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;
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 — [email protected]
PhD Student, Idaho State University · Guang Lab
ORCID 0009-0004-2807-9029