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WithdrawnNCT04539509Updated Dec 13, 2023

Post-Concussion Aerobic Exercise

An interventional study of Exercise Prescription and Treadmill Test in Concussion, Mild and Mild Traumatic Brain Injury, sponsored by University Health Network, Toronto. Withdrawn at 1 site in Canada. Open to participants aged 17 Years to 55 Years. Per ClinicalTrials.gov, last updated 2023-12-13.

Sponsored by University Health Network, Toronto · Not applicable, Interventional, and Treatment

Why this study was withdrawn
Revising study protocol.
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
17 Years to 55 Years
Sex
All
01

Study summary

This study is looking at the specific role of an exercise prescription on recovery from concussion symptoms in the general population.

Read the detailed description

435 people will participate in this study.

A physician will review a participant's medical history to determine if physical activity is appropriate for them. They will then be randomly assigned to 1 of 3 study groups:

  1. Monitoring- participants will be given a heart rate monitor to wear on their wrist for the duration of the study (until "recovered", or until 8 weeks post-concussion, whatever comes first).
  2. Monitoring + Treadmill Testing- in addition to wearing the heart rate monitor, they will undergo a treadmill test at each appointment.
  3. Monitoring + Treadmill Testing + Specific Exercise Prescription- in addition to wearing the heart rate monitor, and treadmill test, they will receive an exercise prescription based on the results of the treadmill test.

The randomization is by chance. Participants have a 40/20/40% respective chance of being assigned to the study groups above. This means that out of every 5 people: 2 people will be assigned to the group 1, 1 will be assigned to the group 2, and 2 will be assigned to the group 3. Both participants and the study doctor will be aware which group participants are in.

Regardless of the group assigned, participants will receive an exercise prescription form at each appointment, as per usual care. The prescription will be based on the physician's judgement. If a participant is in group 3, their prescription will also take into account the results of the treadmill test.

Recovery will be determined using a 3-step approach:

  1. Self-reported symptoms,
  2. Clinic physician's opinion,
  3. Treadmill test results (if applicable).
02

Conditions studied

  • Concussion, Mild
  • Mild Traumatic Brain Injury

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Keywords

  • Concussion
  • Mild traumatic brain injury
  • Aerobic exercise
03

In context

Brain Concussion

550 studies on the registry are indexed under Brain Concussion; 154 are open to participants now.

Browse Brain Concussion studies →

Lead sponsor

University Health Network, Toronto is the lead sponsor of 1,432 studies on the registry; 292 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 3 (18%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
17 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients that provide written informed consent prior to entry into the study
  • Patients referred from the emergency department (ED) with recent (\<1 week) diagnosis of concussion by ED physician
  • GCS score of 13-15 on presentation to the ED
  • SCAT score > 9 at week 1
  • Physician cleared for exercise; low risk for cardiac disease (defined as no cardiopulmonary symptoms and meet no more than one risk factor for heart disease)
  • Willing to exercise

Exclusion criteria

Exclusion Criteria:

  • Evidence of intracranial hemorrhage, contusion or injury on brain imaging (CT Scan)
  • Beta-blocker medication
  • High dose (>50mg/day) tricyclic antidepressant medication
  • Pre-existing or current orthopedic injuries preventing exercise
  • Pre-existing vestibular disease preventing exercise
  • Heartrate increase \<30 bpm from rest on treadmill test
  • Deemed asymptomatic from concussion by clinic physician
  • Unable/unwilling to follow commands
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Monitoring

    Participants will be given a heart rate monitor to wear on their wrist for the duration of the study (i.e. until recovered, or 8 weeks post-injury, whatever comes first).

    Device: Monitoring

  • Placebo comparator
    Monitoring + Treadmill Test

    In addition to wearing the heart rate monitor, participants will undergo a treadmill test at each appointment.

