Adapting the Dynamic, Recursive Model of Sport Injury to Concussion: An Individualized Approach to Concussion Prevention, Detection, Assessment, and Treatment

被引：19
作者：
Schneider, Kathryn J. [1 ,2 ,3 ,4 ]
Emery, Carolyn A. [1 ,2 ,3 ]
Black, Amanda [1 ,2 ,3 ,5 ]
Yeates, Keith O. [1 ,2 ,3 ,5 ]
Debert, Chantel T. [3 ,6 ]
Lun, Victor [4 ]
Meeuwisse, Willem H. [1 ]
机构：
[1] Univ Calgary, Fac Kinesiol, Sport Injury Prevent Res Ctr, 2500 Univ Dr NW, Calgary, AB T2N 1N4, Canada
[2] Univ Calgary, Alberta Childrens Hosp, Res Inst, Calgary, AB, Canada
[3] Univ Calgary, Cumming Sch Med, Hotchkiss Brain Inst, Calgary, AB, Canada
[4] Univ Calgary, Sport Med Ctr, Calgary, AB, Canada
[5] Univ Calgary, Dept Psychol, Calgary, AB, Canada
[6] Univ Calgary, Cumming Sch Med, Dept Clin Neurosci, Calgary, AB, Canada
来源：
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY | 2019年 / 49卷 / 11期
关键词：
assessment; clinical care; concussion; prevention; rehabilitation; TRAUMATIC BRAIN-INJURY; PERSISTENT POSTCONCUSSION SYMPTOMS; COLLEGIATE-ATHLETIC-ASSOCIATION; WHIPLASH-ASSOCIATED DISORDERS; CLINICAL-PRACTICE GUIDELINE; STATES HIGH-SCHOOL; VESTIBULAR REHABILITATION; RISK-FACTORS; PITUITARY DYSFUNCTION; NECK PAIN;
D O I：
10.2519/jospt.2019.8926
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
SYNOPSIS: The risk factors of concussion may be categorized as intrinsic (internal factors specific to the individual) or extrinsic (external factors related to the environment or sport). Identifying these factors is part of an individualized, patient-centered approach to prevention, assessment, and management of concussion. In most cases, the symptoms of concussion resolve in the initial few days following the injury, and a strategy involving a gradual return to sport and school is recommended. When symptoms persist for longer than 7 to 10 days, a multifaceted interdisciplinary assessment to guide treatment is recommended. This article applies the dynamic, recursive model of sport injury to sport-related concussion and summarizes the process of individualized assessment and management following concussion in athletes of all ages, with a focus on physical rehabilitation.
引用
收藏
页码：799 / 810
页数：12
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