Robertson Megyn K, McLoughlin James
South African Society of Physiotherapy, Johannesburg, South Africa.
College of Nursing and Health Sciences, Faculty of Physiotherapy, Flinders University, Adelaide, Australia.
S Afr J Physiother. 2024 Apr 30;80(1):2013. doi: 10.4102/sajp.v80i1.2013. eCollection 2024.
In the last decade, concussion research has exploded in multiple fields of scientific research. This has helped to clarify what causes, influences, and perpetuates human concussion, and displays the integral role physiotherapists play in concussion management. In this article we discuss the latest research relevant to the key role of physiotherapy in concussion management. A narrative review of the literature on concussion was conducted. The current review analyses how concussion has influenced physiotherapy in several categories: assessment, treatment, management, research rigour and building the profile of the profession. Scientific concussion research has largely converged in support of the role of physiotherapists utilising specific components including: (1) autonomic, (2) cervicogenic, (3) vestibulo-ocular and (4) psychological approaches to management. Latest research supports the critical role of physiotherapy in concussion care in the assessment, management, and prevention of concussion with scope for further interdisciplinary collaborations.
Concussion is complex. A basic mental health, Vestibular Ocular Motor Screening (VOMS) and four key components relating to concussion management (autonomic, cervicogenic, vestibular oculomotor, and psychological approaches to management) should be included in the undergraduate and postgraduate curriculum. This will aid clinical physiotherapists to support their patients. A call to advance more intradisciplinary physiotherapy teamwork should be encouraged as valuable knowledge sharing is potentially lost within the framework of 'specialisation'. If needed, the skills of a greater interdisciplinary team are imperative to facilitate patient management and recovery from this multi-faceted injury.
在过去十年中，脑震荡研究在多个科研领域迅速发展。这有助于阐明导致、影响和使人类脑震荡持续存在的因素，并显示了物理治疗师在脑震荡管理中所起的重要作用。在本文中，我们讨论了与物理治疗在脑震荡管理中的关键作用相关的最新研究。对有关脑震荡的文献进行了叙述性综述。当前的综述分析了脑震荡在几个方面如何影响物理治疗：评估、治疗、管理、研究严谨性以及提升该专业的形象。科学的脑震荡研究在很大程度上趋于一致，支持物理治疗师发挥作用，具体包括使用特定的组成部分：（1）自主神经、（2）颈源性、（3）前庭眼动和（4）心理管理方法。最新研究支持物理治疗在脑震荡护理的评估、管理和预防中发挥关键作用，并且有进一步开展跨学科合作的空间。
脑震荡情况复杂。本科和研究生课程应纳入基本心理健康、前庭眼动筛查（VOMS）以及与脑震荡管理相关的四个关键组成部分（自主神经、颈源性、前庭眼动和心理管理方法）。这将有助于临床物理治疗师为患者提供支持。应鼓励推动更多的跨学科物理治疗团队合作，因为在“专业化”框架内可能会失去宝贵的知识共享。如有需要，更广泛的跨学科团队的技能对于促进患者管理以及从这种多方面损伤中恢复至关重要。
