BACKGROUND: Individuals can experience headaches, dizziness, cervical dysfunction, balance disturbances, fatigue, and oculomotor impairments following a concussion. Patients with sports-related concussions are not a homogenous group but rather heterogenous groups with mixed clinical findings. PURPOSE: The purpose of this clinical commentary is to propose a classification system developed specifically for the physical therapy management of sports-related concussions. DESCRIPTION: The concept of "symptom instability" was introduced to assist with classifying patients. The time period post-concussion, symptom instability, and the ability to identify symptom triggers were used as defining criteria. The end result was a classification system with five clinical subgroups. RELATIONSHIP TO CLINICAL PRACTICE: The classification system assists in forming homogeneous groups. The grouping of patients into these subgroups can allow for improved efficiency of organizing treatment plans. LEVEL OF EVIDENCE: 5.
BACKGROUND: Individuals can experience headaches, dizziness, cervical dysfunction, balance disturbances, fatigue, and oculomotor impairments following a concussion. Patients with sports-related concussions are not a homogenous group but rather heterogenous groups with mixed clinical findings. PURPOSE: The purpose of this clinical commentary is to propose a classification system developed specifically for the physical therapy management of sports-related concussions. DESCRIPTION: The concept of "symptom instability" was introduced to assist with classifying patients. The time period post-concussion, symptom instability, and the ability to identify symptom triggers were used as defining criteria. The end result was a classification system with five clinical subgroups. RELATIONSHIP TO CLINICAL PRACTICE: The classification system assists in forming homogeneous groups. The grouping of patients into these subgroups can allow for improved efficiency of organizing treatment plans. LEVEL OF EVIDENCE: 5.
Authors: Paul McCrory; Willem H Meeuwisse; Mark Aubry; Bob Cantu; Jirí Dvorák; Ruben J Echemendia; Lars Engebretsen; Karen Johnston; Jeffrey S Kutcher; Martin Raftery; Allen Sills; Brian W Benson; Gavin A Davis; Richard G Ellenbogen; Kevin Guskiewicz; Stanley A Herring; Grant L Iverson; Barry D Jordan; James Kissick; Michael McCrea; Andrew S McIntosh; David Maddocks; Michael Makdissi; Laura Purcell; Margot Putukian; Kathryn Schneider; Charles H Tator; Michael Turner Journal: Br J Sports Med Date: 2013-04 Impact factor: 13.800
Authors: Christopher C Giza; Jeffrey S Kutcher; Stephen Ashwal; Jeffrey Barth; Thomas S D Getchius; Gerard A Gioia; Gary S Gronseth; Kevin Guskiewicz; Steven Mandel; Geoffrey Manley; Douglas B McKeag; David J Thurman; Ross Zafonte Journal: Neurology Date: 2013-03-18 Impact factor: 9.910
Authors: William P Meehan; Rebekah C Mannix; Andrea Stracciolini; R J Elbin; Michael W Collins Journal: J Pediatr Date: 2013-04-26 Impact factor: 4.406
Authors: Mark R Lovell; Grant L Iverson; Michael W Collins; Kenneth Podell; Karen M Johnston; Dustin Pardini; Jamie Pardini; John Norwig; Joseph C Maroon Journal: Appl Neuropsychol Date: 2006
Authors: Scott A Burns; Edward Foresman; Stephenie J Kraycsir; William Egan; Paul Glynn; Paul E Mintken; Joshua A Cleland Journal: Sports Health Date: 2011-07 Impact factor: 3.843