Rehabilitation of Sport-Related Concussion

Haider, Mohammad Nadir; Herget, Lenore; Zafonte, Ross; Lamm, Adam G; Wong, Bonnie; Leddy, John J.

doi:10.1016/j.csm.2020.08.003

Cited by 11 publications

(3 citation statements)

References 82 publications

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“…For example, recent reviews [ 75 , 76 , 77 ] focused on the effect of physical exercise in patients with persistent PCS and found that exercise significantly reduced the severity of PCS, the percentage of patients with PCS, and days off work, as compared to controls. Other recent reviews addressed issues such as interventions in sport-related concussion [ 17 , 78 ], reporting evidence in support of cervical rehabilitation, vestibulo-ocular rehabilitation, aerobic exercise, or rTMS [ 51 , 79 ], suggesting promising preliminary results for the treatment of post-concussive depression and headaches. As previously mentioned, a systematic review with meta-analysis provided only very low to low levels of evidence to support commonly applied non-pharmacological interventions for persistent PCS [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Treatments of Post-Concussion Symptoms

Heslot

Azouvi

Perdrieau

et al. 2022

JCM

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Approximately 10–20% of patients who have sustained a mild Traumatic Brain Injury (mTBI) show persistent post-concussion symptoms (PCS). This review aims to summarize the level of evidence concerning interventions for PCS. Following the PRISMA guidelines, we conducted a systematic review regarding interventions for PCS post-mTBI until August 2021 using the Medline, Cochrane, and Embase databases. Inclusion criteria were the following: (1) intervention focusing on PCS after mTBI, (2) presence of a control group, and (3) adult patients (≥18 y.o). Quality assessment was determined using the Incog recommendation level, and the risk of bias was assessed using the revised Cochrane risk-of-bias tool. We first selected 104 full-text articles. Finally, 55 studies were retained, including 35 that obtained the highest level of evidence. The risk of bias was high in 22 out of 55 studies. Cognitive training, psycho-education, cognitive behavioral therapy, and graded return to physical activity demonstrated some effectiveness on persistent PCS. However, there is limited evidence of the beneficial effect of Methylphenidate. Oculomotor rehabilitation, light therapy, and headache management using repetitive transcranial magnetic stimulation seem effective regarding somatic complaints and sleep disorders. The preventive effect of early (<3 months) interventions remains up for debate. Despite its limitations, the results of the present review should encourage clinicians to propose a tailored treatment to patients according to the type and severity of PCS and could encourage further research with larger groups.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of Treatments of Post-Concussion Symptoms

Heslot

Azouvi

Perdrieau

et al. 2022

JCM

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“…Тренери та ребілітологи мають переорієнтовуватися на розробників практичних завдань, спрямованих на різноманітні можливості для взаємодій. Так, впроваджують новітні методи реабілітації спортивної травми, що супроводжуються крововтратою, неврологічними порушеннями, імунологічними ускладненнями, системною запальною відповіддю [8]. Швидко у клінічні умови впроваджуються віртуальна реальність та інтерактивні відеоігри як новітні підходи до лікування і реабілітації після інсульту [9].…”

Section: вступunclassified

Effectiveness of the Rehabilitation Approach Based on the Visual Model of Mobius Tape in the Treatment of Myofascial Pain Syndrome of the Cervical Region in Combatants

Strashko¹

2022

Med. and Ecol. probl.

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During combat activities, the consequences of contusive and traumatic injuries to the spine, which lead to myofascial pain, in particular in the neck area, are of great importance. Myofascial pain syndrome, localized in the muscles and fascia, can range from mild discomfort to excruciating pain. To optimize personal rehabilitation programs in health care practice, for additional visualization of educational and practical activities, it was suggested to consider the rehabilitation process as a "motor and mental dialogue" at the same time, and also to use a topological object - the Möbius strip as a visual, multi-vector, interdisciplinary, plastic model of rehabilitation. The paper focuses on the study of the effectiveness of using the ecological approach in rehabilitation practice. The research was conducted on the basis of the Municipal Enterprise "Poltava Regional Clinical Hospital for War Veterans" of Poltava Regional Council. 42 military servicemen - participants of combat activities with a diagnosis of the myofascial pain syndrome of the cervical area were included in the study. As a component of the ecological approach, an individually developed program of comprehensive rehabilitation intervention aimed at the biomechanically interconnected muscle spirals, the diaphragm and masticatory muscles, and the temporomandibular joint was used. The method of active rehabilitation in patients using a program of comprehensive rehabilitation intervention for biomechanically interconnected muscle spirals, diaphragm and masticatory muscles, and temporomandibular joint, was based on a course of training with a multidisciplinary rehabilitation team lasting 21 days - 3 - 5 sessions with the doctor every day and 6-8 sessions according to the video sample recorded by the doctor. A statistically significant decrease in the intensity of pain according to VAS and an increase in the angle of painless lateral movement with an element of rotation may indicate the effectiveness of rehabilitation measures already on the seventh day of treatment. A decrease in the intensity of pain and an increase in the angle of painless lateral movement with an element of rotation in the experimental group, as compared to the control group, may indicate the advantage of using the proposed program at the same time as standard approaches in rehabilitation. The model proposed in the study can act not only as a treatment and rehabilitation tool but also as a visual training tool for future specialists, which has several advantages over traditional models. In particular, it involves low cost and ease of implementation, and it should be noted that the comprehensive, at first glance, rehabilitation process is simplified due to mathematical logic, sequence, creativity, and game form.

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“…32 Ocular rehabilitation exercises may include repetitive saccades, convergence with a Brock string and pencil push-ups. 40 In one review of 33 patients with mTBI, 90% showed either complete or marked reduction in one or more of their primary symptoms (blur, diplopia, sensitivity to visual motion, eye strain/headache). 32 Pre-treatment symptoms predominantly affect near or reading vision.…”

Section: Managementmentioning

confidence: 99%

Visual effects of concussion: A review

Fraser

Mobbs

2021

Clinical Exper Ophthalmology

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A concussion occurs when a direct or indirect force is transmitted to the brain, causing a change in brain function. Given that approximately half the brain circuits are involved in vision and the control of eye movements, a concussion frequently results in visual symptoms. Ophthalmic abnormalities are helpful in the assessment of acute concussion, identified by rapid automized naming tasks and eye movement assessments. In particular, convergence, eye-tracking and the vestibular-ocular motor screening tool may be used. For patients suffering from post-concussion syndrome more than 3 months from the original injury, abnormalities may be found in convergence, accommodation and smooth pursuit. Orthoptic exercises are useful rehabilitation tools to allow patients to return to school, work and recreation. This article provides a brief overview of concussion as it relates to vision and ophthalmic practice.

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Rehabilitation of Sport-Related Concussion

Cited by 11 publications

References 82 publications

A Systematic Review of Treatments of Post-Concussion Symptoms

A Systematic Review of Treatments of Post-Concussion Symptoms

Effectiveness of the Rehabilitation Approach Based on the Visual Model of Mobius Tape in the Treatment of Myofascial Pain Syndrome of the Cervical Region in Combatants

Visual effects of concussion: A review

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