A-04 One Size Fits None: Neurobiologic-Specific Modifications For The Assessment, Diagnosis, and Treatment of Sport-Related Concussion

Abstract

Objective The primary objective of this review paper is to introduce the underlying neurobiology of concussion symptoms, including relevant neuroanatomy, and to discuss these findings relative to the traditional homogenous model and a newer clinical profile model for sport-related concussion (SRC) assessment, conceptualization, and treatment. Method Empirical studies, meta-analyses, and consensus statements relevant to the assessment, conceptualization, and treatment of SRC were identified via systematic, but informal, procedures. This literature review focused on papers discussing the neuroanatomy and neurobiology of concussion symptoms and sequelae, as well as the exploration of new clinical treatment models for SRC. Results Exploration of the literature further supports the use of a clinical profiles-based SRC assessment and treatment protocol. Comparisons of traditional and new protocols show that a traditional assessment, conceptualization, and treatment model of SRC as a homogenous injury inadequately captures the individual injury experience and recovery trajectory. Conclusions This review confirms existing literature that the clinical profiles-based model best addresses the heterogeneous nature of sport-related concussion using a neurobiological and neuroanatomical approach to understanding SRC. Utilizing this model, clinicians can provide an individualized assessment, conceptualization, and treatment plan for SRC, leading to an improved clinical experience for athletes and better clinical outcomes.