Rehabilitation from postconcussion syndrome: Nonpharmacological treatment

Amelia L Nelson Sheese, Thomas A. Hammeke

Research output: Chapter in Book/Report/Conference proceedingChapter

6 Citations (Scopus)

Abstract

Following mild traumatic brain injury (mTBI), one or more symptoms commonly occur that are known as the postconcussion syndrome (PCS). While PCS typically resolves within a few weeks of injury for most concussed patients, some patients have a more prolonged or otherwise adverse recovery course. There is relatively little systematic research on the treatment of PCS. This report offers strategies for nonpharmacological treatment of PCS during the acute, subacute, and chronic stages of recovery following mTBI. The treatment strategies are supported by clinical consensus and the limited evidence-based research wherever possible. Core treatment strategies emphasize (1) education about mTBI, PCS, and the natural recovery course, (2) reassurance of a good outcome, (3) reduction in activity level and refrain from hazardous behaviors during the acute phase, (4) gradual return to lifestyle activities as symptoms permit, (5) careful monitoring and early intervention for adverse emotional responses, (6) symptom-specific treatment when needed, and (7) ready access to providers during acute and subacute recovery periods.

Original languageEnglish (US)
Title of host publicationConcussion
PublisherS. Karger AG
Pages149-160
Number of pages12
ISBN (Print)9783318026481
DOIs
StatePublished - Jan 1 2014

Publication series

NameProgress in Neurological Surgery
Volume28
ISSN (Print)0079-6492
ISSN (Electronic)1662-3924

Fingerprint

Brain Concussion
Rehabilitation
Dangerous Behavior
Therapeutics
Research
Life Style
Consensus
Education
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Nelson Sheese, A. L., & Hammeke, T. A. (2014). Rehabilitation from postconcussion syndrome: Nonpharmacological treatment. In Concussion (pp. 149-160). (Progress in Neurological Surgery; Vol. 28). S. Karger AG. https://doi.org/10.1159/000358775

Rehabilitation from postconcussion syndrome : Nonpharmacological treatment. / Nelson Sheese, Amelia L; Hammeke, Thomas A.

Concussion. S. Karger AG, 2014. p. 149-160 (Progress in Neurological Surgery; Vol. 28).

Research output: Chapter in Book/Report/Conference proceedingChapter

Nelson Sheese, AL & Hammeke, TA 2014, Rehabilitation from postconcussion syndrome: Nonpharmacological treatment. in Concussion. Progress in Neurological Surgery, vol. 28, S. Karger AG, pp. 149-160. https://doi.org/10.1159/000358775
Nelson Sheese AL, Hammeke TA. Rehabilitation from postconcussion syndrome: Nonpharmacological treatment. In Concussion. S. Karger AG. 2014. p. 149-160. (Progress in Neurological Surgery). https://doi.org/10.1159/000358775
Nelson Sheese, Amelia L ; Hammeke, Thomas A. / Rehabilitation from postconcussion syndrome : Nonpharmacological treatment. Concussion. S. Karger AG, 2014. pp. 149-160 (Progress in Neurological Surgery).
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