Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11700
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dc.contributor.authorMakdissi, Michaelen
dc.contributor.authorCantu, Robert Cen
dc.contributor.authorJohnston, Karen Men
dc.contributor.authorMcCrory, Paulen
dc.contributor.authorMeeuwisse, Willem Hen
dc.date.accessioned2015-05-16T01:19:05Z
dc.date.available2015-05-16T01:19:05Z
dc.date.issued2013-04-01en
dc.identifier.citationBritish Journal of Sports Medicine; 47(5): 308-13en
dc.identifier.govdoc23479490en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/11700en
dc.description.abstractConcussion in sport typically recovers clinically within 10 days of injury. In some cases, however, symptoms may be prolonged or complications may develop. The objectives of the current paper are to review the literature regarding the difficult concussion and to provide recommendations for an approach to the investigation and management of patients with persistent symptoms.A qualitative review of the literature on concussion in sport was conducted with a focus on prolonged recovery, long-term complications and management including investigation and treatment strategies. MEDLINE and Sports Discus databases were reviewed.Persistent symptoms (>10 days) are generally reported in 10-15% of concussions. This figure may be higher in certain sports (eg, ice hockey) and populations (eg, children). In general, symptoms are not specific to concussion and it is important to consider and manage coexistent pathologies. Investigations may include formal neuropsychological testing and conventional neuroimaging to exclude structural pathology. Currently, there is insufficient evidence to recommend routine clinical use of advanced neuroimaging techniques or genetics markers. Preliminary studies demonstrate the potential benefit of subsymptom threshold activity as part of a comprehensive rehabilitation programme. Limited research is available on pharmacological interventions.Cases of concussion in sport where clinical recovery falls outside the expected window (ie, 10 days) should be managed in a multidisciplinary manner by healthcare providers with experience in sports-related concussion. Important components of management, after the initial period of physical and cognitive rest, include associated therapies such as cognitive, vestibular, physical and psychological therapy, assessment for other causes of prolonged symptoms and consideration of a graded exercise programme at a level that does not exacerbate symptoms.en
dc.language.isoenen
dc.subject.otherAmbulatory Careen
dc.subject.otherApolipoprotein E4.geneticsen
dc.subject.otherAthletic Injuries.diagnosis.rehabilitation.therapyen
dc.subject.otherCentral Nervous System Agents.therapeutic useen
dc.subject.otherChronic Diseaseen
dc.subject.otherDiagnosis, Differentialen
dc.subject.otherDiagnostic Imaging.methodsen
dc.subject.otherElectroencephalographyen
dc.subject.otherExercise Testen
dc.subject.otherGenetic Testing.methodsen
dc.subject.otherHumansen
dc.subject.otherNeuropsychological Testsen
dc.subject.otherPost-Concussion Syndrome.diagnosis.rehabilitation.therapyen
dc.titleThe difficult concussion patient: what is the best approach to investigation and management of persistent (>10 days) postconcussive symptoms?en
dc.typeJournal Articleen
dc.identifier.journaltitleBritish Journal of Sports Medicineen
dc.identifier.affiliationFlorey Institute of Neuroscience and Mental Health, Heidelberg, Victoria 3084, Australiaen
dc.identifier.doi10.1136/bjsports-2013-092255en
dc.description.pages308-13en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/23479490en
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
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