TY - JOUR
T1 - Specialized interdisciplinary rehabilitation reduces persistent post-concussive symptoms
T2 - a randomized clinical trial
AU - Rytter, Hana Mala
AU - Westenbaek, Klaus
AU - Henriksen, Henriette
AU - Christiansen, Peter
AU - Humle, Frank
PY - 2019/2/23
Y1 - 2019/2/23
N2 - Objective: To compare the effectiveness of a specialized, interdisciplinary rehabilitation (S-REHAB) with standard care (STAND) for people with persistent post-concussive symptoms (PPCS > 6 month). Design: Randomized controlled trial. Participants: Eighty-nine adults. Interventions: 22-week programme combining individual and group-based neuropsychological treatment with exercise therapy and physiotherapeutic coaching (S-REHAB), and the usual treatment offered by the public municipality services (STAND). Outcome Measures: The Rivermead Postconcussion Symptoms Questionnaire (RPSQ) (primary), The Headache Impact Test (HIT-6), Major Depression Inventory (MDI), Multidimensional Fatigue Inventory (MFI-20) and The Short Form (36) Health Survey (SF-36); all collected at baseline, post-treatment, and at 6-month follow-up. Results: The S-REHAB group showed a significant reduction in symptoms measured by RPSQ compared to the STAND immediately post-treatment (effect size [ES] = 0.28) and at follow-up (ES = 0.26). The S-REHAB groups also showed significant improvements regarding HIT-6 post-treatment (ES = 0.38) and at follow-up (ES = 0.68), MFI-20–dimension ‘mental fatigue’ post-treatment (ES = 0.42), MFI-20–dimension ‘reduced activities’ at follow-up (ES = 0.74) and SF-36–dimension ‘social functioning’ post-treatment (ES = 0.31). Conclusions: The S-REHAB is more effective than the STAND in reducing the PPCS affecting physical, cognitive and emotional domains. This symptom reduction was associated with experienced improvement in social functioning, increased levels of activity, a decrease in mental fatigue and increased life satisfaction.
AB - Objective: To compare the effectiveness of a specialized, interdisciplinary rehabilitation (S-REHAB) with standard care (STAND) for people with persistent post-concussive symptoms (PPCS > 6 month). Design: Randomized controlled trial. Participants: Eighty-nine adults. Interventions: 22-week programme combining individual and group-based neuropsychological treatment with exercise therapy and physiotherapeutic coaching (S-REHAB), and the usual treatment offered by the public municipality services (STAND). Outcome Measures: The Rivermead Postconcussion Symptoms Questionnaire (RPSQ) (primary), The Headache Impact Test (HIT-6), Major Depression Inventory (MDI), Multidimensional Fatigue Inventory (MFI-20) and The Short Form (36) Health Survey (SF-36); all collected at baseline, post-treatment, and at 6-month follow-up. Results: The S-REHAB group showed a significant reduction in symptoms measured by RPSQ compared to the STAND immediately post-treatment (effect size [ES] = 0.28) and at follow-up (ES = 0.26). The S-REHAB groups also showed significant improvements regarding HIT-6 post-treatment (ES = 0.38) and at follow-up (ES = 0.68), MFI-20–dimension ‘mental fatigue’ post-treatment (ES = 0.42), MFI-20–dimension ‘reduced activities’ at follow-up (ES = 0.74) and SF-36–dimension ‘social functioning’ post-treatment (ES = 0.31). Conclusions: The S-REHAB is more effective than the STAND in reducing the PPCS affecting physical, cognitive and emotional domains. This symptom reduction was associated with experienced improvement in social functioning, increased levels of activity, a decrease in mental fatigue and increased life satisfaction.
KW - Concussion
KW - interdisciplinary team
KW - PCS
KW - persistent post-concussive symptoms
KW - rehabilitation
U2 - 10.1080/02699052.2018.1552022
DO - 10.1080/02699052.2018.1552022
M3 - Journal article
C2 - 30500267
AN - SCOPUS:85057615051
SN - 0269-9052
VL - 33
SP - 266
EP - 281
JO - Brain Injury
JF - Brain Injury
IS - 3
ER -