@article{ref1,
title="Management of persistent cognitive symptoms after sport-related concussion",
journal="American journal of speech-language pathology",
year="2016",
author="Sohlberg, McKay Moore and Ledbetter, Alexander K.",
volume="25",
number="2",
pages="138-149",
abstract="PURPOSE: This case review examines treatments speech-language pathologists at our clinic delivered to middle school, high school, and college students for the management of persistent cognitive symptoms after sport-related concussion. The goal is to examine a range of treatment options, describe clinical rationale for selecting those treatments, and report outcomes in order to identify feasible interventions for systematic evaluation through efficacy research. <br><br>METHOD: Review of clinic intake data identified 63 cases referred for cognitive rehabilitation over a 36-month period. Twenty-four cases (14 women and 10 men) met selection criteria, including documented sport-related concussion, postconcussion symptoms persisting at least 2 months with deleterious effect on school performance, and enrollment in secondary or postsecondary education. The authors independently coded demographics, treatment approaches, functional goal domains, and outcomes. <br><br>RESULTS: Treatment approaches fell into 4 broad categories: direct attention training, metacognitive strategy training, training assistive technology for cognition, and psychoeducational supports. Eighty-three percent of clients achieved self-selected functional goals. <br><br>CONCLUSIONS: Research has focused primarily on return to play and provision of academic accommodations in the initial weeks following concussion. <br><br>FINDINGS from this case series suggest that speech-language pathologists can deliver individualized interventions that lead to positive clinical outcomes. The authors hope findings encourage efficacy research.<p /> <p>Language: en</p>",
language="en",
issn="1058-0360",
doi="10.1044/2015_AJSLP-14-0128",
url="http://dx.doi.org/10.1044/2015_AJSLP-14-0128"
}