Sport statt Couch – aktuelle Empfehlungen für das Management von Gehirnerschütterungen

Zusammenfassung

Während man bis vor wenigen Jahren nach einer sportbezogenen Gehirnerschütterung absolute Ruhe verordnete, sind die Empfehlungen heute wesentlich differenzierter. An einem Fallbeispiel erklären die Autorinnen, was sich bei der Therapie geändert hat.

Publication History

Article published online:
01 July 2025

• Literatur

• 1 Davis GA, Echemendia RJ, Ahmed OH. et al. Child SCAT6. Br J Sports Med 2023; 57 (11) 636-647
• 2 Davis GA, Patricios JS, Purcell LK. et al. Child SCOAT6. Br J Sports Med 2023; 57 (11) 672-688
• 3 Devore E, Morgenlander A, Krucoff C. et al. Yoga and mindfulness intervention for concussion recovery. Int J Yoga Ther 2023; 33: Article 1
• 4 Echemendia RJ, Brett BL, Broglio S. et al. Sport Concussion Assessment Tool™ – 6 (SCAT6). Br J Sports Med 2023; 57 (11) 622-631 dt. Übersetzung https://braincare.swiss
• 5 Feddermann-Demont N, Palla A, Ettlin T. et al. Diagnostik und Therapie bei Gehirnerschütterung im Sport. Swiss Med Forum – Schweiz Med-Forum; 2020.
• 6 Haider MN, Bezherano I, Wertheimer A. et al. Exercise for sport-related concussion and persistent postconcussive symptoms. Sports Health Multidiscip Approach 2021; 13: 154-160
• 7 Haider MN, Johnson SL, Mannix R. et al. The Buffalo Concussion Bike Test for concussion assessment in adolescents. Sports Health Multidiscip Approach 2019; 11: 492-497
• 8 Jennings T, Islam MS. Examining the interdisciplinary approach for treatment of persistent post-concussion symptoms in adults: A systematic review. Brain Impair 2023; 24: 290-308
• 9 Leddy JJ. Sport-related concussion. N Engl J Med 2025; 392: 483-493
• 10 Leddy JJ, Burma JS, Toomey CM. et al. Rest and exercise early after sport-related concussion: A systematic review and meta-analysis. Br J Sports Med 2023; 57: 762-770
• 11 Leddy JJ, Haider MN, Ellis MJ. et al. Buffalo Concussion Bike Test (BCBT) – Instruction Manual. University at Buffalo; 2020
• 12 Leddy JJ, Haider MN, Ellis M. et al. Exercise is medicine for concussion. Curr Sports Med Rep 2018; 17: 262-270
• 13 Leddy JJ, Haider MN, Noble JM. et al. Management of concussion and persistent post-concussive symptoms for neurologists. Curr Neurol Neurosci Rep 2021; 21: 72
• 14 Mucci V, Meier C, Bizzini M. et al. Combined optokinetic treatment and vestibular rehabilitation to reduce visually induced dizziness in a professional ice hockey player after concussion: A clinical case. Front Neurol 2019; 10: 1200
• 15 Mucha A, Collins MW, Elbin RJ. et al. A brief Vestibular/Ocular Motor Screening (VOMS) Assessment to evaluate concussions: Preliminary findings. Am J Sports Med 2014; 42: 2479-2486
• 16 Patricios JS, Davis GA, Ahmed OH. et. al. Sport Concussion Office Assessment Tool 6 (SCOAT6). Br J Sports Med 2023; 57: 651-667 dt. Übersetzung https://braincare.swiss
• 17 Patricios JS, Schneider KJ, Dvorak J. et al. Consensus statement on concussion in sport: The 6th International Conference on Concussion in Sport – Amsterdam, October 2022. Br J Sports Med 2023; 57: 695-711
• 18 Vos PE, Alekseenko Y, Battistin L. et al. European Federation of Neurological Societies. Mild traumatic brain injury. Eur J Neurol 2012; 19 (2) 191-8
• 19 Xiang L, Bansal S, Wu AY. et al. Pathway of care for visual and vestibular rehabilitation after mild traumatic brain injury: A critical review. Brain Inj 2022; 36: 911-920