Post-concussion syndrome and concussion incidence improved in a pro rugby player following cervical spine rehab: case study and 6-year follow-up.

Q3 Medicine Concussion Pub Date : 2023-04-01 DOI:10.2217/cnc-2023-0004

Seth Strauss, Douglas F Lightstone, Curtis Fedorchuk, Robert Pomahac, Paul A Oakley, Deed E Harrison

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Abstract

Aim: To report improvements in post-concussion syndrome and concussion incidence following cervical spinal alignment correction.

Case presentation: A 27-year-old professional rugby player with 20 documented concussions presented with abnormal cervical spinal alignment and post-concussion syndrome. After 30 sessions of cervical rehabilitation, health outcomes improved. Post-treatment radiographs showed improved cervical lordosis from -13.5° to -37.4° (ideal is -42°) and right head translation from -22.7 to -11.3 mm (ideal is 0 mm). 2-year follow-up radiographs and 6-year follow-up health outcomes showed post-treatment improvements were maintained. The patient reported two documented concussions in the 6 years following treatment while maintaining the same lifestyle and professional rugby career.

Conclusion: Correction of abnormal cervical spinal alignment may help athletes with post-concussion syndrome and reduce risk of concussion.

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职业橄榄球运动员颈椎康复后脑震荡后综合征和脑震荡发生率的改善:案例研究和6年随访。

目的:报道颈椎直线矫正后脑震荡后综合征和脑震荡发生率的改善。病例介绍:一名27岁的职业橄榄球运动员，有20次记录在案的脑震荡，表现为异常颈椎对齐和脑震荡后综合征。经过30次颈椎康复治疗后，健康状况有所改善。治疗后x线片显示颈椎前凸从-13.5°改善至-37.4°(理想为-42°)，右头平移从-22.7 mm改善至-11.3 mm(理想为0 mm)。2年随访x线片和6年随访健康结果显示，治疗后改善得以维持。患者在治疗后的6年内报告了两次记录在案的脑震荡，同时保持了相同的生活方式和职业橄榄球生涯。结论:矫正异常颈椎对运动员脑震荡后综合征有一定的帮助，可降低脑震荡的发生风险。

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