Department of Physiotherapy Education, University College South Denmark, Esbjerg; Research Department, University College South Denmark, Haderslev.
Research Unit for Exercise Epidemiology (EXE), Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense; Centre for Clinical Research and Prevention, Section for Health Promotion and Prevention, Bispebjerg and Frederiksberg Hospital, Denmark.
J Rehabil Med. 2023 May 25;55:jrm4512. doi: 10.2340/jrm.v55.4512.
To identify and describe occupational and physiotherapy rehabilitation modalities used to support an interdisciplinary rehabilitation in adults (aged 16 + years) with concussion.
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.
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.
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.
识别和描述用于支持成人（16 岁及以上）脑震荡患者跨学科康复的职业和物理治疗康复模式。
采用范围综述方法。根据韦德康复要素和丹麦白皮书康复定义对纳入的研究进行分类。
本综述纳入了 10 项研究，涉及“评估”（n=9）、“设定目标”（n=4）、“训练”（n=10）和“社会参与和出院支持”（n=4）。干预措施主要由物理治疗师或跨学科团队提供。在两项研究中，作业治疗师是跨学科团队的一部分。随机对照试验更经常使用跨学科干预措施来解决几个康复要素。没有研究专门针对急性或亚急性脑震荡患者的干预措施。
确定的治疗模式为：（i）手动和感觉运动干预；（ii）体育锻炼；（iii）症状的管理或应对。需要进一步研究如何在康复过程中更好地支持社会参与和出院或重返工作岗位。此外，还需要进一步探索在脑震荡急性期实施的干预措施。
