“…Identifying the cause of this high prevalence of persistent post-concussive symptoms in the non-sports population has been a source of much speculation. Some of the most cited reasons for persistent complaints after concussion include: - Persistent central nervous system neuropathology ( Bigler et al, 2016 ; D’Souza M et al, 2015 ; Dean, Sato, Vieira, McNamara, & Sterr, 2015 ; Nordin et al, 2016 ; Shahim et al, 2017 ; Zagorchev et al, 2016 )
- Malingering ( Carroll et al, 2004 ; Cottingham & Boone, 2014 ; Lange, Iverson, Brooks, & Rennison, 2010 ; Spadoni, Kosheleva, Buchsbaum, & Simmons, 2015 )
- Expectation effects ( Ferguson, Mittenberg, Barone, & Schneider, 1999 ; Waldron-Perrine, Tree, Spencer, Suhr, & Bieliauskas, 2015 )
- Psychological conditions either preceding or subsequent to the injury ( Donnell, Kim, Silva, & Vanderploeg, 2012 ; Losoi et al, 2016 ; Macleod, 2010 )
- Posttraumatic anxiety responses ( Bryant, 2011 ; Schneiderman, Braver, & Kang, 2008 ; Vasterling et al, 2012 )
- Pituitary Dysfunction ( Sundaram, Geer, & Greenwald, 2013 ; Tanriverdi et al, 2015 ; Tanriverdi, Unluhizarci, & Kelestimur, 2010 )
- Vestibular or oculomotor dysfunction ( Heitger et al, 2009 ; Suh et al, 2006 )
- Chronic pain and/or comorbid injuries to the cervical spine ( Morin, Langevin, & Fait, 2016 ; Richter, 1995 ; Smith-Seemiller, Fow, Kant, & Franzen, 2003 ; Weyer Jamora, Schroeder, & Ruff, 2013 )
…”