Publications by authors named "C DeMatteo"

Article Synopsis
  • Concussion, affecting about 1.2% of the population annually, poses a significant public health issue, particularly among children aged 1-17, who experience this injury more frequently than others.
  • The study focused on youth with concussions to evaluate adherence to Return to Activity (RTA) protocols, examining how this adherence impacts recovery time and the risk of reinjury.
  • Results showed low adherence to RTA protocols using accelerometers (13%-34% across stages), but subjective self-reports indicated better compliance, with adherent youths recovering faster (13 days) than non-adherent youths (20 days), despite discrepancies between self-reported and objective measures.
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Background: Recent scientific evidence has challenged the traditional "rest-is-best" approach for concussion management. It is now thought that "exercise-is-medicine" for concussion, owing to dozens of studies which demonstrate that sub-maximal, graded aerobic exercise can reduce symptom burden and time to symptom resolution. However, the primary neuropathology of concussion is altered functional brain activity.

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The human brain is an exceptionally complex organ that is comprised of billions of neurons. Therefore, when a traumatic event such as a concussion occurs, somatic, cognitive, behavioral, and sleep impairments are the common outcome. Each concussion is unique in the sense that the magnitude of biomechanical forces and the direction, rotation, and source of those forces are different for each concussive event.

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Purpose: Concussion management is shifting away from a rest-is-best approach, as data now suggest that exercise-is-medicine for this mild brain injury. Despite this, we have limited data on habitual physical activity following concussion. Therefore, our objective was to quantify accelerometer-measured physical activity and sedentary time in children with concussion (within the first month of injury) and healthy controls.

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