Concussion: breathing exercises and sports improve recovery

Concussion breathing exercises and sports improve recovery

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    An American study reports an improvement in the symptoms of patients who have suffered a concussion thanks to breathing and sports exercises. The results will be presented at the 75th Annual Meeting of the America Academy of Neurology next April in Boston.

    To help teenage victims of head shocks, for example while playing a sport, researchers came up with the idea of ​​testing the effects of breathing and aerobic exercises.

    What are the symptoms of a concussion?

    When a person is the victim of a violent blow to the head, various symptoms can appear and persist for several weeks: headaches, dizziness, memory and concentration problems, even in some people mood disorders. or depression.

    For their study, the researchers studied a group of 30 teenagers, injured during sports and recreation. They all had symptoms for more than a month. These participants were divided into three groups and matched according to their age, sex, level of physical activity and body mass index. Researchers assessed concussion symptoms, heart rate variability, sleep, mood, and thinking and memory skills for all participants at the start of the study and again six weeks later.

    During the study period,

    • A first group practiced breathing exercises at a slow pace with a computer program for 20 minutes a night, four nights a week.
    • A second group performed three aerobic training sessions per week, starting with 20 minutes of low-intensity aerobic activity, which gradually increased in intensity and duration.
    • The third group did both breathing exercises and aerobic exercise.

    Aerobic and breathing exercises improve symptoms

    Results: Breathwork practice along with progressive aerobic exercise may help improve concussion symptoms in slowly recovering adolescents. The study found that while the two therapies are each beneficial separately, when combined they lead to even greater improvements in thinking and memory skills, depression and mood.

    In detail, the authors noted that:

    • Volunteers in the combined breathing exercises and aerobic exercise group experienced a two-fold reduction in symptom severity compared to those in the exercise group, as well as a 1.3-fold reduction in symptom severity compared to people in the breathing exercise alone group;
    • Similarly, the combined group experienced a 1.2 times greater reduction in depression symptoms compared to the “aerobic exercise alone” group and a 1.3 times greater reduction than the breathing exercise alone group;
    • The combined group also experienced a 1.4 times greater reduction in mood disturbance compared to the other two groups;
    • Finally, the combined group had significantly greater improvements in attention and working memory, as well as greater changes in heart rate variability parameters than the other two groups.

    Encouraging results that deserve confirmation

    According to the author of this study, Professor Moore of the University of South Carolina at Columbia, “lManaging persistent concussion symptoms is particularly difficult because there are no standard therapies. These therapies are inexpensive, easy to implement, and can be self-administered, making them feasible and accessible to anyone with persistent symptoms.“.

    However, the authors underline the limitation of their work, which did not include a control group of people who had not followed any exercise. Finally, they also believe that the current results are “preliminary and further studies are needed, including a larger number of people”.

    The opinion of Pr Grégory Ninot, researcher at the University of Montpellier, specialized in the evaluation of non-drug interventions

    I will remain cautious about the conclusions of this study, which has not been published in a scientific journal, with confirmation by peers. However, these results seem interesting to me, insofar as they are two non-drug approaches, which seem to provide an improvement in symptoms. Finally, I insist on the importance of measuring the risk-benefit balance of each exercise, particularly here, with aerobic exercises: they should not risk aggravating the risks associated with concussions and in particular the potential haemorrhages that can occur after a major impact to the head“.

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