Citation

Cancelliere C, Mohammed RJ. J. Orthop. Sports Phys. Ther. 2019; ePub(ePub): 1-10.

Affiliation

Canadian Memorial Chiropractic College (CMCC), Toronto, Ontario, Canada.

Copyright

(Copyright © 2019, Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association)

DOI

10.2519/jospt.2019.8849

PMID

31154953

Abstract

SYNOPSIS: Mild traumatic brain injury (TBI) is a major global public health concern. While most people recover within days to months, one in five people with mild TBI report persistent, disabling symptoms that interfere with participation (e.g. work, school, sport). People with non-head injuries may also report similar symptoms. The biopsychosocial model of health can help to explain this phenomenon: factors other than biomedical factors are associated with recovery. Important psychosocial factors include poor recovery expectations and pre- and post-traumatic psychological symptoms. Recent clinical practice guidelines recommend that clinicians examine all relevant biopsychosocial factors that may contribute to persisting post-concussive symptoms and consider them when helping patients make decisions about management. However, clinical training continues to prioritize treating biomedical symptoms, and clinicians may not feel confident to deal with the psychosocial domain. Our objective is to provide 3 recommendations for clinicians to assess psychosocial factors in patients after concussion, and to argue a case for clinicians improving their skills in assessing psychosocial factors. J Orthop Sports Phys Ther, Epub 1 Jun 2019. doi:10.2519/jospt.2019.8849.

Language: en

Keywords

brain concussion; post-concussion syndrome; psychology; recovery of function