CONCUSSION MANAGEMENT IN AN ADOLESCENT FOOTBALL PLAYER USING INDIVIDUALIZED REHABILITATION ALONG WITH SPINAL MANIPULATION: A CASE REPORT

Main Article Content

Tiffanee McArthur
Harold M. Olson

Keywords

Concussion; Sports

Abstract

Objective: To demonstrate the concussion management process directed by a chiropractor describing how spinal manipulation and targeted rehabilitation aided in the recovery and return-to-play process of a student athlete.


Clinical Features: A 17-year-old male sustained a concussion while playing football.


Intervention and Outcome: Multimodal chiropractic intervention including spinal manipulation therapy, myofascial release, instrument-assisted soft tissue technique, and target home exercises were provided over the course of a 4-week treatment plan. Ongoing assessment in the form of the SCAT-5 and ImPACT testing were also used during the management period. At the conclusion of care, his symptoms resolved, his neurocognitive scores had returned to baseline, and he returned to play.


Conclusion: This case study demonstrates an improvement of concussion-related symptoms in a 17-year-old football player receiving chiropractic care and individualized management. Chiropractic care may offer an active approach to concussion management and treatment to expedite recovery and patient outcomes.

Downloads

Download data is not yet available.
Abstract 941 | CONCUSSION MANAGEMENT Downloads 548

References

1. Ellis MJ, Leddy J, Willer B. Multi-disciplinary management of athletes with post-concussion syndrome: an evolving pathophysiological approach. Frontiers Neuro 2016;7:136 doi:10.3389/fneur.2016.00136
2. Collins MW, Kontos P, Okonkwo DO, et al. Statements of agreement from the targeted evaluation and active management (TEAM) approaches to treating concussion meeting held in Pittsburgh, October 15-16, 2015. Neurosurg 2016;79(6): 912-929
3. Giza C, Greco T, Prins ML. Concussion: pathophysiology and clinical translation. Handb Clin Neurol 2018;:51–61
4. Kontos AP, Deitrick JM, Collins MW, Mucha A. Review of vestibular and oculomotor screening and concussion rehabilitation. J Athl Train 2017; 52(3):256-261
5. Kenzie ES, Parks EL, Bigler ED, Lim MM, Chesnutt JC, Wakeland W. Concussion as a multi-scale complex system: an interdisciplinary synthesis of current knowledge. Frontiers Neuro 2017;8:513 doi:10.3389/fneur.2017.0051
6. Sport concussion assessment tool - 5th edition. Br J Sports Med 2017;51:851-858
7. McCrory P, Meeuwisse W, Dvorak J et al. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med 2017;51:838-847
8. Olson HM, Tunning MJ, Boesch RJ. Chiropractic management of musculoskeletal symptoms in a 14-year-old hockey player with post-concussion symptoms: a case report. J Chiropr Med 2016;15(3):208-13
9. Alsalaheen BA, Mucha A, Morris LO, Whitney SL, Furman JM, Camiolo-Reddy CE, et al. Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther 2010;34(2):87–93
10. Schneider K, Meeuwisse W, Nettel-Aguire A, et al. Cervicovestibular rehabilitation in sports-related concussion: a randomized controlled trial. Sports Med 2014; 48(17):1294-1298
11. Anderst W, Gale T, LeVasseur C, Raj S, Gongaware K, Schneider M. Intervertebral kinematics in the cervical spine before, during and after high-velocity low-amplitude manipulation. Spine J 2018
12. Howell DR, Kirkwood MW, Provance A, Iverson GL, Meehan WP. Using concurrent gait and cognitive assessments to identify impairments after concussion: a narrative review. Concussion 2018; 3(1):CNC54 doi:10.2217/cnc-2017-0014
13. Sterling M. Physiotherapy management of whiplash-associated disorders (WAD). J Physiotherapy 2014;60(1):5–12