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Marcos de Noronha, Eleisha K. Lay, Madelyn R. Mcphee, George Mnatzaganian and Guilherme S. Nunes

, and medical expenditures. 1 At an elite level, absence of an athlete due to an unexpected injury can result in defeats in major games, financial losses, and huge economic burden. 1 At a recreational level, participation in sport can be affected, with consequences in fitness and social interaction. 7

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Nicholas Hattrup, Hannah Gray, Mark Krumholtz and Tamara C. Valovich McLeod

removal of patients following concussion from their daily social interactions along with the sudden decrease in aerobic fitness may negatively affect their quality of life. 20 , 21 Early aerobic exercise, even while the patient is symptomatic, may help to decrease some of these sudden changes while

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Kelly P. Arbour-Nicitopoulos, Viviane Grassmann, Krystn Orr, Amy C. McPherson, Guy E. Faulkner and F. Virginia Wright

disabilities into the same activities; promoting social interactions and play (opportunities for fostering friendships and social acceptance) PedsQL 4.0 (Health-related Quality of life); Piers-Harris 2 Children’s Self Concept Scale (self-concept); Peer Sociometric Nomination Assessment (peer acceptance