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Prescribe Sub-Symptom Exercise for Adolescent Concussion
Clinical decision support R package for sub-symptom threshold aerobic exercise (SSTAE) in adolescents with persistent post-concussion symptoms (PPCS). Implements an evidence-based protocol from Li (2026), winner of the 2026 NATA Foundation Best Summary Evidence Research Award.
GRADE: LOW certainty | Conditional recommendation FOR
For licensed clinicians only. Not a substitute for clinical judgement.
Evidence synthesis: OSF
10.17605/osf.io/kvuf6
Project site: guanglab.org
| Function | Purpose |
|---|---|
screen_ppcs() |
Eligibility and safety screening |
prescribe_ppcs() |
BCTT-guided (80% HRST) or age-predicted prescription |
track_progress() |
Session log, HR progression, stop-if-worsen rules |
install.packages("PPCSexRx")Requirements: R ≥ 4.0
library(PPCSexRx)
screen_ppcs(age = 16, days_post_injury = 35)
rx <- prescribe_ppcs(age = 16, days_post_injury = 35, hrst = 165)
print(rx)
log <- NULL
tr <- track_progress(log, pcss = 30, duration_min = 20, achieved_hr = 120, rx)See vignette("PPCSexRx") after installation.
Primary evidence synthesis:
Li G (2026). Sub-symptom Threshold Aerobic Exercise for Adolescents With PPCS: A Critically Appraised Topic. Winner, 2026 NATA Foundation Best Summary Evidence Research Award. https://doi.org/10.17605/osf.io/kvuf6
MIT — see LICENSE.
Guang Li —
contact@guanglab.org
PhD Student, Idaho State University · Guang Lab
ORCID
0009-0004-2807-9029
These binaries (installable software) and packages are in development.
They may not be fully stable and should be used with caution. We make no claims about them.
Health stats visible at Monitor.