Davenport Maria, Condon Bill, Lamoureux Claude, Phipps Johnson Jamie L, Chen Jamie, Rippee Michael A, Zentz Jennifer
Department of Rehabilitation Services, The University of Kansas Health System, Kansas City, KS, USA.
Center for Concussion Management, The University of Kansas Health System, Kansas City, KS, USA.
Health Serv Insights. 2022 Aug 23;15:11786329221114759. doi: 10.1177/11786329221114759. eCollection 2022.
The concussion team at The University of Kansas Health System outpatient rehabilitation spine center is comprised of experienced multi-disciplinary experts including physical therapists and a speech language pathologist. The team set forth with a purpose of creating and organizing an internal physical therapy clinical recommendation protocol for initial evaluations and subsequent treatments for the concussed patient. The aim of this paper is to share these recommendation protocols with other therapy teams and provide a foundational layout for treating the patient with post-concussion symptoms in an outpatient physical therapy clinical setting.
Clinical recommendation protocol provides guidance for patients ages 10+ from initial evaluation through discharge with emphasis on evidence-based research in the areas of: oculomotor, cervical, vestibular, post-concussion migraine influence, mood disorders(such as anxiety and depression), exertion, and cognitive communicative dysfunction.
Finding a written, comprehensive clinical resource protocol for post-concussion outpatient evaluation(s) and treatment strategies can be difficult. This document serves as a resource for other outpatient concussion rehabilitation clinics, providing rationale, and objective measurement tools, for assessing and treating concussion patients. To the authors' knowledge, no other research has produced a practical, efficient evaluation tool to be utilized at bed side, condensing evidence-based research into an easy-to-use form.
The University of Kansas Health System outpatient concussion rehabilitation center developed clinical recommendation protocols for concussion care. The intent was to standardize assessment and treatment for concussion patients and to share these objective measurement tools and procedures, focused on a team approach of concussion providers, as a clinical outline for both the novice and seasoned clinician specializing in the field of concussion work in an outpatient rehabilitation setting.
堪萨斯大学健康系统门诊康复脊柱中心的脑震荡治疗团队由经验丰富的多学科专家组成，包括物理治疗师和言语语言病理学家。该团队的目的是创建并组织一个内部物理治疗临床推荐方案，用于脑震荡患者的初始评估和后续治疗。本文的目的是与其他治疗团队分享这些推荐方案，并为在门诊物理治疗临床环境中治疗有脑震荡后症状的患者提供一个基础框架。
临床推荐方案为10岁及以上患者从初始评估到出院提供指导，重点是在以下领域的循证研究：眼球运动、颈椎、前庭、脑震荡后偏头痛影响、情绪障碍（如焦虑和抑郁）、运动和认知交流功能障碍。
为脑震荡门诊评估和治疗策略找到一份书面的、全面的临床资源方案可能很困难。本文档为其他门诊脑震荡康复诊所提供了一种资源，给出了评估和治疗脑震荡患者的基本原理及客观测量工具。据作者所知，尚无其他研究产生一种实用、高效的评估工具可在床边使用，将循证研究浓缩成一种易于使用的形式。
堪萨斯大学健康系统门诊脑震荡康复中心制定了脑震荡护理的临床推荐方案。目的是使脑震荡患者的评估和治疗标准化，并分享这些客观测量工具和程序，重点是脑震荡治疗团队的方法，作为在门诊康复环境中从事脑震荡工作的新手和经验丰富的临床医生的临床大纲。
