Vestibuläre und okulomotorische Therapie nach Gehirnerschütterung

Zusammenfassung

OPTIMALE BEHANDLUNG Nach einem schweren Check persistieren bei einem Eishockeyspieler Kopfschmerzen, Schwindel, Licht- und Lärmempfindlichkeit – trotz Aufenthalt im Krankenhaus und vierwöchiger Trainingspause. Die bleibenden Symptome fordern eine spezifische und multidisziplinäre Abklärung sowie eine gezielte und differenzierte Trainingsplanung.

• Literatur

• 1 Schneider KJ, Iverson GL, Emery CA. et al. The effects of rest and treatment following sport-related concussion: A systematic review of the literature. Br J Sports Med 2013; 47: 304-7 doi: 10.1136/bjsports-2013–092190. Review
• 2 Collins MW, Kontos AP, Reynolds E. et al. A comprehensive, targeted approach to the clinical care of athletes following sport-related concussion. Knee Surg Sports Traumatol Arthrosc 2014; 22: 235-246 doi: 10.1007/s00167–013–2791–6
• 3 Broglio SP, Collins MW, Williams RM. et al. Current and emerging rehabilitation for concussion: A review of the evidence. Clin Sports Med 2015; 34: 213-231 doi: 10.1016/j.csm.2014.12.005. Review
• 4 Schneider KJ, Meeuwisse WH, Nettel-Aguirre A. et al. Cervicovestibular rehabilitation in sport-related concussion: A randomised controlled trial. Br J Sports Med 2014; 48: 1294-1298 doi: 10.1136/bjsports-2013–093267
• 5 Schneider KJ, Leddy JL, Guskiewicz KM. et al. Rest and specific treatments following sports-related concussion: A systematic review. Consensus Statement on Concussion in Sport – The 5th International Conference on Concussion in Sport held in Berlin, October 2016. Br J Sport Med. 2017 in press
• 6 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 doi: 10.1177/0363546514543775
• 7 Guskiewicz KM, Riemann BL, Perrin DH. et al. Alternative approaches to the assessment of mild head injury in athletes. Med Sci Sports Exerc 1997; 29 (Suppl. 07) 213-221
• 8 Guskiewicz KM. Balance assessment in the management of sport-related concussion. Clin Sports Med 2011; 30: 89-102 ix. doi: 10.1016/j.csm.2010.09.004. Review
• 9 Resch JE, Brown CN, Schmidt J. et al. The sensitivity and specificity of clinical measures of sport concussion: Three tests are better than one. BMJ Open Sport Exerc Med. 2016 02. e000012. doi:10.1136/ bmjsem-2015–000012
• 10 Murray DA, Meldrum D, Lennon O. Can vestibular rehabilitation exercises help patients with concussion? A systematic review of efficacy, prescription and progression patterns. Br J Sports Med. 2016 doi:10.1136/bjsports-2016–096081
• 11 King LA, Horak FB. The role of the vestibular system in postural control. Section 1, Chapter 3. In: Vestibular Rehabilitation. Herdman SusanJ, Clendaniel RichardA. Ed. 4th Edition. F.A.Davis; Philadelphia: 2014
• 12 Morris L, Gottshall K. Physical therapy management of the patient with vestibular dysfunction of head trauma. Section 5, Chapter 26. In: Vestibular Rehabilitation. Herdman SusanJ, Clendaniel RichardA. Ed. 4th Edition. F.A.Davis; Philadelphia: 2014