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Journal of the Australasian Society for the Study of Brain Impairment
REVIEW (Open Access)

Examining the interdisciplinary approach for treatment of persistent post-concussion symptoms in adults: a systematic review

Tamara Jennings A and Md Shahidul Islam https://orcid.org/0000-0001-8984-8689 B *
+ Author Affiliations
- Author Affiliations

A Master of Health Management, Barwon Health, Geelong 3215, Victoria, Australia

B School of Health, Faculty of Medicine and Health, University of New England, Armidale, New South Wales, Australia

* Correspondence to: mislam27@une.edu.au

Brain Impairment 24(2) 290-308 https://doi.org/10.1017/BrImp.2022.28
Submitted: 1 April 2022  Accepted: 26 October 2022  Published: 23 November 2022

© The Author(s), 2022. Published by Cambridge University Press on behalf of Australasian Society for the Study of Brain Impairment. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background:

The objective of this review is to examine the evidence for the interdisciplinary approach in treatment of persistent post-concussion symptoms in adults.

Methods:

This systematic literature search was undertaken according to the Preferred Reporting Items for Systematic and Meta-Analysis (PRISMA) guidelines. Five electronic databases were searched: CINAHL, Informit, ProQuest, PubMed and Scopus. After screening and quality assessment, the review included six studies published in English and peer-reviewed journals, between 2011 and 2021 to return contemporary evidence.

Results:

The results revealed that there was significant variation between measures used and the timing of the pre- and post-treatment assessment. The studies found an interdisciplinary approach to be beneficial, however, the challenges of inherent heterogeneity, lack of clarity for definitions and diagnosis, and mixed results were apparent. The interdisciplinary interventions applied in all identified studies were found to reduce post-concussion symptoms across the symptom subtypes: headache/migraine, vestibular, cognitive, ocular motor and anxiety/mood.

Conclusions:

The results demonstrated evidence for a reduction in persistent post-concussion symptoms following interdisciplinary intervention. This evidence will inform health services, clinicians, sports administrators and researchers with regard to concussion clinic and rehabilitation team design and service delivery.

Keywords: Brain concussion, post concussion, prolonged concussion, interdisciplinary, interprofessional.

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