In-Office Management of Concussion, Acute and Persistent Postconcussion Symptoms, Including Management of
Carlyn Patterson Gentile1, Matthew Grady2
1Department of Neurology, Perelman School of Medicine at the University of Pennsylvania; Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania; Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
This review covers sports concussion management, including screening, diagnosis, and recovery tracking across acute, subacute, and persistent phases. It emphasizes early return to activities and symptom-targeted strategies, especially for persistent posttraumatic headache.
Area of Science:
- Sports Medicine
- Neurology
- Rehabilitation
Background:
- Sports-related concussion is a prevalent outpatient condition.
- Effective management requires understanding distinct recovery phases.
Purpose of the Study:
- To review current approaches for sports concussion.
- To outline screening, diagnosis, recovery tracking, and management strategies.
- To highlight management of persistent posttraumatic headache.
Main Methods:
- Review of literature on sports concussion management.
- Categorization of management strategies by recovery stage: acute, subacute, and persistent symptoms.
- Focus on specific interventions like graded activity and symptom targeting.
Main Results:
- Management involves incremental return to daily activities and graded return to play.
- Symptom-targeted strategies are crucial for recovery.
- Posttraumatic headache is the most common persistent symptom.
Conclusions:
- A phased approach to concussion management is effective.
- Early and graded activity is key to recovery.
- Addressing persistent posttraumatic headache is vital for complete recovery.
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