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Post-Concussion Syndrome Rehabilitation

Multidisciplinary rehabilitation for symptoms persisting after mild head trauma.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Post-Concussion Syndrome Rehabilitation?

Post-concussion syndrome (PCS) is a constellation of headache, dizziness, cognitive complaints, mood disturbance and sleep problems persisting more than 3 weeks after mild traumatic brain injury (mTBI). It is common in athletes, where return-to-play protocols are essential.

Rehabilitation follows a domain-based approach: 1) cervicogenic — manual therapy and exercise, 2) vestibulo-ocular — VRT and oculomotor exercises, 3) cognitive — neuropsychological assessment and cognitive training, 4) psychological — CBT, 5) autonomic — building exercise tolerance.

Whereas absolute rest was once recommended in the early phase, current practice favours graded activity, early submaximal aerobic exercise and domain-specific rehabilitation. The Buffalo Concussion Treadmill Test assesses exercise tolerance. Recovery within 1 month is expected in 80-90% of patients.

Symptoms

Persistent headache
Dizziness and imbalance
Cognitive slowing
Difficulty concentrating
Light or sound sensitivity
Sleep disturbance and depression

Risk Factors

Previous concussion
Migraine history
Female sex
Age <18 or >50
Psychiatric history
Repeated head trauma

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When symptoms persist 3 weeks after head trauma
  • When deciding on return to work or sport
  • When cognitive problems become prominent
  • When mood disturbance develops
  • When vestibular symptoms develop

Treatment Methods

01
Detailed domain assessment
02
Buffalo Concussion Treadmill Test
03
Graded aerobic exercise
04
Vestibular rehabilitation
05
Cervical manual therapy
06
Cognitive rehabilitation
07
Psychological support (CBT)
08
Sleep-hygiene education

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.