/Objectives: Contemporary sport-related concussion management has shifted from prolonged rest toward early, symptom-limited activity and a staged return-to-sport strategy. The Amsterdam framework provides an essential safety hierarchy but does not fully operationalize how clinicians should manipulate exercise dose, task complexity, recovery, and interacting rehabilitation domains within each stage....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiology practice; this article addresses concussion rehabilitation and is only tangentially related to audiology through vestibular and balance considerations.
For audiologists who manage post-concussion vestibular symptoms, emerging concussion rehabilitation frameworks may eventually intersect with vestibular rehabilitation protocols, though this perspective offers no immediate clinical guidance for hearing care.
- 01Perspective article (expert opinion), not an empirical study—no patient data presented.
- 02Proposes 'neuroperiodization': tailoring training load to brain recovery stage after sport-related concussion.
- 03Framework is built on the Amsterdam Return-to-Sport Strategy.
- 04Vestibular and balance sequelae of concussion are the primary audiology-adjacent relevance.
- 05Published in Healthcare (MDPI).
Adaptive load prescription based on neurological recovery stage (neuroperiodization) can improve return-to-sport outcomes after concussion.
opinionunclear- PMID
- 42736917
- DOI
- 10.3390/healthcare14172760.
- Journal
- Healthcare
- Publication type
- editorial
- Evidence level
- 5
- Population
- Athletes recovering from sport-related concussion (conceptual/theoretical population)
- Intervention
- Neuroperiodization — adaptive training load prescription guided by neurological recovery phase
Primary outcomes
Return-to-sport readiness; Neurological recovery trajectory