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Post-concussion syndrome and concussion incidence improved in a pro rugby player following cervical spine rehab: case study and 6-year follow-up.

作者信息

Strauss Seth, Lightstone Douglas F, Fedorchuk Curtis, Pomahac Robert, Oakley Paul A, Harrison Deed E

机构信息

Private Practice, 757 Long Point Road, Suite C, Mount Pleasant, SC 29464, USA.

Institute for Spinal Health & Performance, 460 Brannon Road, Suite 101, Cumming, GA 30041, USA.

出版信息

Concussion. 2023 May 4;8(3):CNC107. doi: 10.2217/cnc-2023-0004. eCollection 2023 Apr.

DOI:10.2217/cnc-2023-0004
PMID:37691851
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10485734/
Abstract

AIM: To report improvements in post-concussion syndrome and concussion incidence following cervical spinal alignment correction. CASE PRESENTATION: A 27-year-old professional rugby player with 20 documented concussions presented with abnormal cervical spinal alignment and post-concussion syndrome. After 30 sessions of cervical rehabilitation, health outcomes improved. Post-treatment radiographs showed improved cervical lordosis from -13.5° to -37.4° (ideal is -42°) and right head translation from -22.7 to -11.3 mm (ideal is 0 mm). 2-year follow-up radiographs and 6-year follow-up health outcomes showed post-treatment improvements were maintained. The patient reported two documented concussions in the 6 years following treatment while maintaining the same lifestyle and professional rugby career. CONCLUSION: Correction of abnormal cervical spinal alignment may help athletes with post-concussion syndrome and reduce risk of concussion.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d230/10485734/b2966be6f70b/cnc-08-107-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d230/10485734/b51f4e76f90f/cnc-08-107-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d230/10485734/b2966be6f70b/cnc-08-107-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d230/10485734/b51f4e76f90f/cnc-08-107-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d230/10485734/b2966be6f70b/cnc-08-107-g2.jpg

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本文引用的文献

[1]
The Efficacy of Cervical Lordosis Rehabilitation for Nerve Root Function and Pain in Cervical Spondylotic Radiculopathy: A Randomized Trial with 2-Year Follow-Up.

J Clin Med. 2022-11-2

[2]
A Systematic Review and Synthesis of Psychometric Properties of the Numeric Pain Rating Scale and the Visual Analog Scale for Use in People With Neck Pain.

Clin J Pain. 2021-10-26

[3]
Demonstration of central conduction time and neuroplastic changes after cervical lordosis rehabilitation in asymptomatic subjects: a randomized, placebo-controlled trial.

Sci Rep. 2021-7-28

[4]
Does restoration of sagittal cervical alignment improve cervicogenic headache pain and disability: A 2-year pilot randomized controlled trial.

Heliyon. 2021-3-15

[5]
Adult Measures of General Health and Health-Related Quality of Life.

Arthritis Care Res (Hoboken). 2020-10

[6]
Evaluation of current post-concussion protocols.

Biomed Pharmacother. 2020-9

[7]
Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines.

Arch Phys Med Rehabil. 2019-10-23

[8]
Increase in cerebral blood flow indicated by increased cerebral arterial area and pixel intensity on brain magnetic resonance angiogram following correction of cervical lordosis.

Brain Circ. 2019

[9]
Sport-Related Concussion: Evaluation, Treatment, and Future Directions.

Med Sci (Basel). 2019-3-15

[10]
Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain.

J Pain Res. 2018-4-26

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