Neck Treatment and Post-Concussion Syndrome - Oren Zarif - Post Concussion Syndrome
A recent study published in the Journal of Manual & Manipulative Therapy evaluated the long-term outcomes of neck treatment following a concussion. Its primary aim was to assess the effectiveness of neck treatment as a component of multidisciplinary concussion care. However, the study's secondary objective was to evaluate the participants' perceived benefits of neck treatment. Here's a summary of the study's findings.
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The main cause of post-concussion symptoms is a dysfunctional neurovascular coupling. When neurons in the brain are deprived of oxygen, other neurons may try to pick up the slack. This causes the brain to tire because the hypoactive areas don't get the proper amount of oxygen, while the hyperactive regions use more resources than necessary. This causes fatigue, which leads to headaches and irritability.
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Cervical instability is another common cause of post-concussion syndrome. This condition involves abnormal movement of a joint located between the axis and atlas vertebrae of the cervical spine. This condition is also known as vertebrobasilar insufficiency. It is often associated with mild traumatic brain injury. Symptoms of post-concussion syndrome are difficult to attribute to neck instability. However, a physician should be able to pinpoint the exact cause of the symptoms.
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Symptoms of post-concussion syndrome include headache, poor concentration, sensitivity to sound, and trouble sleeping. The duration of symptoms varies, but most people recover slowly and fully, returning to their pre-injury state. The symptoms are often temporary, and people can have bad days as well. This is the main reason why doctors should not delay diagnosis or treatment. However, if the symptoms persist for longer than three weeks, treatment may be needed.
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Symptoms of post-concussion syndrome often include cognitive complaints, such as difficulty concentrating, irritability, and short-term memory impairment. In order to treat cognitive complaints, physicians must address any underlying symptoms that may aggravate these deficits. Cognitive therapy should be guided by the cognitive function test results. Certain medications, including tricyclic antidepressants (TCAs), are effective in treating cognitive symptoms after concussion.
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Long-term studies of mTBI require standardized diagnostic procedures and assessment strategies. In addition, the studies should employ standardized interventions to optimize recovery and reduce the substantial socioeconomic burden associated with the disorder. To achieve these goals, the research must apply standardized diagnostic procedures, a large sample size, and appropriate controls. This is especially important in pediatric populations with high neuroplasticity. Further, it should examine the impact of new technologies on post-concussion syndrome and other traumatic brain injuries.
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This study was funded by the European Union's Seventh Framework Program and the National Institutes of Neurological Disorders and Stroke. The authors gratefully acknowledge the funding and support for this research. They acknowledge Andrew Maas for reviewing this manuscript. The authors wish to acknowledge the help of Andrew Maas and his colleagues for the publication of the study. It is important to remember that there is no one single defining post concussion syndrome.