Rehabilitation of Concussion and Persistent Postconcussive Symptoms

Charles G. Wilber; John J. Leddy; Itai Bezherano; Lacey Bromley; Amanda E. Edwards; Barry S. Willer; Mohammad N. Haider

doi:10.1055/s-0041-1725134

Rehabilitation of Concussion and Persistent Postconcussive Symptoms

Charles G. Wilber
, John J. Leddy
, Itai Bezherano
, Lacey Bromley
, Amanda E. Edwards
, Barry S. Willer
, Mohammad N. Haider

SUNY Buffalo
D'Youville College
Bennett Rehabilitation Institute

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Concussion and persistent postconcussive symptoms (PPCS) are encountered by clinicians in sports medicine, pediatrics, neurology, physiatry, emergency medicine, and primary care. Clinical management may require a multidisciplinary approach. This article presents a structured method for the diagnosis of concussion and PPCS in the outpatient setting, which includes a history, physical examination, and additional tests as clinically indicated to help identify underlying symptom generators. Treatment for concussion and PPCS should be individualized, based on predominant signs and symptoms, and can include subsymptom threshold aerobic exercise, cervical physical therapy, vestibulo-ocular rehabilitation, behavioral and cognitive psychotherapy, and some symptom-specific pharmacological therapies.

Original language	English
Pages (from-to)	124-131
Number of pages	8
Journal	Seminars in Neurology
Volume	41
Issue number	2
DOIs	https://doi.org/10.1055/s-0041-1725134
State	Published - Apr 8 2021

Keywords

active rehabilitation
cervicogenic headache
concussion
persistent post concussion symptoms
post-concussion syndrome

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10.1055/s-0041-1725134

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title = "Rehabilitation of Concussion and Persistent Postconcussive Symptoms",

abstract = "Concussion and persistent postconcussive symptoms (PPCS) are encountered by clinicians in sports medicine, pediatrics, neurology, physiatry, emergency medicine, and primary care. Clinical management may require a multidisciplinary approach. This article presents a structured method for the diagnosis of concussion and PPCS in the outpatient setting, which includes a history, physical examination, and additional tests as clinically indicated to help identify underlying symptom generators. Treatment for concussion and PPCS should be individualized, based on predominant signs and symptoms, and can include subsymptom threshold aerobic exercise, cervical physical therapy, vestibulo-ocular rehabilitation, behavioral and cognitive psychotherapy, and some symptom-specific pharmacological therapies.",

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AU - Wilber, Charles G.

AU - Leddy, John J.

AU - Bezherano, Itai

AU - Bromley, Lacey

AU - Edwards, Amanda E.

AU - Willer, Barry S.

AU - Haider, Mohammad N.

PY - 2021/4/8

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AB - Concussion and persistent postconcussive symptoms (PPCS) are encountered by clinicians in sports medicine, pediatrics, neurology, physiatry, emergency medicine, and primary care. Clinical management may require a multidisciplinary approach. This article presents a structured method for the diagnosis of concussion and PPCS in the outpatient setting, which includes a history, physical examination, and additional tests as clinically indicated to help identify underlying symptom generators. Treatment for concussion and PPCS should be individualized, based on predominant signs and symptoms, and can include subsymptom threshold aerobic exercise, cervical physical therapy, vestibulo-ocular rehabilitation, behavioral and cognitive psychotherapy, and some symptom-specific pharmacological therapies.

KW - active rehabilitation

KW - cervicogenic headache

KW - concussion

KW - persistent post concussion symptoms

KW - post-concussion syndrome

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ER -

Rehabilitation of Concussion and Persistent Postconcussive Symptoms

Abstract

Keywords

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