Concussion: Current Concepts in Diagnosis and Management

被引:18
作者
Borich, Michael R. [1 ]
Cheung, Katharine L. [2 ]
Jones, Paul [2 ]
Khramova, Vera [3 ]
Gavrailoff, Lauren [2 ]
Boyd, Lara A. [1 ,2 ]
Virji-Babul, Naznin [1 ,3 ]
机构
[1] Univ British Columbia, Dept Phys Therapy, Vancouver, BC V6T 1Z3, Canada
[2] Univ British Columbia, Grad Program Neurosci, Vancouver, BC V6T 1Z3, Canada
[3] Child & Family Res Inst, Vancouver, BC, Canada
来源
JOURNAL OF NEUROLOGIC PHYSICAL THERAPY | 2013年 / 37卷 / 03期
关键词
clinical outcomes; exercise; mild traumatic brain injury; neuroimaging; rehabilitation; TRAUMATIC BRAIN-INJURY; SPORTS-RELATED CONCUSSION; HEAD-INJURY; HIGH-SCHOOL; STANDARDIZED ASSESSMENT; UP-REGULATION; RISK-FACTORS; EPIDEMIOLOGY; EXERCISE; RECOVERY;
D O I
10.1097/NPT.0b013e31829f7460
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Current understanding of the term "concussion" is fraught with misconceptions regarding the extent and nature of brain injury. Despite increasing attention in popular media and within the context of sports, considerable gaps exist in our knowledge of the diagnosis, underlying brain pathology, recovery of function, and optimal interventions for concussion. In this special interest article, we discuss the definition and risk factors associated with concussion, summarize and highlight some of the most widely used assessment tools, and critique the evidence for current principles of concussion management. Our evaluation has identified opportunities for novel neuroimaging techniques to improve the understanding of the pathophysiology of concussion and to evaluate the changes in the recovering brain in response to rehabilitation. In summary, a clear definition of the underlying brain pathology, the potential long-term consequences, and the risk factors of injury and recovery will help guide future research aiming to minimize the impact of injury and develop innovative and successful therapeutic approaches aimed at ameliorating the functional impairments associated with concussion. Video Abstract available (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A51) for more insights from the authors.
引用
收藏
页码:133 / 139
页数:7
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