Babula Gabrielle, Warunek Edward, Cure Katherine, Nikolski Grace, Fritz Heather, Barker Susan
Physical Therapy Misericordia University.
Int J Sports Phys Ther. 2023 Jun 1;V18(3):577-586. doi: 10.26603/001c.75369. eCollection 2023.
Sports-related concussions (SRC) are a common injury sustained by many athletes of all different age groups and sports. The current standard treatment is rest followed by aerobic activity. Minimal research has been done on the effects of vestibular rehabilitation for concussion treatment, especially in physical therapy practice.
The purpose of this study was to examine the effects of early intervention of vestibular rehabilitation (VRT) on an athlete's time to return to play compared to rest alone.
Systematic Review.
Two searches were conducted (August 2021 and January 2022) using databases: CINAHL complete, MEDLINE, PubMed, and Wiley online database. One hand search was performed to find relevant articles. Search terms included "vestibular rehabilitation" or "vestibular therapy" and "concussion" or "mild traumatic brain injury" or "mTBI" and "athletes" or "sports" or "athletics" or "performance", and "early interventions" or "therapy" or "treatment". Inclusion criteria were athletes with a SRC, incorporation of vestibular rehabilitation in athletes' recovery, and early vestibular intervention tools. Tools used to assess quality and risk of bias were the PEDro scale and the . The PRISMA method for determining inclusion and exclusion criteria.
Eleven articles were included, six randomized control trials and five retrospective cohort studies. Various balance interventions, visual interventions utilizing vestibulo-ocular reflex (VOR), and cervical manual therapy were used during VRT for athletes' post-concussion. Incorporating visual interventions and cervical manual therapy into early rehabilitation significantly reduced symptoms and time to return to sport. However, balance interventions did not have a significant effect on reducing time to return to sport when used as a sole intervention.
Addressing VRT deficits in the acute stages of a concussion may contribute to a quicker resolution of symptoms and a quicker return to sport. More research needs to be performed to determine the effectiveness of early intervention of VRT in concussion recovery.
与运动相关的脑震荡（SRC）是所有不同年龄组和运动项目的许多运动员常见的损伤。目前的标准治疗方法是休息，随后进行有氧运动。关于前庭康复对脑震荡治疗效果的研究很少，尤其是在物理治疗实践中。
本研究的目的是探讨与单纯休息相比，早期进行前庭康复（VRT）干预对运动员恢复比赛时间的影响。
系统评价。
于2021年8月和2022年1月使用以下数据库进行了两次检索：CINAHL complete、MEDLINE、PubMed和Wiley在线数据库。进行了一次手工检索以查找相关文章。检索词包括“前庭康复”或“前庭治疗”以及“脑震荡”或“轻度创伤性脑损伤”或“mTBI”以及“运动员”或“运动”或“竞技”或“表现”，以及“早期干预”或“治疗”或“疗法”。纳入标准为患有SRC的运动员、在前庭康复中纳入运动员恢复过程以及早期前庭干预工具。用于评估质量和偏倚风险的工具是PEDro量表和......。采用PRISMA方法确定纳入和排除标准。
纳入了11篇文章，6项随机对照试验和5项回顾性队列研究。在前庭康复治疗期间，对脑震荡后的运动员采用了各种平衡干预、利用前庭眼反射（VOR）的视觉干预以及颈椎手法治疗。将视觉干预和颈椎手法治疗纳入早期康复可显著减轻症状并缩短恢复运动的时间。然而，平衡干预作为唯一干预措施时，对缩短恢复运动时间没有显著效果。
在脑震荡急性期解决前庭康复缺陷可能有助于更快地缓解症状并更快地恢复运动。需要进行更多研究以确定早期进行前庭康复干预在脑震荡恢复中的有效性。
1级
