TY  - JOUR
PY  - 2016//
TI  - Management of persistent cognitive symptoms after sport-related concussion
JO  - American journal of speech-language pathology
A1  - Sohlberg, McKay Moore
A1  - Ledbetter, Alexander K.
SP  - 138
EP  - 149
VL  - 25
IS  - 2
N2  - 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>
LA  - en
SN  - 1058-0360
UR  - http://dx.doi.org/10.1044/2015_AJSLP-14-0128
ID  - ref1
ER  -