Experiences of a controlled early exercise intervention following a sport-related concussion: A qualitative study of rugby union student-athletes

Abstract

Background

Early aerobic exercise is associated with improved outcomes following recovery from sport-related concussion (SRC) and is now recommended in guidance for clinicians managing athletes return-to-play.

Objectives

To explore student-athlete experiences of a novel early aerobic exercise intervention.

Design

Qualitative study using semi-structured interviews.

Setting

Loughborough University, UK.

Participants

Ten rugby union university aged student-athletes (6 men) that had been medically diagnosed with an SRC sustained playing rugby.

Results

Three themes divided into eight supporting subthemes were generated. Main findings were: 1) Experience: despite some apprehension over the novel approach, most had a positive experience, 2) Adherence: Participants suggested reasonably good overall adherence to the prescribed exercises but intrinsic and extrinsic factors for non-adherence were identified, 3) Outcomes: the intervention was perceived to help rehabilitation, improve confidence, support retention of athletic identity and, for some, influenced more cautious attitudes toward brain health.

Conclusions

The novel early exercise intervention was reasonably well received and adhered to. Unintended benefits included supporting retainment of athletic identity and encouraging precautious health behaviours. As early exercise protocols are refined, these findings will help inform the design and delivery of future interventions, particularly in relation to intensity and diversity of exercises and supporting education.