Dizziness after sports-related concussion: Can physiotherapists offer better treatment than just ‘physical and cognitive rest’?

摘要: Examination and treatment of concussed athletes is a complex endeavour. Three notable position papers: the International Conference on Concussion in Sport (Zurich) Consensus Statement,1 American Academy Neurology (AAN) Guideline,2 Medical Society for Sports Medicine Position paper,3 advocate multifactorial assessment to diagnose sports-related concussion (‘concussion’ this paper) determine degree functional disturbance. These papers also provide guidelines manage recovery, cornerstone which cognitive physical rest. Rest well-established practice pattern even though it has only very low-level evidence. Strikingly absent from management are specific strategies underpinned by anatomical-symptom correlates.4 ,5 Symptoms such as dizziness common among individuals, present nearly 80% concussions,6 second headaches.3 For most part after concussion, non-dizziness oriented symptoms transient, whereas natural course recovery often lingers, some cases years initial event.6 Considering mechanism associated with …