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Brain Injury Traumatic MildNCT05589064

Evaluation of the Impact of a Dietary and Nutritional Intervention on Persistent Post-concussive Symptoms

A study testing Experimental: Dietetic counseling, Active Comparator: Omega-3, vitamin D3 and creatine monohydrate and Other : Physiotherapy treatment in people with Brain Injury Traumatic Mild, run by Universite de Moncton at 1 site in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Concussions affect thousands of Canadians every year. Although the effects are usually temporary, 10-15% of adults experience persistent symptoms likely to last several weeks or even months. Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
Brain Injury Traumatic Mild
What is being tested?
Experimental: Dietetic counseling, Active Comparator: Omega-3, vitamin D3 and creatine monohydrate and Other : Physiotherapy treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteCanada
Study dates
1 Oct 2022to Jun 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • 16 years or older
  • Must be able to understand English or French
  • Have persistent post-concussive symptoms lasting at least 2 weeks but no longer than 6 months

Who cannot join

  • <16 years old
  • People who are breastfeeding, pregnant or plan to become pregnant in the next 2 months
  • People with neurological disorders (other than concussion) or a history of moderate or severe brain injury
  • People in an acute phase of an inflammatory bowel disease
  • Any physical condition prohibiting a patient from receiving physiotherapy treatments

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Stephanie Ward Chiasson, PhD, RD contact

506-858-4000 ext. 4090

stephanie.ward@umoncton.ca

Canada1 site, 1 recruiting
  • Universite de Moncton

    Moncton, New Brunswick, E1A 3E9

    Stephanie Ward Chiasson, PhD, RD, 506-858-4000 ext. 4090, stephanie.ward@umoncton.ca

    Horia-Daniel Iancu, PhD, 506-858-4000 ext. 4999, horia-daniel.iancu@umoncton.ca

    Recruiting

Other trials in Canada

About this study

Official title: Evaluation of the Impact of a Dietary and Nutritional Intervention on the Physical, Cognitive, Behavioural and Emotional Symptoms of Patients With Persistent Post-concussive Symptoms

Concussions affect thousands of Canadians every year. Although the effects are usually temporary, 10-15% of adults experience persistent symptoms likely to last several weeks or even months. It is suggested that nutritional interventions should be considered in concussion management because nutrition can act on several mechanisms of brain injury. However, to date, no study has assessed the impact of dietary interventions on the recovery of people with persistent post-concussive symptoms.

This randomized controlled trial aims to determine the impact of a dietary and nutritional intervention on the physical, cognitive, behavioural and emotional symptoms of patients with persistent post-concussive symptoms in New Brunswick, Canada. Patients will be randomized to one of three groups: 1) dietary treatments and nutritional supplements (experimental group A), 2) nutritional supplements (experimental group B), and 3) physiotherapy treatments (control group). Patients in group A will receive four consultations with a dietitian over eight weeks, in addition to conventional physiotherapy treatments. These patients will receive nutritional counselling and omega-3, vitamin D and creatine supplements. Patients in group B will be prescribed the same supplements as those in group A by their doctor and receive physiotherapy treatments. Finally, patients in the control group will only receive physiotherapy treatments. Patient symptoms will be measured using a questionnaire constructed from tools commonly used in practice. This questionnaire will be completed at the first physiotherapy session and 2, 4 and 8 weeks after the start of the intervention.

Read the detailed description

Concussions affect thousands of Canadians every year. Although the effects are usually temporary, 10-15% of adults experience persistent symptoms likely to last several weeks or even months. Some studies have explored the impact of pharmaceuticals on treating post-concussive symptoms. Still, these have shown little success, leading the scientific community to consider multidisciplinary approaches to treating and managing concussions. Recently, it has been suggested that nutritional interventions should be considered in concussion management because nutrition can act on several mechanisms of brain injury. Some nutritional supplements have shown beneficial effects on the speed of recovery and the degree of severity of symptoms related to moderate or severe head trauma. Other studies have shown a link between malnutrition and low neurological and cognitive scores. However, to date, no study has assessed the impact of dietary interventions on the recovery of people with persistent post-concussive symptoms.

This randomized controlled trial aims to determine the impact of a dietary and nutritional intervention on the physical, cognitive, behavioural and emotional symptoms of patients with persistent post-concussive symptoms in New Brunswick, Canada. Patients will be randomized to one of three groups: 1) dietary treatments and nutritional supplements (experimental group A), 2) nutritional supplements (experimental group B), and 3) physiotherapy treatments (control group). Patients in group A will receive four consultations with a dietitian over eight weeks, in addition to conventional physiotherapy treatments. These patients will receive nutritional counselling and omega-3, vitamin D and creatine supplements. Patients in group B will be prescribed the same supplements as those in group A by their doctor and receive physiotherapy treatments. Finally, patients in the control group will only receive physiotherapy treatments. The use of three groups will help determine the individual impact of dietetic treatment offered by a dietitian and the use of supplements. Patient symptoms will be measured using a questionnaire constructed from tools commonly used in practice by medical doctors, physiotherapists and dietitians. This questionnaire will be completed at the first physiotherapy session and 2, 4 and 8 weeks after the start of the intervention.

