TY  - JOUR
PY  - 2017//
TI  - Clinical characteristics and outcomes of treatment of the cervical spine in patients with persistent post-concussion symptoms: a retrospective analysis
JO  - Musculoskeletal science and practice
A1  - Kennedy, Ewan
A1  - Quinn, Dusty
A1  - Tumilty, Steve
A1  - Chapple, Cathy M.
SP  - 91
EP  - 98
VL  - 29
IS  - 
N2  - BACKGROUND: Concussion is typically defined as a mild brain injury, and yet the brain is unlikely to be the only source of persistent post-concussion symptoms. Concurrent injury to the cervical spine in particular is acknowledged as a potential source of common persistent symptoms such as headache, dizziness and neck pain. <br><br>OBJECTIVES: To describe the cervical spine findings and outcomes of treatment in a series of patients with persistent post-concussion symptoms, and describe the clinical characteristics of a cervicogenic component when it is present. <br><br>DESIGN: Retrospective chart review of a consecutive series of patients with concussion referred to a physiotherapist for cervical spine assessment. <br><br>METHOD: Patient charts for all patients over a calendar year referred by a concussion service provider to a physiotherapist for cervical spine assessment were de-identified and transferred to the research team. Clinical data were independently extracted by two research assistants and analysed using descriptive statistics. <br><br>RESULTS/FINDINGS: Data were analysed from 46 patient charts. Those with a cervicogenic component (n = 32) were distinguished from those without a cervicogenic component (n = 14) by physical examination findings, particularly pain on manual segmental examination. Physiotherapy treatment of the cervicogenic component (n = 21) achieved improvements in function (mean increase of 3.8 in the patient-specific functional scale), and pain (mean decrease of 4.6 in the numeric pain-rating scale). <br><br>CONCLUSIONS: The clinical characteristics described give preliminary support to the idea that the cervical spine may contribute to persistent post-concussion symptoms, and highlight the value of physiotherapy assessment and treatment of the cervical spine following a concussive injury.<br><br>Copyright © 2017 Elsevier Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 2468-8630
UR  - http://dx.doi.org/10.1016/j.msksp.2017.03.002
ID  - ref1
ER  -