Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping Review

Mille Nabsen Marwaa*, Heidi Klakk Egebæk, Julie Dalgaard Guldager

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Objective: To identify and describe occupational and physiotherapy rehabilitation modalities used to support an interdisciplinary rehabilitation in adults (aged 16+ years) with concussion. Methods: A scoping review methodology was used. Included studies were categorized according to Wade’s elements of rehabilitation and the Danish White Paper definition of rehabilitation. Results: Ten studies were included in this review, addressing: “assessment” (n=9), “goal-setting” (n=4), “training” (n=10), and “social participation and discharge support” (n=4). Interventions were delivered mainly by physiotherapists or an interdisciplinary team. In two studies occupational therapists were part of the interdisciplinary team. Randomized controlled trials more often addressed several of the rehabilitation elements using interdisciplinary intervention delivery. No studies specifically aimed their intervention at patients with acute or subacute concussion. Conclusion: The therapeutic modalities identified were: (i) manual and sensory motor interventions; (ii) physical exercises; and (iii) management of, or coping with, symptoms. More research is needed on how to better support social participation and discharge or return to work in the rehabilitation process. In addition, interventions delivered in the acute phases of concussion need further exploration.

Original languageEnglish
Article numberjrm4512
JournalJournal of Rehabilitation Medicine
Volume55
Number of pages15
ISSN1650-1977
DOIs
Publication statusPublished - 25. May 2023

Keywords

  • commotio cerebri
  • concussion
  • mild traumatic brain injury
  • mTBI
  • post commotio syndrome
  • rehabilitation modalities

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