Being tested
Experimental: Dietetic counseling, Active Comparator: Omega-3, vitamin D3 and creatine monohydrate, Other : Physiotherapy treatment
Keywords
Dietary intervention, Supplements, Omega-3, Vitamin D, Creatine monohydrate
Medical subject headings
Brain Concussion

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Experimental: Dietetic counselingBehavioural

    Patients will receive dietary counselling to increase caloric and nutrient intake, stabilize glycemia, and optimize hydration.

  • Active Comparator: Omega-3, vitamin D3 and creatine monohydrateDietary supplement

    Patients will be prescribed dietary supplements which will be taken daily for 8 weeks, as per the supplement protocol.

  • Other : Physiotherapy treatmentBehavioural

    Patients will receive weekly physiotherapy treatment.

Study groups in NCT05589064
Study groupRoleWhat they receive
Dietary intervention and nutritional supplements (group A)ExperimentalPatients in group A will receive four consultations with a dietitian over eight weeks, in addition to conventional physiotherapy treatments. These patients will receive nutritional counselling and omega-3 (2500mg/day), vitamin D (2000 IU/day) and creatine monohydrate (10mg/day) supplements prescribed by their doctor.
Receives: Behavioral: Experimental: Dietetic counseling; Dietary Supplement: Active Comparator: Omega-3, vitamin D3 and creatine monohydrate; Behavioral: Other : Physiotherapy treatment
Nutritional supplements (group B)Active comparatorPatients in group B will be prescribed omega-3 (2500mg/day), vitamin D (2000 IU/day) and creatine monohydrate (10mg/day) supplements and receive physiotherapy treatments over eight weeks.
Receives: Dietary Supplement: Active Comparator: Omega-3, vitamin D3 and creatine monohydrate; Behavioral: Other : Physiotherapy treatment
Physiotherapy treatment (control group)OtherPatients in the control group will receive physiotherapy treatments over eight weeks.
Receives: Behavioral: Other : Physiotherapy treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in severity of post-concussive symptoms at the end of the intervention

    Patients' severity of post-concussive symptoms will be measured using the 5th edition of the Sport Concussion Assessment Tool (SCAT5). This tool assesses the degree of severity of 22 concussion-related symptoms, on a scale of 0 (no symptoms) to 6 (severe). The total number of perceived symptoms is noted by the physiotherapist, and a symptom severity score is calculated (scale from 0 to 132 points).

    Measured: Baseline and Endpoint (Week 8)

Secondary outcomes (2)
  1. Change from baseline in balance at the end of the intervention

    The physiotherapist will assess patients' balance using the Modified Balance Error Scoring System (mBESS) test. This objective and validated tool is complimentary to the SCAT5 and is scored from 0 to 30 points, where a greater score indicates severe balance impairment.

    Measured: Baseline and Endpoint (Week 8)

  2. Change from baseline in vestibular ocular motor at the end of the intervention

    The physiotherapist will assess patients' vestibular ocular motor using the Vestibular Ocular Screening (VOMS) test (Mucha et al., 2014). This tool measures five domains, including smooth pursuits, saccades (rapid eye movements), near-point convergence, balance vision reflex and visual motion sensitivity. For each domain, the sum of the symptoms is scored, with a total possible score of 0 (no change) to 200 points (significant changes in symptom severity).

    Measured: Baseline and Endpoint (Week 8)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Oct 2022
  2. Study start1 Oct 2022
  3. Primary completionJun 2025 (estimated)
  4. Study completionJun 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05589064
Sponsor's protocol ID
101616
Status last verified
Dec 2024
First submitted
17 Oct 2022
Last updated
13 Dec 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data will be made available to researchers upon reasonable request made to the principal investigator.

Publications

  • Ainsley Dean PJ, Arikan G, Opitz B, Sterr A. Potential for use of creatine supplementation following mild traumatic brain injury. Concussion. 2017 Mar 21;2(2):CNC34. doi: 10.2217/cnc-2016-0016. eCollection 2017 Jun.

    PubMed 30202575
  • Aminmansour B, Nikbakht H, Ghorbani A, Rezvani M, Rahmani P, Torkashvand M, Nourian M, Moradi M. Comparison of the administration of progesterone versus progesterone and vitamin D in improvement of outcomes in patients with traumatic brain injury: A randomized clinical trial with placebo group. Adv Biomed Res. 2012;1:58. doi: 10.4103/2277-9175.100176. Epub 2012 Aug 28.

