Rehabilitation of Sport-Related Concussion

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

doi:10.1016/j.csm.2020.08.003

Rehabilitation of Sport-Related Concussion

Clin Sports Med. 2021 Jan;40(1):93-109. doi: 10.1016/j.csm.2020.08.003.

Authors

Mohammad Nadir Haider¹, Lenore Herget², Ross D Zafonte³, Adam G Lamm³, Bonnie M Wong³, John J Leddy⁴

Affiliations

¹ UBMD Orthopaedics and Sports Medicine, Concussion Management Clinic and Research Center, State University of New York at Buffalo, 160 Farber Hall, Buffalo, NY 14214, USA.
² Massachusetts General Hospital, MGH Sports Medicine, New England Patriots, Boston Bruins, Boston Celtics, New England Revolution and Boston Red Sox, 55 Fruit Street, Boston, MA 02114, USA.
³ Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Brigham and Women's Hospital, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
⁴ UBMD Orthopaedics and Sports Medicine, Concussion Management Clinic and Research Center, State University of New York at Buffalo, 160 Farber Hall, Buffalo, NY 14214, USA. Electronic address: leddy@buffalo.edu.

PMID: 33187616
DOI: 10.1016/j.csm.2020.08.003

Abstract

This article provides a summary of clinical assessment methods and nonpharmacologic rehabilitation techniques used for concussed patients. It describes concussion-relevant physical examination methods to identify underlying symptom generators. This approach allows practitioners to prescribe targeted rehabilitation therapies to treat postconcussion symptoms. Evidence-based rehabilitation approaches include cervical rehabilitation, vestibulo-ocular rehabilitation, and sub-symptom threshold aerobic exercise.

Keywords: Exercise tolerance; Rehabilitation; Sport-related concussion; Sub–symptom threshold exercise prescription.

Publication types

Review

MeSH terms

Athletic Injuries / diagnosis
Athletic Injuries / physiopathology
Athletic Injuries / therapy*
Brain Concussion / diagnosis
Brain Concussion / physiopathology
Brain Concussion / therapy*
Exercise Therapy* / methods
Exercise Tolerance
Humans
Patient Care Team
Physical Examination
Post-Concussion Syndrome / therapy