Managing Patients with Prolonged Recovery Following Concussion

Mary Miller Phillips; Cara Camiolo Reddy

doi:10.1016/j.pmr.2015.12.005

Managing Patients with Prolonged Recovery Following Concussion

Phys Med Rehabil Clin N Am. 2016 May;27(2):455-74. doi: 10.1016/j.pmr.2015.12.005.

Authors

Mary Miller Phillips¹, Cara Camiolo Reddy²

Affiliations

¹ Brain Injury Program, Department of Physical Medicine and Rehabilitation, UPMC Rehabilitation Institute, University of Pittsburgh Medical Center, 1400 Locust Street, D-G103, Pittsburgh, PA 15219, USA.
² Brain Injury Program, Department of Physical Medicine and Rehabilitation, UPMC Rehabilitation Institute, University of Pittsburgh Medical Center, 1400 Locust Street, D-G103, Pittsburgh, PA 15219, USA. Electronic address: camice@upmc.edu.

PMID: 27154856
DOI: 10.1016/j.pmr.2015.12.005

Abstract

Persistent symptoms following concussion can be debilitating for patients and challenging for clinicians; however, evidence-based approaches to symptom management are emerging. The presentation of postconcussion syndrome can be variable among patients. Given this variability, a thorough history and physical examination are necessary to tailor an individualized treatment approach. Pharmacologic interventions can be considered when prolonged symptoms are negatively affecting quality of life. This article reviews evidence available to guide such treatment decisions.

Keywords: Concussion; Non-pharmacologic management; Pharmacologic interventions; Postconcussion syndrome.

Publication types

Review

MeSH terms

Athletic Injuries / rehabilitation*
Brain Concussion / rehabilitation*
Humans
Neuropsychological Tests
Post-Concussion Syndrome / drug therapy
Post-Concussion Syndrome / prevention & control
Post-Concussion Syndrome / rehabilitation*
Quality of Life
Time Factors