{"id":"https://openalex.org/W2900620710","doi":"https://doi.org/10.1212/01.wnl.0000550602.50364.85","title":"Treating prolonged post-concussion symptoms in a pediatric patient with the simultaneous application of cognitive behavioral therapy and subthreshold exercise: A case study","display_name":"Treating prolonged post-concussion symptoms in a pediatric patient with the simultaneous application of cognitive behavioral therapy and subthreshold exercise: A case study","publication_year":2018,"publication_date":"2018-12-04","ids":{"openalex":"https://openalex.org/W2900620710","doi":"https://doi.org/10.1212/01.wnl.0000550602.50364.85","mag":"2900620710"},"language":"en","primary_location":{"id":"doi:10.1212/01.wnl.0000550602.50364.85","doi":"https://doi.org/10.1212/01.wnl.0000550602.50364.85","is_oa":true,"landing_page_url":"https://doi.org/10.1212/01.wnl.0000550602.50364.85","pdf_url":"https://n.neurology.org/content/neurology/91/23_Supplement_1/S16.1.full.pdf","source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://n.neurology.org/content/neurology/91/23_Supplement_1/S16.1.full.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011516947","display_name":"Sonal Singh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sonal Singh","raw_affiliation_strings":["Pediatric Neurology, University of California Los Angeles Los Angeles CA United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pediatric Neurology, University of California Los Angeles Los Angeles CA United States","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112147417","display_name":"Douglas R. Polster","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Douglas R. Polster","raw_affiliation_strings":["University of California, Los Angeles, Los Angeles, CA, United States#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California, Los Angeles, Los Angeles, CA, United States#TAB#","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007798624","display_name":"Meeryo C. Choe","orcid":"https://orcid.org/0000-0001-8142-9471","observed_orcids":["https://orcid.org/0000-0001-8142-9471"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Meeryo Choe","raw_affiliation_strings":["University of California, Los Angeles, Los Angeles, CA, United States#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California, Los Angeles, Los Angeles, CA, United States#TAB#","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051289030","display_name":"Christopher C. Giza","orcid":"https://orcid.org/0000-0002-5721-2667","observed_orcids":["https://orcid.org/0000-0002-5721-2667"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Giza","raw_affiliation_strings":["UCLA, Dept of Neurosurgery Los Angeles CA United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UCLA, Dept of Neurosurgery Los Angeles CA United States","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079834257","display_name":"Talin Babikian","orcid":"https://orcid.org/0000-0002-2270-8566","observed_orcids":["https://orcid.org/0000-0002-2270-8566"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Talin Babikian","raw_affiliation_strings":["University of California, Los Angeles, Los Angeles, CA, United States#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California, Los Angeles, Los Angeles, CA, United States#TAB#","institution_ids":["https://openalex.org/I161318765"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I161318765"],"apc_list":null,"apc_paid":null,"fwci":0.3921,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.65011284,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"91","issue":"23_Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11368","display_name":"Long-Term Effects of COVID-19","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13471","display_name":"Cognitive Functions and Memory","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mild-traumatic-brain-injury","display_name":"mild traumatic brain injury","score":0.9660000205039978},{"id":"https://openalex.org/keywords/cognitive-behavioral-therapy","display_name":"cognitive behavioral therapy","score":0.9179999828338623},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.5879999995231628},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.5180000066757202},{"id":"https://openalex.org/keywords/return-to-sport","display_name":"return to sport","score":0.6690000295639038},{"id":"https://openalex.org/keywords/return-to-school","display_name":"return to school","score":0.7210000157356262},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.7519999742507935},{"id":"https://openalex.org/keywords/heart-rate","display_name":"heart rate","score":0.5270000100135803},{"id":"https://openalex.org/keywords/power-output","display_name":"output power","score":0.7639999985694885},{"id":"https://openalex.org/keywords/rating-of-perceived-exertion","display_name":"rating of perceived exertion","score":0.7620000243186951}],"concepts":[{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6800976991653442},{"id":"https://openalex.org/C2780928941","wikidata":"https://www.wikidata.org/wiki/Q2372945","display_name":"Rating of perceived exertion","level":4,"score":0.6173693537712097},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5869330763816833},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5862820744514465},{"id":"https://openalex.org/C2780477327","wikidata":"https://www.wikidata.org/wiki/Q2115980","display_name":"Psychoeducation","level":3,"score":0.5155956149101257},{"id":"https://openalex.org/C103038586","wikidata":"https://www.wikidata.org/wiki/Q1152037","display_name":"Aerobic