An Exploration of the Impact of Initial Timing of Physical Therapy on Safety and Outcomes After Concussion in Adolescents

Journal of Neurologic Physical Therapy : JNPT
Anne LennonCatherine Quatman-Yates

Abstract

Physical therapy (PT) is a management strategy increasingly recognized to facilitate recovery after concussion. The purpose of this study was to investigate the safety and outcomes of multimodal impairment-based PT at varying time points after injury in youth diagnosed with concussion. Data were extracted retrospectively from medical records for patients who received PT for concussion-related impairments. Patient records were categorized into 3 cohorts on the basis of the timing of PT implementation: 0-20 days following injury (early intervention), 21 to 41 days following injury (middle intervention), and 42 or more days following injury (late intervention). The primary outcome measure was Post-Concussion Symptom Inventory score from the beginning to the end of the PT episode of care. Additional outcome measures included number of PT sessions, duration of PT episode of care (days), and occurrence of unplanned visits to a health care provider. A total of 120 patient records (mean age of 14.77 years) were analyzed. Thirty-three, 39, and 48 individuals were categorized into the early, middle, and late intervention cohorts, respectively. There were no significant differences between intervention cohorts with regard to symptom chang...Continue Reading

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Citations

Jun 5, 2018·Journal of Neurologic Physical Therapy : JNPT·Karen L McCulloch, Kathleen Gill-Body
Nov 2, 2018·Current Opinion in Neurology·John J LeddyBarry S Willer
Oct 20, 2019·Journal of Sport Rehabilitation·Nicholas HattrupTamara C Valovich McLeod
Jun 25, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Alexis M CoslickStacy J Suskauer
Feb 14, 2019·Current Reviews in Musculoskeletal Medicine·Mitul KapadiaRachel Zoffness
Apr 4, 2020·The Journal of Orthopaedic and Sports Physical Therapy·Catherine C Quatman-YatesNoah Silverberg
Apr 14, 2020·Current Sports Medicine Reports·Johna K Register-Mihalik, Christine E Callahan
Nov 15, 2020·Clinics in Sports Medicine·Peter K Kriz, James P MacDonald

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