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27 - Evidence-Based Rehabilitation in Typical Concussive Brain Injury: Results of a Systematic Review

from Part III - Diagnosis and Management of Concussion

Published online by Cambridge University Press:  22 February 2019

By
Jon Pertab
Edited by
Jeff Victoroff  and
Erin D. Bigler
Jeff Victoroff
Affiliation:
University of Southern California, Torrance
Erin D. Bigler
Affiliation:
Brigham Young University, Utah
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Summary

The phrase “concussion treatment” verges on the specious. The molecular, genetic, chemical, ultrastructural, metabolic, and cellular changes in the first minute after a typical concussive brain injury (CBI) are very poorly understood, certainly different in every case, and currently inaccessible to medical intervention. The brain will either fix itself or it won’t. Later, however, the post-concussive environment appears to be a factor that influences long-term outcome. The present chapter employs the clinically special term “rehabilitation” -- a subtype of health care ostensibly dissociable from acute treatment. It might be more useful to set aside that distinction. Apart from evacuation of an intracranial hemorrhage, few therapeutic acts are strictly restricted to or identified with acute care. The author of this chapter, an expert in neurorehabilitation and active clinician, has eloquently summarized the state of that art as it can be applied to helping shape the post-concussive milieu in the interests of survivors. Far from being helpless, compassionate clinicians are now armed with abundant empirical evidence about what seems to help.
Type
Chapter
Information
Concussion and Traumatic Encephalopathy
Causes, Diagnosis and Management
 , pp. 780 - 799
Publisher: Cambridge University Press
Print publication year: 2019

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