Citation

Alsalaheen B, Landel R, Hunter-Giordano A, Shimamura KK, Quatman-Yates C, Hanke T, McCulloch K. J. Orthop. Sports Phys. Ther. 2019; ePub(ePub): ePub.

Affiliation

University of North Carolina, Division of Physical Therapy, Department of Allied Health Sciences, School of Medicine, Chapel Hill, NC.

Copyright

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

DOI

10.2519/jospt.2019.8869

PMID

31610759

Abstract

SYNOPSIS: Concussions are a public health concern that affect individuals across the lifespan. The multifaceted effects of concussion warrant an interdisciplinary management strategy that may include physical therapy. Physical therapists may feel underprepared for clinical decision-making following a concussive event. Therefore, we propose a new treatment-based profiling model to help physical therapists manage patients following a concussive event. We describe a profiling model-based on information about symptom type and intensity, disability status, and response to movement - to prioritize treatment emphasis as: (1) symptom management, (2) movement system optimization, or (3) performance optimization. We consider contextual factors that might modify treatment decision-making and present examples of each treatment-based profile. J Orthop Sports Phys Ther, Epub 14 Oct 2019. doi:10.2519/jospt.2019.8869.

Language: en

Keywords

concussion; mTBI; physical therapy; whiplash