Research Articles

Rehabilitation of Concussion and Post-concussion Syndrome

Written by on January 25, 2016 in Treatment

Authors: John J. Leddy, MD,*† Harkeet Sandhu, MD,† Vikram Sodhi, MD, John G. Baker, PhD,† and Barry Willer, PhD‡

Prolonged symptoms after concussion are called post-concussion syndrome (PCS), which is a controversial disorder with a wide differential diagnosis.

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Vestibular rehabilitation following mild traumatic brain injury

Written by on January 25, 2016 in Treatment

Authors: James M. Gurleya,b,*, Bryan D. Hujsakc and Jennifer L. Kellyc

The purpose of this review is to appraise the current and accepted methods available to the skilled clinician in quantifying and treating vestibular dysfunction following concussion. Incidence and prognostic indicators will be reviewed along with common barriers to recovery.

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Outcomes, utility, and feasibility of single task and dual task intervention programs: Preliminary implications for post-concussion rehabilitation

Written by on January 25, 2016 in Treatment

Authors: Joseph M. Ingriselli a, Johna K. Register-Mihalika,b,*, Julianne D. Schmidtc, Jason P. Mihalika,d, Benjamin M. Goergere, Kevin M. Guskiewicza

To examine neurocognitive and balance performance in recreational athletes, prior to and following a dual-task training intervention compared to single-task controls in order to assess the utility and feasibility of these interventions in the clinical setting

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Vestibular and balance treatment of the concussed athlete

Written by on January 25, 2016 in Treatment

Authors: Kathy Aligenea,* and Emerald Lin

The purpose of this chapter is to provide an update on the clinical management of vestibular and balance dysfunction in a concussed athlete with a focus on diagnosis, initial work-up, and initial and continuing management. Although much is still unknown about the etiology of vestibular and balance dysfunction in a concussed athlete, we briefly review current theories about neural pathophysiology to help link proposed treatment methodologies.

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Exercise Prescription Patterns in Patients Treated with Vestibular Rehabilitation After Concussion

Written by on January 25, 2016 in Treatment

Authors: Bara A. Alsalaheen1, Susan L. Whitney1,2,3, Anne Mucha2, Laura O. Morris2, Joseph M. Furman3 & Patrick J. Sparto1,2,3*

Individuals with concussion often complain of persistent dizziness and imbalance, and these problems have been treated with vestibular rehabilitation exercises. The purpose of this study is to describe the vestibular rehabilitation exercise prescriptions provided to individuals after concussion

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Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial

Written by on January 25, 2016 in Treatment

Authors: Kathryn J Schneider,1,2 Willem H Meeuwisse,1,3 Alberto Nettel-Aguirre,2,3,4, Karen Barlow,2 Lara Boyd,5 Jian Kang,1 Carolyn A Emery1,2,3

Concussion is a common injury in sport. Most individuals recover in 7–10 days but some have persistent symptoms. The objective of this study was to determine if a combination of vestibular rehabilitation and cervical spine physiotherapy decreased the time until medical clearance in individuals with prolonged postconcussion symptoms.

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On-field Management and Return-to-Play in Concussed Children are Lacking

Written by on January 25, 2016 in Treatment

Authors: Haran HP., Bressan S., Oakley E., Davis GA., Anderson V., Babl FE.

Take Home Message: Only 58% of concussed children were managed according to recommended guidelines and 13% returned to play while symptomatic. Additionally, 93% of parents and 96% of players were unaware of their organization’s return-to-play guidelines following a concussion.

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Systematic Review of Prognosis and Return to Play After Sport Concussion: Results of the International Collaboration on Mild Traumatic Brain Injury Prognosis

Written by on January 25, 2016 in Treatment

To synthesize the best available evidence on prognosis after sport concussion.

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A retrospective view of concussion in American football, 1900–1959: What was suggested then we now know

Written by on January 19, 2016 in Soccer

Authors: Gary Solomon and Allen Kent Sills

While published work and media attention about football-related concussion in the USA have increased exponentially in the past few years, these injuries have in fact been written about for over a century. In this work, we undertook a selective review of the PubMed database of the published reports on concussion in football prior to 1960, with attention to the definitions used, physician attitudes, epidemiology, return to play criteria and recommendations and concerns related to long-term outcomes.

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Baseline Neurocognitive Testing in Sports-Related Concussions: The Importance of a Prior Night’s Sleep

Written by on January 19, 2016 in Neuropsychological Testing

Authors: D. Jake McClure, Scott L. Zuckerman, Scott J. Kutscher, Andrew J. Gregory and Gary S. Solomon

The management of sports-related concussions (SRCs) utilizes serial neurocognitive assessments and selfreported symptom inventories to assess recovery and safety for return to play (RTP). Because postconcussive RTP goals include symptom resolution and a return to neurocognitive baseline levels, clinical decisions rest in part on understanding modifiers of this baseline. Several studies have reported age and sex to influence baseline neurocognitive performance, but few have assessed the potential effect of sleep. We chose to investigate the effect of reported sleep duration on baseline Immediate Post- Concussion Assessment and Cognitive Testing (ImPACT) performance and the number of patient-reported symptoms.

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