Children who stay at home after concussion.. Is this a better treatment?

DUBAI – _- A new study has found that sending children to school, rather than staying at home and resting, may be a better way to help them recover faster from a concussion.
The study, published in the journal JAMA Network Open, found that an early return to school was associated with better outcomes for some children.
The study reviewed data on 1,630 children ages 5 to 18 who went to nine different emergency rooms across Canada. And she found that for children ages 8 to 18 who were recovering from a concussion, their early return to school, in two days or less, was associated with milder symptoms for children 14 days after their injury. This was not the case for children between the ages of 5 and 7.
As for the patients who followed the recommendations for a slower return to school activity, such as not sending them to school and avoiding the use of electronic devices, they took longer to recover, and they had an average of 10 days after infection showed more symptoms, compared to those who did not follow these steps.
Previous studies have shown that prolonged restraint after a concussion increases a child’s risk of depression and anxiety. The researchers believe that social relationships alleviate stress caused by longing for school, and that returning to a normal sleep and school schedule may play a role in helping children recover more quickly. Light to moderate physical activities also help the child recover faster.
Dr. Chris Vaughan, author of the study, said that about a decade ago, doctors encouraged parents to rest their children and limit their brain activity, with the goal of helping them recover for a longer period of time.
“We didn’t have good data on this,” said Vaughan, a neuropsychologist at Children’s Hospital. But it just seemed like it was supposed to be done because we helped kids avoid the activities that caused the symptoms, we did our best to get the symptoms under control, until it kind of became a standard of treatment has become.
But, according to Vaughan, in the last five or six years there has been a shift to thinking that after the first day or two of rest, some activity might be good for recovery.
“We still take concussions very seriously,” he added.
“We used to do what many people call cocoon therapy, where you put your baby in a dark room first, and limit the use of stimulants and let him rest. But what we realized is that isolating children to this extent actually slowed the process of concussion recovery.”
“The most important thing is to avoid doing any kind of activity where the child might hit their head again while they’re recovering, but it’s important to move, not just sit,” Briskin said.
And she pointed out that the study complements what some doctors are actually doing, explaining, “But it may have been the closest return (to normal life) that we’ve seen useful.” According to Briskin, children often miss about a week of school due to concussions.
“Based on this study, that would actually be detrimental to their course of recovery,” Briskin said.
Most children who have had a concussion will feel better within two weeks, according to the U.S. Centers for Disease Control and Prevention, but for some symptoms it may take a month or longer.
Doctors pointed out that just because they suffer from some symptoms does not mean that they should remain in isolation, but that children may need accommodation. Briskin explained that children are often sensitive to light and noise after a concussion, and thinking and concentrating can make them feel worse.
“We try to reduce the burden as much as possible by having kids take breaks from classes if they have to go out,” Briskin said. And we have people who wear sunglasses if they are sensitive to light. And if they have a high sensitivity to noise, we try to keep them away from noisy environments, such as a music class, or even a dining hall or gathering.”
In the study, the association between early return to school and fewer concussion symptoms was stronger for those who reported having a greater number of symptoms. and start Typical symptoms include dizziness, headache and nausea.
Most guidelines recommend that people who have had a concussion get a day or two of physical and mental rest, then gradually return to normal activities with some accommodations and support.

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