Active Rehabilitation of Concussion and Post-concussion Syndrome

被引:103
作者
Leddy, John J. [1 ]
Baker, John G. [2 ]
Willer, Barry [3 ]
机构
[1] SUNY Buffalo, UBMD Dept Orthopaed & Sports Med, 160 Farber Hall, Buffalo, NY 14214 USA
[2] Univ Buffalo, Jacobs Sch Med & Biomed Sci, UBMD Dept Orthopaed & Sports Med & Nucl Med, Sch Social Work, Buffalo, NY USA
[3] Univ Buffalo, Jacobs Sch Med & Biomed Sci, Dept Psychiat, Buffalo, NY USA
关键词
Rehabilitation; Concussion; Post-concussion syndrome; Active; Physiology; Treatment; TRAUMATIC BRAIN-INJURY; SPORT-RELATED CONCUSSION; SYMPTOMATIC CONVERGENCE INSUFFICIENCY; COGNITIVE-BEHAVIORAL PREVENTION; MILD HEAD-INJURY; POSTCONCUSSION SYNDROME; EARLY INTERVENTION; VOLUNTARY EXERCISE; BALANCE DISORDERS; VESTIBULAR SYSTEM;
D O I
10.1016/j.pmr.2015.12.003
中图分类号
R49 [康复医学];
学科分类号
100232 [康复医学];
摘要
Concussion is a physiological brain injury with physical, cognitive, and emotional sequelae. The macrophysiological insult to the brain affects the autonomic nervous system and its control of cerebral blood flow. Most patients recover within 2-4 weeks, but some do not. Persistence of symptoms beyond the generally accepted time frame for recovery is called post-concussion syndrome (PCS). PCS is not a single entity; it is a group of disorders that requires specific forms of therapy. Rest has been the mainstay of the treatment for concussion and PCS. This article discusses the rationale for the active treatment of concussion and PCS.
引用
收藏
页码:437 / +
页数:19
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