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Review
. 2015 Jul;43(3):274-84.
doi: 10.1080/00913847.2015.1064301. Epub 2015 Jul 3.

The Role of the Cervical Spine in Post-Concussion Syndrome

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Review

The Role of the Cervical Spine in Post-Concussion Syndrome

Cameron M Marshall et al. Phys Sportsmed. .

Abstract

While much is known regarding the pathophysiology surrounding concussion injuries in the acute phase, there is little evidence to support many of the theorized etiologies to post-concussion syndrome (PCS); the chronic phase of concussion occurring in ∼ 10-15% of concussed patients. This paper reviews the existing literature surrounding the numerous proposed theories of PCS and introduces another potential, and very treatable, cause of this chronic condition; cervical spine dysfunction due to concomitant whiplash-type injury. We also discuss a short case-series of five patients with diagnosed PCS having very favorable outcomes following various treatment and rehabilitative techniques aimed at restoring cervical spine function.

Keywords: Brain concussion; musculoskeletal manipulations; pathophysiology; post-concussion syndrome; whiplash injuries.

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