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Updated: Jan 24, 2026
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Autonomic Function Following Concussion in Youth Athletes: An Exploration of Heart Rate Variability Using 24-hour Recording Methodology
Published on: September 21, 2018
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Can the Neck Contribute to Persistent Symptoms Post Concussion? A Prospective Descriptive Case Series
Summary
Persistent concussion symptoms often involve the neck. This study found 90% of participants with lingering post-concussion issues had a neck problem, highlighting the importance of neck assessment for recovery.
Area of Science:
- Neurology
- Orthopedics
- Sports Medicine
Background:
- Persistent symptoms after concussion can stem from various sources, including cervical spine dysfunction.
- Neck assessment findings in individuals with persistent post-concussion symptoms are not well-described.
Purpose of the Study:
- To evaluate individuals with persistent post-concussion symptoms for concurrent neck injury.
- To determine the contribution of neck dysfunction to persistent concussion symptoms.
Main Methods:
- Prospective recruitment of 20 participants with persistent post-concussion symptoms referred for neck assessment.
- Data collection included validated questionnaires (Rivermead Post Concussion Symptoms Questionnaire, Neck Disability Index, Dizziness Handicap Inventory), patient-reported pain and dizziness, physical examination, and comorbidity details.
- Assessment occurred at initial evaluation and post-neck treatment.
Main Results:
- 90% of participants were identified as having a neck problem contributing to their symptoms.
- Common findings included moderate-to-severe Neck Disability Index scores (33.4 ± 9.5), frequent neck pain (85%), and upper cervical spine involvement (85% pain on occiput-C4 assessment).
- A positive flexion-rotation test (45%) and muscle tenderness (50-55%) were also noted.
Conclusions:
- Concurrent neck injury, particularly involving the upper cervical spine, is common in individuals with persistent post-concussion symptoms.
- Recognizing and treating neck-related dysfunction is crucial for managing persistent symptoms and improving outcomes after concussion.
- Neck assessment and treatment should be considered in the multidisciplinary management of persistent post-concussion symptoms.
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