PPCSexRx: Prescribe Sub-Symptom Exercise for Adolescent Concussion
A clinical decision support system for sub-symptom threshold
aerobic exercise (SSTAE) prescription in adolescents with persistent
post-concussion symptoms (PPCS). Implements an evidence-based protocol
derived from a systematic review of seven studies (Li, 2026; <doi:10.17605/osf.io/kvuf6>),
encoding safety screening, Buffalo Concussion Treadmill Test (BCTT)-guided
heart rate prescription, session-level progress tracking, and evidence
disclosure using the Grading of Recommendations, Assessment, Development
and Evaluation (GRADE) framework into an open-source tool for athletic
trainers and clinicians. Designed to support implementation in
resource-limited settings where BCTT equipment may be unavailable.
GRADE certainty of evidence: LOW. For clinician use only; not a
substitute for clinical judgement.
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