Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02872480
Other study ID # 15-2387
Secondary ID 16-2829
Status Completed
Phase N/A
First received July 27, 2016
Last updated February 15, 2017
Start date August 2016
Est. completion date February 2017

Study information

Verified date February 2017
Source University of North Carolina, Chapel Hill
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Healthy (non-injured) and concussed college-aged participants will complete two testing sessions that include (1) clinical symptom, balance, and cognitive evaluations and (2) a progressive exercise session to establish symptom exacerbation or maximal exercise capacity. Individuals randomized to the control group will receive no intervention between sessions, while individuals randomized to the intervention group will complete 30 minutes of stationary bike exercise at least 3 days/week.


Description:

Healthy and concussed participants will be randomized to ACTIVE training (intervention) or control (no intervention) groups. Participants, regardless of group assignment, will receive clinical symptom, balance, and cognitive evaluations as well as a progressive exercise assessment at study outset. Concussed participants will enroll into the study within three days of injury and study participation will termination following 24 consecutive hours with no reported concussive symptoms. Healthy participants will have arbitrary start dates and will terminate the study 10-14 days later to approximate the general length of concussion recovery and, therefore, make the time between session in the healthy and concussed cohorts as equivalent as possible. Participants in the intervention group will complete stationary cycle ergometer workouts for 30 mins at least 3 days per week between testing sessions. Healthy participants will complete six ACTIVE training sessions, while concussed participants will complete ACTIVE training at least three days per week until asymptomatic. Concussed control participants will follow physician guidelines for rest and activity, while healthy control participants will be asked to follow their typical routines for rest and activity. Participants will repeat the identical testing session assessments prior to study termination.


Recruitment information / eligibility

Status Completed
Enrollment 45
Est. completion date February 2017
Est. primary completion date February 2017
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 30 Years
Eligibility Inclusion Criteria:

- Diagnosed as having a concussion by a physician within three days of study enrollment (concussed participants only)

- Glasgow Coma Scale >13 (concussed participants only)

- Participants must be active, which is defined as 30 or more minutes of moderate to vigorous physical activity 3 or more days per week. All healthy participants must met this definition and concussed participants should have met this definition prior to injury.

- Good cardiovascular health (subject to approval from study physician)

Exclusion Criteria:

- Recreational drug use over the course of study participation

- Associated injuries (broken bones, etc.) that would limit the ability to successfully complete ACTIVE training

- For healthy participants, no history of concussion within the last year

- For concussed participants, skull fracture or brain bleed at time of the injury

- UNC Varsity athletes

Study Design


Related Conditions & MeSH terms


Intervention

Other:
ACTIVE Training
Participants will be asked to complete aerobic exercise on a stationary bike during 30-minute sessions. Intensity will progress under a standard procedure for healthy participants (60-80% of VO2max) and as tolerated by concussed participants (starting at 60% of symptom exacerbation).

Locations

Country Name City State
United States University of North Carolina at Chapel Hill Chapel Hill North Carolina

Sponsors (2)

Lead Sponsor Collaborator
University of North Carolina, Chapel Hill American College of Sports Medicine Foundation (ACSM)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Average Days to Recovery Average number of days from injury to recovery (recovery is defined as full clearance by physician) Assessed every 24 hours from baseline to study termination for each participant (approximately 10-14 days)
Secondary Average Change in Mental Status SAC Total Score (Out of 30 possible points; combination of scores from orientation (5), immediate memory (15), concentration (5), and delayed memory (5) sections; higher scores are indicative of better results) Each participant will complete the SAC at baseline (first testing session) and recovery (full clearance by physician)- approximately 10-14 days apart
Secondary Average Changed in Balance BESS Total Score (Participants are given errors for positions of poor postural control; out of 60 points; higher scores are indicative of poorer performance) Each participant will complete the BESS at at baseline (first testing session) and recovery (full clearance by physician)- approximately 10-14 days apart
Secondary Average Change in Cognition CNS Composite Score (percentile of participant's overall achievement on a computerized neurocognitive test; higher percentiles indicate better performance) Each participant will complete CNS at at baseline (first testing session) and recovery (full clearance by physician)- approximately 10-14 days apart
Secondary Average Change in Near-Point Convergence Near-point convergence distance (average distance- over three trials- of convergence during vision, higher scores indicate poorer convergence) Each participant will complete the VOMS at at baseline (first testing session) and recovery (full clearance by physician)- approximately 10-14 days apart
Secondary Average Change in Concussive Symptoms GSC Total Score (incorporates presence and severity for a total score on 27-items, each item rated from 0 (not present) to 6 (severe); higher scores indicate worse symptoms Healthy participants will complete the GSC at at baseline (first testing session) and recovery (full clearance by physician)- approximately 10-14 days apart
See also
  Status Clinical Trial Phase
Completed NCT02858544 - Concussion in Motor Vehicle Accidents: The Concussion Identification Index N/A
Recruiting NCT04760834 - Concussion in French Amateur Rugby : Survey About the Management and Knowledge of Players
Completed NCT02776462 - Use of Eye Movement Tracking to Detect Oculomotor Abnormality in Traumatic Brain Injury Patients
Completed NCT01814527 - High Dose Omega-3 Fatty Acids in the Treatment of Sport Related Concussions N/A
Enrolling by invitation NCT05542628 - Baseline Reference Values for Concussion Assessments in Football
Enrolling by invitation NCT05713942 - Concussion Assessments in Football
Completed NCT02354469 - The Effects of Head Trauma on Collegiate Athletes
Recruiting NCT06365944 - Concussion in French Non-professional Handball League : Efficiency of a Concussion Protocol, the White Card Process