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Updated: Nov 16, 2025
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Specialty-Specific Diagnoses in Pediatric Patients With Postconcussion Syndrome: Experience From a Multidisciplinary
Ankoor S Shah1,2, Aparna Raghuram1,2, Karampreet Kaur3
1Boston Children's Hospital, Boston, Massachusetts.
Objective:
To describe the collaborative findings across a broad array of subspecialties in children and adolescents with postconcussion syndrome (PCS) in a pediatric multidisciplinary concussion clinic (MDCC) setting.
Design:
Retrospective analysis.
Setting:
Multidisciplinary concussion clinic at a pediatric tertiary-level hospital.
Patients:
Fifty-seven patients seen in MDCC for evaluation and management of PCS between June 2014 and January 2016.
Interventions:
Clinical evaluation by neurology, sports medicine, otolaryngology, optometry, ophthalmology, physical therapy, and psychology.
Main Outcome Measures:
Specialty-specific clinical findings and specific, treatable diagnoses relevant to PCS symptoms.
Results:
A wide variety of treatable, specialty-specific diagnoses were identified as potential contributing factors to patients' postconcussion symptoms. The most common treatable diagnoses included binocular vision dysfunction (76%), anxiety, (57.7%), depression (44.2%), new or change in refractive error (21.7%), myofascial pain syndrome (19.2%), and benign paroxysmal positional vertigo (17.5%).
Conclusions:
Patients seen in a MDCC setting receive a high number of treatable diagnoses that are potentially related to patients' PCS symptoms. The MDCC approach may (1) increase access to interventions for PCS-related impairments, such as visual rehabilitation, physical therapy, and psychological counseling; (2) provide patients with coordinated medical care across specialties; and (3) hasten recovery from PCS.
