Joseph Adams1, Brian Moore2. 1. Department of Physical Therapy, Rusk Rehabilitation, New York University Langone Medical Center, New York, N.Y. 2. Department of Physical Therapy, California State University, Sacramento, Calif.
Abstract
Purpose: The authors explored changes in outcome measures and return to meaningful life activities in six individuals who participated in a home-based multi-modal rehabilitation programme to address persistent dizziness and debility that had continued for more than 9 months since a documented concussion. Methods: In a case series using a repeated-measures design, changes from pre- to post-treatment assessments were assessed after a 6-month intervention. The outcome measures used were the Rivermead Post-Concussion Symptoms Questionnaire's subsidiary scales (RPQ-3, RPQ-13), Dizziness Handicap Inventory (DHI), Activities-specific Balance Confidence Scale, Functional Gait Assessment, return to work or study, and return to activity. Results: Six months after the multi-modal rehabilitation programme, statistically significant differences were found on the RPQ-3 (p=0.026), RPQ-13 (p=0.037), and DHI (p=0.033). In addition, four participants had returned to their previous work, and all six participants had been able to return to physical activity. Conclusion: A supervised home programme, provided in the context of a multi-modal rehabilitation programme, has the potential to improve outcomes even when rehabilitative services are delayed and persistent concussion-related symptoms continue for a significant amount of time after the onset of a concussion.
Purpose: The authors explored changes in outcome measures and return to meaningful life activities in six individuals who participated in a home-based multi-modal rehabilitation programme to address persistent dizziness and debility that had continued for more than 9 months since a documented concussion. Methods: In a case series using a repeated-measures design, changes from pre- to post-treatment assessments were assessed after a 6-month intervention. The outcome measures used were the Rivermead Post-Concussion Symptoms Questionnaire's subsidiary scales (RPQ-3, RPQ-13), Dizziness Handicap Inventory (DHI), Activities-specific Balance Confidence Scale, Functional Gait Assessment, return to work or study, and return to activity. Results: Six months after the multi-modal rehabilitation programme, statistically significant differences were found on the RPQ-3 (p=0.026), RPQ-13 (p=0.037), and DHI (p=0.033). In addition, four participants had returned to their previous work, and all six participants had been able to return to physical activity. Conclusion: A supervised home programme, provided in the context of a multi-modal rehabilitation programme, has the potential to improve outcomes even when rehabilitative services are delayed and persistent concussion-related symptoms continue for a significant amount of time after the onset of a concussion.
Authors: Nicholas I Wood; James Hentig; Madison Hager; Candace Hill-Pearson; Jamie N Hershaw; Alicia R Souvignier; Selena A Bobula Journal: J Clin Med Date: 2022-05-24 Impact factor: 4.964
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