Is It Really the Result of a Concussion? Lessons From a Case Study

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aut.relation.issue8en_NZ
aut.relation.journalSports Medicine - Openen_NZ
aut.relation.volume5en_NZ
aut.researcherHume, Patria
dc.contributor.authorMcGeown, Jen_NZ
dc.contributor.authorHume, Pen_NZ
dc.contributor.authorKara, Sen_NZ
dc.contributor.authorNeary, Pen_NZ
dc.contributor.authorGardner, Wen_NZ
dc.date.accessioned2019-03-11T01:31:56Z
dc.date.available2019-03-11T01:31:56Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractBackground Within the last two decades, attitudes have shifted from considering sports-related concussion as an insignificant minor injury with no long-term repercussions to a potentially serious brain injury garnering attention from media, clinicians, researchers, and the general public. Objectives To conduct a case study to determine the underlying cause of persistent issues suspected to be associated with a history of sports-related concussion. Protocol Participant A underwent neurophysiological testing following the Neary protocol (assessment of cerebrovascular and cardiovascular variables), comprehensive concussion assessment at a dedicated sports concussion clinic (history, neurological assessment, cervical spine screening, vestibulo-ocular screening, SCAT-5, and exercise testing), referral to a neurologist, structural MRI scan, and referral for specialised assessment at a dedicated dizziness and balance centre. Results Despite a history of multiple sports-related concussions, Participant A’s persistent symptom reports were associated with peripheral vestibular dysfunction and otolithic dysfunction seemingly unrelated to his concussion history. Discussion Lessons from Participant A’s case study showed that on-going symptoms that patients may associate with the effects of concussions may instead be due to unrelated causes that share similar symptomology. Conclusion This research exemplifies the importance of a multi-disciplinary assessment using a repeated testing protocol.
dc.identifier.citationSports Medicine-Open, 5(1), 8.
dc.identifier.doi10.1186/s40798-019-0181-4en_NZ
dc.identifier.issn2198-9761en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12345
dc.publisherSpringer (part of Springer Nature)en_NZ
dc.relation.urihttps://sportsmedicine-open.springeropen.com/articles/10.1186/s40798-019-0181-4#Decs
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectSports medicine; Concussion; Vestibular; Assessment; Persistent symptoms
dc.titleIs It Really the Result of a Concussion? Lessons From a Case Studyen_NZ
dc.typeJournal Article
pubs.elements-id352597
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Sports & Recreation
pubs.organisational-data/AUT/Health & Environmental Science/SPRINZ
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HS Sports & Recreation 2018 PBRF
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