New Concussion Research Challenges Old Treatment Methods: Early Return to Activity Shows Improved Recovery
In recent years, the management of concussions has undergone a significant evolution due to increased awareness and extensive research. Traditional treatment methods involved strict bed rest and limiting physical and mental activity. However, a new study conducted by concussion researcher Dr. Landon Lempke from the University of Michigan has challenged these old practices.
In the past, patients were advised to follow a concept called cocoon therapy, which required individuals to stay in bed rest in a dark room. But according to Dr. Lempke, this approach has proven to be counterproductive. It has been discovered that encouraging patients to be up and moving, engaging in general activities of daily living, actually leads to faster recovery.
While the idea of early return to activity seems promising, there is a critical concern known as second impact syndrome. This occurs when a second concussion happens while the brain is still healing from the initial concussion, resulting in swelling and potentially even death. Therefore, it is crucial to ensure that any early return to activity is done safely and under medical supervision.
Dr. Lempke’s latest research focused on collegiate athletes and indicated that light exercise, under proper medical guidance, can expedite recovery. Athletes who started light exercise within 48 hours of their initial concussion experienced symptom resolution faster than those who did not engage in any exercise at all. Light exercise includes activities like aerobic exercise or light cardiovascular workouts that increase heart rate without pushing it to the point of heavy breathing.
It is important to note that Dr. Lempke does not recommend this approach for every young athlete without supervision. However, the key takeaway is the need for self-monitoring. Individuals can perform activities around the house, walk, or even get groceries, as these are necessary for daily life. However, if symptoms start to worsen during these activities, it is essential to take a moment to rest and avoid pushing beyond one’s comfort level.
Overall, the approach to post-concussion care has shifted toward a less conservative approach with supervised early return to activity. While it is still crucial to protect the head from a second concussion, individuals can now resume normal activities, provided they self-monitor and listen to their bodies.
The advancements made in concussion research have revolutionized the treatment and care of individuals with concussions. Patients no longer have to endure strict bed rest and complete inactivity. Instead, they can engage in light exercise and gradually return to normal activities, benefiting from faster recovery times. Nonetheless, it remains vital to prioritize safety and seek medical supervision when considering an early return to activity. By striking the right balance, individuals can pave the way for a smoother and swifter recovery process.