    PubMed 23326789
  • Annweiler C, Milea D, Whitson HE, Cheng CY, Wong TY, Ikram MK, Lamoureux EL, Sabanayagam C. Vitamin D insufficiency and cognitive impairment in Asians: a multi-ethnic population-based study and meta-analysis. J Intern Med. 2016 Sep;280(3):300-11. doi: 10.1111/joim.12491. Epub 2016 Apr 1.

    PubMed 27037788
  • Baltazar GA, Pate AJ, Panigrahi B, LaBoy S, Prosniak R, Mody A, Chendrasekhar A. Malnutrition as measured by albumin and prealbumin on admission is associated with poor outcomes after severe traumatic brain injury. Am Surg. 2015 Feb;81(2):E61-3. No abstract available.

    PubMed 25642858
  • Breck J, Bohr A, Poddar S, McQueen MB, Casault T. Characteristics and Incidence of Concussion Among a US Collegiate Undergraduate Population. JAMA Netw Open. 2019 Dec 2;2(12):e1917626. doi: 10.1001/jamanetworkopen.2019.17626.

    PubMed 31851345
  • Carney N, Totten AM, O'Reilly C, Ullman JS, Hawryluk GW, Bell MJ, Bratton SL, Chesnut R, Harris OA, Kissoon N, Rubiano AM, Shutter L, Tasker RC, Vavilala MS, Wilberger J, Wright DW, Ghajar J. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery. 2017 Jan 1;80(1):6-15. doi: 10.1227/NEU.0000000000001432.

    PubMed 27654000
  • Cekic M, Cutler SM, VanLandingham JW, Stein DG. Vitamin D deficiency reduces the benefits of progesterone treatment after brain injury in aged rats. Neurobiol Aging. 2011 May;32(5):864-74. doi: 10.1016/j.neurobiolaging.2009.04.017. Epub 2009 May 30.

    PubMed 19482377
  • Cook AM, Peppard A, Magnuson B. Nutrition considerations in traumatic brain injury. Nutr Clin Pract. 2008 Dec-2009 Jan;23(6):608-20. doi: 10.1177/0884533608326060.

    PubMed 19033220
  • Curtis L, Epstein P. Nutritional treatment for acute and chronic traumatic brain injury patients. J Neurosurg Sci. 2014 Sep;58(3):151-60. Epub 2014 May 20.

    PubMed 24844176
  • Dolan E, Gualano B, Rawson ES. Beyond muscle: the effects of creatine supplementation on brain creatine, cognitive processing, and traumatic brain injury. Eur J Sport Sci. 2019 Feb;19(1):1-14. doi: 10.1080/17461391.2018.1500644. Epub 2018 Aug 7.

    PubMed 30086660
  • Doroszkiewicz C, Gold D, Green R, Tartaglia MC, Ma J, Tator CH. Anxiety, Depression, and Quality of Life: A Long-Term Follow-Up Study of Patients with Persisting Concussion Symptoms. J Neurotrauma. 2021 Feb 15;38(4):493-505. doi: 10.1089/neu.2020.7313. Epub 2020 Nov 2.

    PubMed 32962513
  • Emanuelson I, Andersson Holmkvist E, Bjorklund R, Stalhammar D. Quality of life and post-concussion symptoms in adults after mild traumatic brain injury: a population-based study in western Sweden. Acta Neurol Scand. 2003 Nov;108(5):332-8. doi: 10.1034/j.1600-0404.2003.00155.x.

    PubMed 14616303
  • Giza CC, Hovda DA. The Neurometabolic Cascade of Concussion. J Athl Train. 2001 Sep;36(3):228-235.

    PubMed 12937489
  • Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003 Feb;2(1):24-30. doi: 10.1249/00149619-200302000-00006.

    PubMed 12831673
  • Heileson JL, Anzalone AJ, Carbuhn AF, Askow AT, Stone JD, Turner SM, Hillyer LM, Ma DWL, Luedke JA, Jagim AR, Oliver JM. The effect of omega-3 fatty acids on a biomarker of head trauma in NCAA football athletes: a multi-site, non-randomized study. J Int Soc Sports Nutr. 2021 Sep 27;18(1):65. doi: 10.1186/s12970-021-00461-1.

    PubMed 34579748

Questions about this trial

What is this clinical trial studying?

A study testing Experimental: Dietetic counseling, Active Comparator: Omega-3, vitamin D3 and creatine monohydrate and Other : Physiotherapy treatment in people with Brain Injury Traumatic Mild, run by Universite de Moncton at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 13 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Stephanie Ward Chiasson, PhD, RD (506-858-4000 ext. 4090, stephanie.ward@umoncton.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in severity of post-concussive symptoms at the end of the intervention (time frame: Baseline and Endpoint (Week 8)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05589064, which also lists 35 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Dec 2024.

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