80 Participants NeededMy employer runs this trial

Motor Activation Physical Therapy for Concussion

Recruiting at 1 trial location
ME
LA
Overseen ByLaurie A King, PhD
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: Oregon Health and Science University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores new methods to assist people with balance issues following a concussion (mild traumatic brain injury, or mTBI). Researchers are testing a new type of physical therapy, called Motor Activation Physical Therapy, which focuses on improving the body's response to balance problems. Participants will either engage in these new exercises or receive usual care to determine which is more effective. This trial suits individuals who have experienced a concussion in the last six months and continue to have symptoms like balance issues. As an unphased trial, it offers a unique opportunity to contribute to innovative research that could enhance future treatments for balance issues after a concussion.

Will I have to stop taking my current medications?

If you are taking medications that cause balance problems, you may need to stop using them during the study.

What prior data suggests that this motor activation physical therapy is safe for concussion patients?

Research has shown that physical therapy is safe for people recovering from a concussion. Studies have found that starting physical therapy sooner can help improve symptoms more quickly, including better balance, which is crucial for those with mild traumatic brain injury (mTBI).

These studies have reported no serious side effects, indicating that it is a well-tolerated treatment. Focusing on how the body responds to imbalance represents a new approach. So far, this method appears safe for patients and might even accelerate recovery.12345

Why are researchers excited about this trial?

Researchers are excited about Motor Activation Physical Therapy for mild traumatic brain injury (mTBI) because it focuses on enhancing reactive and dynamic balance exercises, aiming to improve motor activation for stability. Unlike standard physical therapy, which follows general clinical guidelines, this approach specifically targets the brain's ability to control movement and balance more effectively. By zeroing in on these specific motor skills, the therapy has the potential to accelerate recovery and improve outcomes for individuals with mTBI.

What evidence suggests that this trial's treatments could be effective for mTBI?

Research has shown that physical therapy can help treat balance problems after a concussion. For example, studies have found that exercise programs focusing on body movement in response to balance issues can improve balance and reduce symptoms. This trial will compare two approaches: one group will receive Motor Activation Physical Therapy, which emphasizes reactive and dynamic balance exercises to enhance motor activation for stability, while another group will receive Standard of Care Physical Therapy, following current clinical practice guidelines for mTBI treatment. Starting physical therapy early has been linked to better balance and quicker recovery in people with mild traumatic brain injuries (mTBI). Additionally, exercises that improve muscle coordination can lower injury rates and enhance overall movement control. Overall, these findings suggest that physical therapy focused on movement could be a promising way to address balance issues after a concussion.34567

Who Is on the Research Team?

LA

Laurie A King, PhD, PT, MCR

Principal Investigator

Oregon Health and Science University

PF

Peter Fino, PhD

Principal Investigator

University of Utah

Are You a Good Fit for This Trial?

This trial is for adults aged 18-60 who have had a diagnosed concussion (mild traumatic brain injury) between 2 weeks and 6 months ago and are still experiencing symptoms.

Inclusion Criteria

It has been more than 2 weeks since my most recent mild traumatic brain injury.
My most recent mild traumatic brain injury was less than 6 months ago.
I still have symptoms from my mild traumatic brain injury.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either motor-focused or standard sensory-focused physical therapy intervention for balance improvement after concussion

7 weeks
Weekly sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Motor Activation Physical Therapy for mTBI
  • Standard of Care Physical Therapy for mTBI

Trial Overview

The study compares two types of physical therapy for people with lingering balance problems after a concussion: one focuses on improving how the body responds to imbalance (motor activation), while the other uses standard sensory-based balance exercises. Participants are randomly assigned to either group.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Participants with motor physical therapy for mTBIExperimental Treatment1 Intervention
Group II: Standard of care physical therapy treatment for mTBIActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Oregon Health and Science University

Lead Sponsor

Trials
1,024
Recruited
7,420,000+

University of Utah

Collaborator

Trials
1,169
Recruited
1,623,000+

Fort Sam Houston

Collaborator

Trials
2
Recruited
450+

Citations

Motor Activation Physical Therapy for Concussion

The goal of this study is to create both an exercise intervention focused on motor activation after concussion and simple, but objective and ...

The Effectiveness of Physical Therapy Interventions for ... - PMC

This systematic review demonstrates that physical therapy interventions including aerobic exercise and multimodal approaches have been found to be beneficial

For Mild Concussion, Early Physical Therapy Brings Best ...

A new study published in PTJ: Physical Therapy & Rehabilitation Journal shows earlier physical therapy after mild traumatic brain injury, or mTBI, can improve ...

In People With Subacute Mild Traumatic Brain Injury, Earlier ...

Earlier physical therapy also resulted in improvement in time delay and motor activa- tion measures of balance control, while the later group ...

The Effectiveness of Physical Therapy Exercise Interventions ...

The data was consistent in that exercise interventions showed improvements in time to recovery and reduction of post-concussion symptoms in patients who have ...

6.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/39693261/

In People With Subacute Mild Traumatic Brain Injury, Earlier ...

Earlier physical therapy after mTBI can improve symptoms at a faster rate relative to later physical therapy.

In People With Subacute Mild Traumatic Brain Injury, Earlier ...

The objective of this study was to investigate physical therapy timing after mTBI through changes in patient-reported and clinically-assessed tools.