Neuromuscular training after concussion to improve motor and psychosocial outcomes: A feasibility trial.

Feasibility design: the authors state they cannot infer meaning from any differences between groups or across time, and no between-group statistical comparisons were performed. Single sports medicine clinic, so the sample may be more severely injured than the general adolescent athlete population. Adolescent athletes only (12 to 18); the authors note the findings cannot be extrapolated to collegiate or adult athletes. No blinding was possible given the nature of the intervention. 45% of the intervention group did not complete all 16 sessions; two participants dropped out entirely due to time and transportation demands. Some clinician-administered assessments at visits 2 and 3 were missed because in-person research was suspended during the pandemic. Patient and clinician satisfaction with the program was not recorded.

Do not read this as evidence that neuromuscular training after concussion reduces injury risk or improves recovery. The trial was designed to test whether the program could be delivered, not whether it works. The authors explicitly state they did not perform between-group comparisons and that efficacy requires a larger trial.