Citation

Pleva DJ, Hanson JC, Greer B. J. Man. Manip. Ther. 2024; ePub(ePub): ePub.

Copyright

(Copyright © 2024, Journal of Manual and Manipulative Therapy)

DOI

10.1080/10669817.2024.2368923

PMID

38949207

Abstract

OBJECTIVE: Concussions are a common condition in athletes leading to symptoms including headache, dizziness, and sometimes vestibular deficits. Concussion management typically involves rest and a gradual return to activity among other interventions. This case series includes three patients who were evaluated using Mechanical Diagnosis and Therapy (MDT) after sport-related injuries involving concussion-like symptoms. MDT is a system of evaluating patients using repeated movements and sustained positions to assess symptomatic and mechanical changes.

RESULTS: Patients in this case series demonstrated rapid reduction of symptoms using variations of repeated cervical movements and sustained positions, which enabled them to return to play with a lasting resolution of symptoms.

DISCUSSION/CONCLUSION: This highlights the importance of a classification system for the appropriate treatment of these cases who did not require management using concussion protocol, as they were classified as cervical derangement.

Language: en

Keywords

Concussion; derangement; directional preference; McKenzie method