Rehabilitation of Persistent Symptoms After Concussion

被引:0
|
作者
Lujan, Ashley [1 ]
Lin, Katherine [2 ]
机构
[1] South Texas VAHCS, Dept Rehabil Med, 7400 Merton Minter, San Antonio, TX 78229 USA
[2] Palo Alto VAMC, Dept Phys Med & Rehabil, 3801 Miranda Ave,Bldg 500, Palo Alto, CA 94304 USA
关键词
Postconcussive syndrome; Persistent symptoms; Headaches; Concussion; Chronic; TRAUMATIC BRAIN-INJURY; POSTTRAUMATIC HEADACHE; SLEEP DISTURBANCES; PREDICTORS; DISORDERS; LIFE;
D O I
10.1016/j.pmr.2024.02.006
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Persistent symptoms following mild TBI present treatment challenges and hinder community reintegration. Recognizing the multi -faceted nature of persistent symptoms, influenced by the complex interplay of biological, psychological, and social factors, can aid in developing an individualized treatment plan. The mainstay approach to prevention of persistent symptoms involves early education that manages expectations and emphasizes the high likelihood of full symptom resolution. Specific strategies can involve using terms like "concussion" instead of "brain injury" to avoid potential associations with ongoing disability and to validate symptoms without implying attribution or causation. Early active targeted symptom treatment, often necessitating a multi -disciplinary team, should be implemented. Prioritize nonpharmacological methods and try to avoid polypharmacy. For further guidance, the following clinical practice guidelines are driven by evidence -based research and serve as a comprehensive resource for managing persistent symptoms after mTBI. http://www.healthquality.va.gov/guidelines/Rehab/mtbi/
引用
收藏
页码:535 / 546
页数:12
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