Semin Neurol 2021; 41(02): 124-131
DOI: 10.1055/s-0041-1725134
Review Article

Rehabilitation of Concussion and Persistent Postconcussive Symptoms

Charles G. Wilber
1  Department of Orthopaedics and Sports Medicine, Jacobs School of Medicine and Biomedical Sciences, UBMD, State University of New York at Buffalo, Buffalo, New York
,
John J. Leddy
1  Department of Orthopaedics and Sports Medicine, Jacobs School of Medicine and Biomedical Sciences, UBMD, State University of New York at Buffalo, Buffalo, New York
,
Itai Bezherano
1  Department of Orthopaedics and Sports Medicine, Jacobs School of Medicine and Biomedical Sciences, UBMD, State University of New York at Buffalo, Buffalo, New York
,
Lacey Bromley
2  Department of Physical Therapy, School of Health Professions, D'Youville College, Buffalo, New York
3  Bennett Rehabilitation Institute, Buffalo, New York
,
Amanda E. Edwards
4  UB Counseling Services, Department of Athletics, State University of New York at Buffalo, Buffalo, New York
,
Barry S. Willer
5  Department of Psychiatry, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York
,
Mohammad N. Haider
1  Department of Orthopaedics and Sports Medicine, Jacobs School of Medicine and Biomedical Sciences, UBMD, State University of New York at Buffalo, Buffalo, New York
6  PhD Program in Biomedical Science, Program of Neuroscience, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York
› Author Affiliations

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.

Financial Support and Sponsorship/Funding

Research reported in this publication was supported by the National Institute of Neurological Disorders and Stroke of the National Institutes of Health (NIH) under award number 1R01NS094444 and the National Center for Advancing Translational Sciences of the NIH under award number UL1TR001412 to the University at Buffalo, State University of New York . The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.




Publication History

Publication Date:
04 March 2021 (online)

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