Management of concussion symptoms utilizing Mechanical Diagnosis and Therapy: a case series.

IF 1.6 Q2 REHABILITATION Journal of Manual & Manipulative Therapy Pub Date : 2024-12-01 Epub Date: 2024-07-01 DOI:10.1080/10669817.2024.2368923
David J Pleva, Jared C Hanson, Brian Greer
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Abstract

Objective: Concussions are a common condition in athletes leading to symptoms including headache, dizziness, and sometimes vestibular deficits. Concussion management typically involves rest and a gradual return to activity among other interventions. This case series includes three patients who were evaluated using Mechanical Diagnosis and Therapy (MDT) after sport-related injuries involving concussion-like symptoms. MDT is a system of evaluating patients using repeated movements and sustained positions to assess symptomatic and mechanical changes.

Results: Patients in this case series demonstrated rapid reduction of symptoms using variations of repeated cervical movements and sustained positions, which enabled them to return to play with a lasting resolution of symptoms.

Discussion/conclusion: This highlights the importance of a classification system for the appropriate treatment of these cases who did not require management using concussion protocol, as they were classified as cervical derangement.

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利用机械诊断和疗法治疗脑震荡症状:病例系列。
目的:脑震荡是运动员的常见病,会导致头痛、头晕等症状,有时还会出现前庭功能障碍。脑震荡治疗通常包括休息和逐渐恢复活动等干预措施。本系列病例包括三名患者,他们在运动相关损伤后出现类似脑震荡的症状,并接受了机械诊断和治疗(MDT)评估。MDT 是一种评估系统,通过重复运动和持续姿势来评估患者的症状和机械变化:结果:本系列病例中的患者通过反复颈椎运动和持续体位的变化迅速减轻了症状,使他们能够重返赛场并持久缓解症状:讨论/结论:由于这些病例被归类为颈椎病,因此不需要使用脑震荡治疗方案进行治疗。
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来源期刊
CiteScore
2.50
自引率
20.00%
发文量
55
期刊介绍: The Journal of Manual & Manipulative Therapy is an international peer-reviewed journal dedicated to the publication of original research, case reports, and reviews of the literature that contribute to the advancement of knowledge in the field of manual therapy, clinical research, therapeutic practice, and academic training. In addition, each issue features an editorial written by the editor or a guest editor, media reviews, thesis reviews, and abstracts of current literature. Areas of interest include: •Thrust and non-thrust manipulation •Neurodynamic assessment and treatment •Diagnostic accuracy and classification •Manual therapy-related interventions •Clinical decision-making processes •Understanding clinimetrics for the clinician
期刊最新文献
Efficacy of manual therapy for sacroiliac joint pain syndrome: a systematic review and meta-analysis of randomized controlled trials. Recognition of a patient with neck autonomic dysfunction: findings from a rare case report of harlequin syndrome in direct access physiotherapy. Autonomic nervous system and endocrine system response to upper or lower cervical spine mobilization in males with persistent post-concussion symptoms: a proof-of-concept trial. Management of concussion symptoms utilizing Mechanical Diagnosis and Therapy: a case series. Differences in physical examination findings between those who present with or without headache soon after a whiplash injury: a cross-sectional study.
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