exercise","level":2,"score":0.49484342336654663},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.43463143706321716},{"id":"https://openalex.org/C6564018","wikidata":"https://www.wikidata.org/wiki/Q849826","display_name":"Cognitive restructuring","level":3,"score":0.4209015369415283},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3508598208427429},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.34184637665748596},{"id":"https://openalex.org/C2777953023","wikidata":"https://www.wikidata.org/wiki/Q1073121","display_name":"Heart rate","level":3,"score":0.3146166205406189},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.18691158294677734},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.14674672484397888},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.12606987357139587}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1212/01.wnl.0000550602.50364.85","doi":"https://doi.org/10.1212/01.wnl.0000550602.50364.85","is_oa":true,"landing_page_url":"https://doi.org/10.1212/01.wnl.0000550602.50364.85","pdf_url":"https://n.neurology.org/content/neurology/91/23_Supplement_1/S16.1.full.pdf","source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1212/01.wnl.0000550602.50364.85","doi":"https://doi.org/10.1212/01.wnl.0000550602.50364.85","is_oa":true,"landing_page_url":"https://doi.org/10.1212/01.wnl.0000550602.50364.85","pdf_url":"https://n.neurology.org/content/neurology/91/23_Supplement_1/S16.1.full.pdf","source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2900620710.pdf","grobid_xml":"https://content.openalex.org/works/W2900620710.grobid-xml"},"referenced_works_count":1,"referenced_works":["https://openalex.org/W2610287704"],"related_works":["https://openalex.org/W4389437925","https://openalex.org/W2977427681","https://openalex.org/W2970314559","https://openalex.org/W4390562575","https://openalex.org/W3047625147","https://openalex.org/W7037744569","https://openalex.org/W2039193727","https://openalex.org/W7161689793","https://openalex.org/W7160837222","https://openalex.org/W2886543861"],"abstract_inverted_index":{"Objective":[0],"Use":[1],"a":[2,16,27,36,60,120,152,202,212,246,265],"novel,":[3],"simultaneously":[4,131],"applied":[5],"cognitive":[6,77,101],"behavioral":[7],"therapy":[8],"(CBT)":[9],"and":[10,72,103,123,136,145,163,216,226,240,264],"subthreshold":[11],"exercise":[12,118,150,178],"treatment":[13,281],"(STE)":[14],"for":[15,283],"14-year":[17],"old":[18],"patient":[19,56,82,130,171,210],"with":[20,59,107,116,179,193,198,301],"persistent":[21],"post-concussion":[22],"symptoms":[23,69,90],"(PPCS)":[24],"to":[25,29,76,85,125,174,188,256,267,292],"facilitate":[26],"return":[28,266],"function":[30],"in":[31,74,133,176,214,224,234,245,252,254,261,285,299],"school/sport.":[32],"Background":[33],"Patient":[34],"sustained":[35],"mild":[37],"TBI":[38],"while":[39,128],"playing":[40],"basketball":[41],"on":[42,48,119,149],"October":[43],"29,":[44],"2016.":[45],"Neurologic":[46],"exam":[47],"July":[49],"7,":[50],"2017":[51],"was":[52,172],"negative,":[53],"but":[54],"the":[55,87,108,129,206,235,273,290,294],"reported":[57,200,211],"PPCS,":[58],"graded":[61],"symptom":[62,181],"checklist":[63],"(GSC)":[64],"score":[65],"of":[66,89,155,159,196,278],"26.":[67],"Primary":[68],"were":[70],"headache":[71],"anxiety":[73,84,215],"relation":[75],"and/or":[78],"physical":[79,112,258],"exertion.":[80],"The":[81,94,209],"attributed":[83],"anticipating":[86],"onset":[88],"after":[91],"exercise.":[92],"Design/methods":[93],"6-week":[95],"combined":[96,106,248],"CBT/STE":[97,249],"intervention":[98],"included":[99,139],"psychoeducation,":[100],"restructuring,":[102],"relaxation":[104],"training":[105],"STE":[109],"protocol.":[110],"Supervised":[111],"exertion":[113,156],"exposure":[114],"began":[115],"aerobic":[117],"stationary":[121],"bike":[122],"progressed":[124],"sport-specific":[126],"activity":[127],"engaged":[132],"CBT.":[134],"Pre-":[135],"post-intervention":[137],"data":[138],"physiologic":[140],"measures":[141],"(heart":[142],"rate":[143],"[HR]":[144],"power":[146],"output":[147],"[PO]":[148],"bike),":[151],"subjective":[153],"measure":[154],"(Borg9s":[157],"Rating":[158],"Perceived":[160],"Exertion":[161],"[RPE]),":[162],"psychological":[164,217,262,295],"self-report":[165],"questionnaires.":[166],"Results":[167],"After":[168],"6":[169],"sessions,":[170],"able":[173],"engage":[175],"strenuous":[177],"reduced":[180],"exacerbation":[182],"as":[183,219,221],"demonstrated":[184,272],"by":[185],"his":[186],"ability":[187,255],"reach":[189],"175":[190],"bpm":[191],"HR":[192],"350":[194],"watts":[195],"PO":[197],"decreased":[199],"symptoms,":[201],"significant":[203],"improvement":[204],"from":[205],"first":[207],"session.":[208],"decrease":[213],"distress":[218,296],"well":[220],"an":[222,232],"increase":[223,233],"emotional":[225,241],"school":[227],"functioning.":[228,242],"Parent":[229],"report":[230],"indicated":[231],"patient9s":[236],"overall":[237],"health,":[238],"social,":[239],"Conclusions":[243],"Engaging":[244],"six-week":[247],"protocol":[250],"resulted":[251],"improvements":[253],"tolerate":[257],"exertion,":[259],"decreases":[260],"distress,":[263],"function.":[268],"This":[269],"case":[270],"study":[271],"feasibility":[274],"&":[275],"positive":[276],"impact":[277],"simultaneous,":[279],"dual":[280],"model":[282],"PPCS":[284],"adolescents.":[286],"It":[287],"also":[288],"highlighted":[289],"need":[291],"address":[293],"that":[297],"occurs":[298],"patients":[300],"PPCS.":[302]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1}],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2018-11-29T00:00:00"}