Active Rehabilitation of Concussion and Post-concussion Syndrome

Phys Med Rehabil Clin N Am. 2016 May;27(2):437-54. doi: 10.1016/j.pmr.2015.12.003.


Concussion is a physiological brain injury with physical, cognitive, and emotional sequelae. The macrophysiological insult to the brain affects the autonomic nervous system and its control of cerebral blood flow. Most patients recover within 2 weeks, but some do not. Persistence of symptoms beyond the generally accepted time frame for recovery is called post-concussion syndrome (PCS). PCS is not a single entity; it is a group of disorders that requires specific forms of therapy. Rest has been the mainstay of the treatment for concussion and PCS. This article discusses the rationale for the active treatment of concussion and PCS.

Keywords: Active; Concussion; Physiology; Post-concussion syndrome; Rehabilitation; Treatment.

Publication types

  • Review

MeSH terms

  • Bed Rest*
  • Brain
  • Brain Concussion / physiopathology
  • Brain Concussion / rehabilitation*
  • Humans
  • Physical Examination
  • Post-Concussion Syndrome / prevention & control*
  • Post-Concussion Syndrome / rehabilitation*