Cognitive and Physical Rest: Are They Effective Post-Concussion?

Thomas Buckley, EdD, ATC

 

The current sports concussion international consensus statement indicates the “cornerstone of concussion management” is physical and cognitive rest until the acute symptoms resolve. Multiple anecdotal reports indicate this has been interpreted to suggest “cocoon” therapy whereby the patient is substantially restricted from physical activity and reduces cognitive activity (e.g., text messaging, computer usage, etc). However, emerging literature over the last couple of years has raised considerable doubts about the efficacy of this rest protocol. Thus, the purpose of this presentation is 1) to review the existing recommendations on cognitive and physical rest, 2) explore the emerging research findings on the role of rest and recovery, and 3) provide potential clinical recommendations for incorporating rest in the concussion recovery process.

 

Objectively Tracking Gait Balance Control Recovery Following Sport Related Concussion

David Howell, PhD, ATC

 

Balance control is commonly affected following concussion. Clinical balance assessments often lack objectivity and are less able to detect subtle motor system impairments after concussion than more sophisticated, laboratory-based assessments of balance control. However, such laboratory-based assessments require highly trained personnel, extensive space demands, and a large budget which is not available in most athletic training settings. Thus, we plan to describe emerging evidence which describes objective ways to measure balance control using body-worn sensors that are clinically feasible.

 

CEUs Earned: 2 EBP

Concussion EBP Package: Cognitive/Physical Rest and Gait Balance Control (2017)

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