    Behavioral: Treadmill Test · Device: Monitoring

  • Experimental
    Monitoring + Treadmill Test + Specific Exercise Prescription

    In addition to wearing the heart rate monitor, and completing a treadmill test at each appointment, participants will receive an exercise prescription based on the results of the treadmill test. They will be prescribed 30 minutes of structured aerobic exercise, 5 times per week, at a heart rate determined by their treadmill test.

    Behavioral: Exercise Prescription · Behavioral: Treadmill Test · Device: Monitoring

Interventions

  • BehavioralExercise Prescription

    A specific exercise prescription, based on the results of a treadmill test.

  • BehavioralTreadmill Test

    A symptom-limited treadmill test, using the Buffalo Concussion Treadmill Test (BCTT) protocol.

  • DeviceMonitoring

    Activity monitoring using a Fitbit.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Recovered

    "Recovery" (yes/no) will be determined using a 3-step approach: 1. Self-reported symptoms (using the Sport Concussion Assessment Tool \[SCAT\], Symptom Inventory), 2. Clinic physician's opinion, 3. Treadmill test results (if applicable).

    Time frame: Assessed at week 8 post-concussion.

Secondary outcomes

  1. Percentage of Participants Recovered

    Time frame: Assessed at week 2 post-concussion.

  2. Percentage of Participants Recovered

    Time frame: Assessed at week 4 post-concussion.

  3. Percentage of Participants who have Returned to Work/School

    Time at which participants return to part-time and/or full-time work or school activities.

    Time frame: Assessed at week 2 post-concussion.

  4. Percentage of Participants who have Returned to Work/School

    Time frame: Assessed at week 4 post-concussion.

  5. Percentage of Participants who have Returned to Work/School

    Time frame: Assessed at week 8 post-concussion.

  6. Brief Symptom Inventory-18 (BSI-18) Global Severity Index Score

    Measured using the Brief Symptom Inventory (BSI)-18. Global scores, as well as somatization, depression, and anxiety sub-scales will be included. Global scores are calculated by adding up participants self-reported score (0-72), with high scores indicating more psychological distress. These scores are then compared to gender-stratified norms. Sub-scales are scored on a 0-24 scale, again higher scores indicating more psychological distress (sub-scales also compared to gender-stratified norms).

    Time frame: Assessed at week 2 post-concussion.

  7. Brief Symptom Inventory-18 (BSI-18) Global Severity Index Score

    Time frame: Assessed at week 4 post-concussion.

  8. Brief Symptom Inventory-18 (BSI-18) Global Severity Index Score

    Time frame: Assessed at week 8 post-concussion.

07

Study locations

1 site
  • Toronto Rehabilitation Institute - University Health Network
    Toronto, Ontario M5G 2A2, Canada
08

References and documents

Publications

  • Haider MN, Leddy JJ, Wilber CG, Viera KB, Bezherano I, Wilkins KJ, Miecznikowski JC, Willer BS. The Predictive Capacity of the Buffalo Concussion Treadmill Test After Sport-Related Concussion in Adolescents. Front Neurol. 2019 Apr 24;10:395. doi: 10.3389/fneur.2019.00395. eCollection 2019. PubMed 31105634 ↗
  • Lawrence DW, Richards D, Comper P, Hutchison MG. Earlier time to aerobic exercise is associated with faster recovery following acute sport concussion. PLoS One. 2018 Apr 18;13(4):e0196062. doi: 10.1371/journal.pone.0196062. eCollection 2018. PubMed 29668716 ↗
  • Leddy JJ, Willer B. Use of graded exercise testing in concussion and return-to-activity management. Curr Sports Med Rep. 2013 Nov-Dec;12(6):370-6. doi: 10.1249/JSR.0000000000000008. PubMed 24225521 ↗

Individual participant data

Plan to share: No — No IDP sharing plan.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04539509
Responsible party
Sponsor
First posted
Sep 7, 2020
Start date
Jan 1, 2021
Primary completion
Aug 2024 (estimated)
Completion
Dec 2024 (estimated)
Last update
Dec 13, 2023

Study contacts

Mark Bayley, MD
principal investigator · University Health Network, Toronto Rehabilitation Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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