Rehabilitation strategies can improve clinical outcomes after concussion within the first three weeks
The solid ore on your head doesn’t require you to be a professional footballer. More than 3 million people worldwide suffer from concussions, which are also known as mild traumatic brain injury every year. Some are the result of car accidents, while others are the result of falling or taking headers on the sports field. After concussion, current clinical practice protocols support multimodal rehabilitation and physical therapy strategies for concussion recovery, including cervical dysfunction and vestibular eye care and exhaustive activities without specific intervention sequences.
Now, in a recent study, New York scientists led by Professor Christopher Wong at Columbia University; Dr. Samantha Vargas, Ph.D., Tessia DeMattos, and Dr. Lauren Ziaks and Chelsea Brown of Parker Hospital in Utah, all attempted to describe clinical and patient-reported results of post-symptom symptoms following post-rehabilitation rehabilitation strategies that performed temporary attacks within the range of cervical disease disorders and good conquering side effects and performed two-thirds of the range within the first range. The group used existing data at the concussion clinic 4-5 years ago, and began examining patients’ cervical dysfunction in the first three weeks after injury integrated with visual and vestibular therapy, which is consistent with the recovery of concussion and published on it International Journal of Exercise Physical Therapy.
This retrospective cohort study concluded that patients receiving physical therapy, including manual treatment and cervical dysfunction exercise and benign paroxysmal paroxysmal positional vertigo after exercise, restored normal movement in more than half of the patients during the first three weeks after concussion. In addition, the impairment of the vestibular system disorders with balanced capacity, vestibular-ribolaberate symptoms, and subjective patient-reported outcomes of visual function significantly increased without changes in saccade. However, everyone diagnosed before treatment resolved benign paroxysmal position vertigo.
In this critical study, Wong and colleagues showed that brain inhibitory syndrome rehabilitation regimens include cervical dysfunction and benign paroxysmal paroxysmal vertigo, and comprehensive visual and vestibular treatments were performed within the first three weeks of injury, which could improve clinical and patient-reported clinical and patient-reported clinical and patient-reported clinical and patient-reported.
“The interconnection of systems makes it possible for musculoskeletal function to be addressed before the 3-week post-inhibition recovery window in clinical approaches, and then integrate vision and vestibular systems in the form of clinical approaches,” Professor Wong said. “This study will help develop better treatment sequences in clinical practice guidelines for patients with brain inhibition syndrome.
Journal Reference
Wong, CK, Ziaks, L., Vargas, S., Demattos, T. , & Brown, C. (2021). Sequencing and integration of cervical manual therapy and vestibular nuclear therapy for concussion symptoms: a retrospective analysis. International Journal of Exercise Physical Therapy,,,,, 16(1), 12.10.26603/001C.18825
Christopher Kevin Wong, PT, Ph.D.
professor
Dr. Wong is the director of the course for clinical residency in orthopedic physical therapy, associate director of physical therapy program, and professor of rehabilitation and regenerative medicine at Columbia University Irving University Medical Center. He teaches and studies orthopedics, orthotics and prosthetics topics and has been a clinical practice for a certified orthopedic clinical expert since 2000. His research has been published in national and international conferences on physiotherapy, physical therapy, and prosthesis, and has been published in over 50 articles and textbooks.
Lauren J. Ziaks, DPT
Lauren Ziaks holds a PhD in Physics Therapy from Northeastern University, specializing in concussion rehabilitation for health care in healthcare. Her specialties include vision therapy, vestibular rehabilitation therapy and management of dysfunction.
Chelsea Brown, PT, DPT
Chelsea Brown holds a PhD in Physics Therapy from Northeastern University and develops a clinical interest in post-concussion management. She works in the Greater Boston area outpatient clinic, specializing in visual therapy and vestibular therapy.
Main image source: Pixabay’s Milius007
