Rehabilitation Utilizing Controlled Aerobic Activity in Patients with a Concussion: A Critically Appraised Topic.

Rehabilitation Utilizing Controlled Aerobic Activity in Patients with a Concussion: A Critically Appraised Topic. J Sport Rehabil. 2019 May 16;:1-17 Authors: Prince J, Schussler E, McCann R Abstract CLINICAL SCENARIO: An estimated 1.6 to 3.8 million concussions occur in sport and recreational activities annually.1 A sport related concussion (SRC) is contemporarily defined as a traumatic brain injury induced by biomechanical forces.2 Symptoms of concussion are caused by the metabolic cascade that includes excitatory neurotransmitter release, abnormal ion fluxes, increased glucose metabolism, lactic acid accumulation, elevated cerebral blood flow, energy deficit, and inflammation.3-5 These changes in the brain are responsible for the hallmark symptoms of a concussion such as headache, nausea, loss of consciousness, and pressure in the head. Most concussions resolve within 2-4 weeks, but approximately 10-33% of individuals have persistent symptoms for months after the initial injury.6-8 An associated comorbidity following concussion is post-concussion syndrome (PCS). Clinical diagnostic criteria for PCS requires a history of brain injury and the presence of at least two symptoms for a minimum of four weeks.9 Having three of eight symptoms (headache, dizziness, fatigue, irritability, insomnia, concentration problems, memory difficulty, or intolerance of stress emotion or alcohol) for at least four weeks has also been identified as ground...
Source: Journal of Sport Rehabilitation - Category: Sports Medicine Tags: J Sport Rehabil Source Type: research