How does the neck contribute to post-concussion symptoms?

niversity of Otago0 个研究点目标入组 30 人开始时间: 2016年8月29日最近更新: 2024年2月27日

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•These are: Patients presenting through the ACC Concussion service to APM Limited OR Advantage South concussion assessors with persistent (> 10 days) headaches, dizziness and/or neck pain; subjective history suggesting the neck may contribute to their symptoms*; who accept and follow through with a referral for neck assessment and treatment by a Physiotherapist with postgraduate manual therapy training.
•*Potential for the neck to contribute to patient’s symptoms will be informed by:
•1.Increased neck pain or stiffness since their concussion injury OR
•2.Headache consistent with symptoms arising from the neck: headache triggered by neck movement/positioning, or external pressure to the neck/head; restricted neck range of movement; neck, shoulder or arm pain on the same side (Sjaastad, Fredriksen, and Pfaffenrath 1998) OR
•3.Dizziness consistent with symptoms arising from the neck: non-rotatory dizziness described as imbalance or unsteadiness; and triggered by neck movements or positions (Reid et al. 2014).

•These are: Contraindications to manual therapy for the neck (e.g. fracture, inflammatory joint conditions, and infection); other significant neurological conditions; patients under the age of 16 years.

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