Long-Term Treatment of Concussion

  • Monique S. BurtonEmail author


Prolonged postconcussion symptoms occur in a small percentage of individuals following concussion. Management of postconcussion symptoms can be challenging, since there is no broad consensus on specific treatment options at this time. Knowledge of risk factors associated with prolonged recovery may help identify patients to follow closely. Treatment approaches focus on identifying symptoms in each individual case and treating accordingly. This chapter outlines management options to consider when working with this challenging group of individuals.


Traumatic Brain Injury Retrograde Amnesia Severe Brain Injury Anterograde Amnesia Chiropractic Care 
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  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Text Revision. DSM-IV-TR. Washington, DC: APA.Google Scholar
  2. Alsalaheen, B. A., Mucha, A., Morris, L. O., Whitney, S. L., Furman, J. M., & Camiolo-Reddy, C. E. (2010). Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther, 34(2), 87–93.Google Scholar
  3. Asplund, C. A., McKeag, D. B., & Olsen, C. H. (2004). Sports-related concussion: factors associated with prolonged return to play. Clinical Journal of Sport Medicine, 14, 339–343.PubMedCrossRefGoogle Scholar
  4. Collins, M. W., Field, M., Lovell, M. R., Iverson, G., Johnston, K. M., & Maroon, J. (2003a). Relationship between postconcussion headache and neuropsychological test performance in high school athletes. The American Journal of Sports Medicine, 31(2), 168–173.PubMedGoogle Scholar
  5. Collins, M. W., Iverson, G. L., Lovell, M. R., McKeag, D. B., Norwig, J., & Maroon, J. (2003b). On-field predictors of neuropsychological and symptom deficit following sports-related concussion. Clinical Journal of Sport Medicine, 13, 222–229.PubMedCrossRefGoogle Scholar
  6. Collins, M., Lovell, M., Iverson, G. Ide, T., & Maroon, J. (2006). Examining concussion rates and return to play in high school football players wearing newer helmet technology: a three-year prospective cohort study. Neurosurgery, 58(2), 275–286.PubMedCrossRefGoogle Scholar
  7. Comper, P., Bisschop, S. M., Cardine, N., & Tricco, A. (2005). A systematic review of treatments for mild traumatic brain injury. Brain Injury, 19(11), 863–880.PubMedCrossRefGoogle Scholar
  8. Fann, J. R., Uomoto, J. M., & Katon, W. J. (2000). Sertraline in treatment of major depression following mild traumatic brain injury. The Journal of Neuropsychiatry and Clinical Neurosciences, 12(2), 226–232.PubMedCrossRefGoogle Scholar
  9. Field, M., Collins, M. W., Lovell, M. R., & Maroon, J. (2003). Does age play a role in recovery from sports-related concussion? A comparison of high school and collegiate athletes. Journal of Pediatrics, 142, 446–553.Google Scholar
  10. Gagnon, I., Galli, C., Friedman, D., Grilli, L., & Iverson, G. L. (2009). Active rehabilitation for children who are slow to recover following sport-related concussion. Brain Injury, 23(12), 956–964.PubMedCrossRefGoogle Scholar
  11. Guskiewicz, K. M., McCrea, M., Marshall, S. W., Cantu, R. C., Randolph, C., & Barr, W. (2003). Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA concussion study. Journal of American Medical Association, 290(19), 2549–2555.CrossRefGoogle Scholar
  12. Guskiewicz K. Weaver, N. L., Padua, D. A., & Garrett, W. E. (2000). Epidemiology of concussion in collegiate and high school football players. The American Journal of Sports Medicine, 28, 643–650.PubMedGoogle Scholar
  13. Hunt, T., & Asplund, C. (2010). Concussion assessment and management. Clinics in Sports Medicine, 29, 5–17.PubMedCrossRefGoogle Scholar
  14. Jotwani, V., & Harmon, K. G. (2010). Postconcussion syndrome in athletes. Current Sports Medicine Reports, 9(1), 21–26.PubMedGoogle Scholar
  15. Kirkwood, M. W., Yeates, K. O., & Wilson, P. E. (2006). Pediatric sport-related concussion: a review of the clinical management of an oft-neglected population. Pediatrics, 117(4), 1359–1371.PubMedCrossRefGoogle Scholar
  16. Leddy, J. L., Kozlowski, K., Donnelly, J. P., Pendergast, D. R., Epstein, L. H., & Willer, B. (2010). A preliminary study of subsymptom threshold exercise training for refractory post-concussion syndrome. Clinical Journal of Sport Medicine, 20(1), 21–27.PubMedCrossRefGoogle Scholar
  17. McCrory, P. (2002). Should we treat concussion pharmacologically? The need for evidence based pharmacological treatment for the concussed athlete. British Journal of Sports Medicine, 36(1), 3–5.PubMedCrossRefGoogle Scholar
  18. Mittenberg, W., Tremont, G., Zielinski, R. E., Fichera, S., & Rayls, K. R. (1996). Cognitive-Behavioral prevention of postconsussion syndrome. Archives of Clinical Neuropsychology, 11(2), 139–145.PubMedGoogle Scholar
  19. Nickels, J. L., Schneider, W. N., Dombovy, M. L., & Wong, T. M. (1994). Clinical use of amantadine in brain injury rehabilitation. Brain Injury, 8(8), 709–718.PubMedCrossRefGoogle Scholar
  20. Sabini, R. C., & Reddy, C. C. (2010). Concussion management and treatment considerations in the adolescent population. The Physician and SportsMedicine, 38(1), 139–146.PubMedCrossRefGoogle Scholar
  21. World Health Organization. (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva, Switzerland: WHO.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Sports Medicine Program, Seattle Children’s Hospital, Department of Pediatrics and Orthopedics and Sports MedicineUniversity of WashingtonSeattleUSA

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