine, University at Buff alo, SUNY, Buff alo, NY 14215, USA 4 Department of Kinesiology, Canisius College, Buff alo, NY 14208, USA 5 Department of Psychiatry, University at Buff alo, SUNY, Buff alo, NY 14215, USA Correspondence should be addressed to John G. Baker, jgbaker@buff Received 13 October 2011; Revised 31 December 2011; Accepted 1 January 2012 ¨ Academic Editor: Gul Baltaci Copyright © 2012 John G. Baker et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Exercise assessment and aerobic exercise training for postconcussion syndrome (PCS) may reduce concussion-related physiological dysfunction and symptoms by restoring autonomic balance and improving cerebral blood flow autoregulation. In a descriptive pilot study of 91 patients referred to a university clinic for treatment of PCS, a subset of 63 patients were contacted by telephone for assessment of symptoms and return to full daily functioning. Those who experienced symptoms during a graded exercise treadmill test (physiologic PCS, n = 40) were compared to those wh