Physiological, vestibulo-ocular and cervicogenic post-concussion disorders: An evidence-based classification system with directions for treatment
Physiological, vestibulo-ocular and cervicogenic post-concussion disorders: An evidence-based classification system with directions for treatment
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DOI：
10.3109/02699052.2014.965207
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发表时间：
2015-01-01
期刊：
影响因子：
1.9
通讯作者：
Willer, Barry
中科院分区：
文献类型：
--
作者：
Ellis, Michael J.;Leddy, John J.;Willer, Barry
主要目标：为了提出一种新的病理生理学方法急性脑震荡和脑震荡后综合征（PCS）。研究设计：回顾文献方法和程序：PubMed搜索进行，以确定与脑震荡和PCS的病理生理学和治疗相关的文章。纳入了有助于实现本论文主要目标的相关文章。主要结果和结果：本文提出了一种基于证据的方法，急性脑震荡和PCS，重点是识别特定的脑震荡后疾病（PCD）所造成的损害，在全球脑代谢（生理PCD）或神经子系统功能障碍（前庭眼PCD和颈源性PCD），可通过临床病史、体格检查和平板运动试验的特征进行区分。这种新的方法也允许启动循证，多学科的治疗干预，可以改善个人症状，促进有效的神经recovery.Conclusion：未来的研究，将神经成像和运动科学技术正在进行中，在作者的机构，以验证这种新的病理生理学方法，急性脑震荡和PCS。
Primary objective: To present a novel pathophysiological approach to acute concussion and post-concussion syndrome (PCS).Research design: Review of the literatureMethods and procedures: PubMed searches were performed to identify articles related to the pathophysiology and treatment of concussion and PCS. Relevant articles that contributed to the primary objective of the paper were included.Main outcome and results: This paper presents an evidence-based approach to acute concussion and PCS that focuses on the identification of specific post-concussion disorders (PCDs) caused by impairments in global brain metabolism (Physiologic PCD) or neurological sub-system dysfunction (Vestibulo-ocular PCD and Cervicogenic PCD) that can be distinguished by features of the clinical history, physical examination and treadmill exercise testing. This novel approach also allows for the initiation of evidence-based, multi-disciplinary therapeutic interventions that can improve individual symptoms and promote efficient neurological recovery.Conclusion: Future studies incorporating neuro-imaging and exercise science techniques are underway at the author's institutions to validate this novel pathophysiological approach to acute concussion and PCS.