Citation

Gagnon I. J. Orthop. Sports Phys. Ther. 2019; ePub(ePub): ePub.

Affiliation

CanPedCDE Research Group.

Copyright

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

DOI

10.2519/jospt.2019.8918

PMID

31597547

Abstract

SYNOPSIS: Pediatric and adolescent concussion is an increasingly high-profile public health issue, but it is also a highly heterogeneous phenomenon. Many factors interact dynamically to influence a child or adolescent's recovery trajectory. Diagnostic assessment must include domains other than self-reported symptoms, yet many prognostic models of outcome focus solely on the presence or absence of post-concussion symptoms to determine recovery. Function after concussion (recovery or persistence of problems) is the result of an interaction between biological, psychological, and social factors. Despite biopsychosocial models of assessment being advocated in rehabilitation for the last 20 years, they are still not routinely implemented in the evaluation of concussions, along the recovery trajectory, in children and adolescents. The International Classification of Functioning Disability and Health (ICF) is a framework anchored in a biopsychosocial perspective, which can guide clinicians and researchers to include multiple perspectives to their assessments or research designs. By focusing on the patient as a person, researchers and clinicians could provide a more holistic approach that has the potential to contribute to a more successful and sustainable pediatric and adolescent concussion care model. J Orthop Sports Phys Ther, Epub 9 Oct 2019. doi:10.2519/jospt.2019.8918.

Language: en

Keywords

adolescent; concussion; pediatric