Neuropsychological and psychological rehabilitation interventions in refractory sport-related post-concussive syndrome

Neuropsychological and psychological rehabilitation interventions in refractory sport-related post-concussive syndrome
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DOI:
10.3109/02699052.2014.965209
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发表时间:
2015-01-01
期刊:
影响因子:
1.9
通讯作者:
Conder, Alanna Adler
Conder, Alanna Adler
中科院分区:
医学4区
文献类型:
--
作者:
Conder, Robert;Conder, Alanna Adler

文献摘要

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背景:运动相关脑震荡的神经心理、生理、前庭和动眼肌后遗症文献记载非常充分。然而,对于难治性运动相关脑震荡的这些症状,缺乏干预措施。目的:本文的目的是回顾已知的和新兴的神经心理学和心理康复干预措施,以减少难治性运动相关脑震荡(src)的发病率。方法:作者公开承认可供审查的经验数据数量有限,苏黎世共识论文也是如此,但在缺乏循证指南的情况下,对康复干预提出了一种谨慎和道德的方法。此外,对于类似的损伤或疾病,特别是非运动相关的轻度TBI,康复干预被证明是有用的,将对其适用性进行审查。这些干预措施包括认知行为心理治疗、生物反馈、颅电刺激、神经反馈和认知康复。结果和结论:提供了在家庭和学校系统中对幼儿进行康复的改进方法。提出了进一步研究的建议。
Background: The neuropsychological, physical, vestibular and oculomotor sequelae of sports-related concussion are extremely well documented. However, there is a paucity of interventions for these symptoms in refractory sports-related concussions.Aim: The intent of this article is to review the known and emerging neuropsychological and psychological rehabilitation interventions for reducing morbidity in refractory sports-related concussions (SRCs).Methods: The authors openly acknowledge the limited amount of empirical data available for review, as did the Zurich consensus papers, but posit a mindful and ethical approach towards rehabilitation interventions in the absence of evidence-based guidelines. Further, rehabilitation interventions proven useful with similar injuries or illnesses, particularly non-sports-related mild TBI, will be reviewed for applicability. Such interventions include Cognitive-Behavioural psychotherapy, biofeedback, cranial electrical stimulation, neurofeedback and cognitive rehabilitation.Results and conclusions: Modified approaches for rehabilitation with young children within family and school systems are provided. Recommendations for further research are offered.