Multidisciplinary care for patients with persistent symptoms following concussion: a systematic review.
| Autor: | Moore BM; Department of Physical Therapy, CA State University, Sacramento, CA, USA., Stark RK; Research and Instruction Department, California State University, Sacramento, CA, USA., D'Angelo EC; Department of Communication Sciences and Disorders, California State University, Sacramento, CA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Disability and rehabilitation [Disabil Rehabil] 2024 May; Vol. 46 (9), pp. 1760-1775. Date of Electronic Publication: 2023 May 06. |
| DOI: | 10.1080/09638288.2023.2205663 |
| Abstrakt: | Purpose: To systematically characterize and assess the effectiveness of multidisciplinary care for patients with persistent post-concussion symptoms (PPCS). Materials and Methods: Only studies describing multidisciplinary treatment, defined as intervention provided by no less than 2 healthcare disciplines, each with independent scopes of practice, for patients with PPCS were considered. Results: A total of 8 of the 1357 studies identified were included. The studies were comprised of heterogenous patient populations, care delivery systems, healthcare providers, treatment approaches, and outcomes. Conclusions: Findings suggest multidisciplinary care, using a needs-based approach with individual- or group-based interventions, may be more beneficial than usual care to; 1) immediately reduce concussion-related symptom complaints and improve mood and quality of life in adolescents following sports-related concussion (SRC) and, 2) may produce immediate and lasting improvements in symptom complaints of young, primarily female, adults following a non-SRC. Future studies should clearly describe the decision-making processes used to deliver care through a needs-based approach and prioritize the inclusion of objective, performance-based measures to assess outcomes. |
| Databáze: | MEDLINE |
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