Citation

Paniccia MJ, Reed NP. Can. J. Occup. Ther. 2017; 84(2): 111-118.

Copyright

(Copyright © 2017, Canadian Association of Occupational Therapists)

DOI

10.1177/0008417416688302

PMID

28462668

Abstract

BACKGROUND: Youth concussion and its subsequent recovery have been described as heterogeneous; no one injury is the same, and each youth is different in how he or she recovers.

PURPOSE: This paper proposes a theoretical perspective on the management of youth with persistent concussion symptoms. KEY ISSUES: When managing concussion within youth, further consideration of person, occupation, and environment factors may provide insight on (a) the differential spectrum of profiles that exist among youth who have experienced a concussion and (b) how these profiles can support client-centred rehabilitation. Passive-dove and active-hawk stress profiles from evolutionary literature will be used to contextualize return to occupational performance. An innovative, novel model-the Dove-Hawk Model of Allostatic Load for Youth With Persistent Concussion Symptoms-is proposed to illustrate these concepts, and approaches to rehabilitation across the spectrum of profiles are offered. IMPLICATIONS: Viewing persistent youth concussion recovery in this way may elucidate different approaches to client-centred rehabilitation.

Language: en

Keywords

Mild traumatic brain injury; Modèle de rétablissement; Pediatric; Pédiatrie; Recovery model; Rehabilitation; Reprise des activités; Return to activity; Réadaptation; Traumatisme craniocérébral léger