Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping Review
Objective: To identify and describe occupational and physiotherapy rehabilitation modalities used to support an interdisciplinary rehabilitation in adults (aged 16 + years) with concussion. Methods: A scoping review methodology was used. Included studies were categorized according to Wade’s element...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2023-05-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/4512 |
| _version_ | 1797820288845479936 |
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| author | Mille Nabsen Marwaa Heidi Klakk Egebæk Julie Dalgaard Guldager |
| author_facet | Mille Nabsen Marwaa Heidi Klakk Egebæk Julie Dalgaard Guldager |
| author_sort | Mille Nabsen Marwaa |
| collection | DOAJ |
| description |
Objective: To identify and describe occupational and physiotherapy rehabilitation modalities used to support an interdisciplinary rehabilitation in adults (aged 16 + years) with concussion.
Methods: A scoping review methodology was used. Included studies were categorized according to Wade’s elements of rehabilitation and the Danish White Paper definition of rehabilitation.
Results: Ten studies were included in this review, addressing: “assessment” (n = 9), “goal-setting” (n = 4), “training” (n = 10), and “social participation and discharge support” (n = 4). Interventions were delivered mainly by physiotherapists or an interdisciplinary team. In two studies occupational therapists were part of the interdisciplinary team. Randomized controlled trials more often addressed several of the rehabilitation elements using interdisciplinary intervention delivery. No studies specifically aimed their intervention at patients with acute or subacute concussion.
Conclusion: The therapeutic modalities identified were: (i) manual and sensory motor interventions; (ii) physical exercises; and (iii) management of, or coping with, symptoms. More research is needed on how to better support social participation and discharge or return to work in the rehabilitation process. In addition, interventions delivered in the acute phases of concussion need further exploration.
LAY ABSTRACT
Individuals with prolonged or persisting symptoms from a concussion often struggle to participate in activities of daily living, and their quality of life and work ability is affected. Interdisciplinary rehabilitation is recommended, and it is recognized that occupational and physiotherapy is important to support the interdisciplinary rehabilitation and promote recovery. However, this scoping review found that occupational therapists were seldom part of the interdisciplinary rehabilitation team. Furthermore, the physiotherapy and occupational rehabilitation modalities used consisted of manual or sensory motor interventions, physical exercise interventions, and management and coping. Only a few studies included social participation and discharge support as a part of the rehabilitation. No studies specifically aimed their intervention at preventing prolonged symptoms in patients with acute or subacute concussion. There is a need for more research into how to better support social participation and discharge in the rehabilitation process. Also, interventions delivered in the acute phases of concussion need further exploration.
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| first_indexed | 2024-03-13T09:36:11Z |
| format | Article |
| id | doaj.art-38c7a85815144d16b99db155c1774a71 |
| institution | Directory Open Access Journal |
| issn | 1651-2081 |
| language | English |
| last_indexed | 2024-03-13T09:36:11Z |
| publishDate | 2023-05-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-38c7a85815144d16b99db155c1774a712023-05-25T11:53:00ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812023-05-015510.2340/jrm.v55.4512Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping ReviewMille Nabsen Marwaa0Heidi Klakk Egebæk1Julie Dalgaard Guldager2Department of Physiotherapy Education, University College South Denmark, Esbjerg; Research Department, University College South Denmark, HaderslevResearch Unit for Exercise Epidemiology (EXE), Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense; Centre for Clinical Research and Prevention, Section for Health Promotion and Prevention, Bispebjerg and Frederiksberg Hospital, DenmarkDepartment of Physiotherapy Education, University College South Denmark, Esbjerg; Research Department, University College South Denmark, Haderslev Objective: To identify and describe occupational and physiotherapy rehabilitation modalities used to support an interdisciplinary rehabilitation in adults (aged 16 + years) with concussion. Methods: A scoping review methodology was used. Included studies were categorized according to Wade’s elements of rehabilitation and the Danish White Paper definition of rehabilitation. Results: Ten studies were included in this review, addressing: “assessment” (n = 9), “goal-setting” (n = 4), “training” (n = 10), and “social participation and discharge support” (n = 4). Interventions were delivered mainly by physiotherapists or an interdisciplinary team. In two studies occupational therapists were part of the interdisciplinary team. Randomized controlled trials more often addressed several of the rehabilitation elements using interdisciplinary intervention delivery. No studies specifically aimed their intervention at patients with acute or subacute concussion. Conclusion: The therapeutic modalities identified were: (i) manual and sensory motor interventions; (ii) physical exercises; and (iii) management of, or coping with, symptoms. More research is needed on how to better support social participation and discharge or return to work in the rehabilitation process. In addition, interventions delivered in the acute phases of concussion need further exploration. LAY ABSTRACT Individuals with prolonged or persisting symptoms from a concussion often struggle to participate in activities of daily living, and their quality of life and work ability is affected. Interdisciplinary rehabilitation is recommended, and it is recognized that occupational and physiotherapy is important to support the interdisciplinary rehabilitation and promote recovery. However, this scoping review found that occupational therapists were seldom part of the interdisciplinary rehabilitation team. Furthermore, the physiotherapy and occupational rehabilitation modalities used consisted of manual or sensory motor interventions, physical exercise interventions, and management and coping. Only a few studies included social participation and discharge support as a part of the rehabilitation. No studies specifically aimed their intervention at preventing prolonged symptoms in patients with acute or subacute concussion. There is a need for more research into how to better support social participation and discharge in the rehabilitation process. Also, interventions delivered in the acute phases of concussion need further exploration. https://medicaljournalssweden.se/jrm/article/view/4512Commotio cerebrimild traumatic brain injurymTBIconcussionpost commotio syndromerehabilitation modalities |
| spellingShingle | Mille Nabsen Marwaa Heidi Klakk Egebæk Julie Dalgaard Guldager Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping Review Journal of Rehabilitation Medicine Commotio cerebri mild traumatic brain injury mTBI concussion post commotio syndrome rehabilitation modalities |
| title | Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping Review |
| title_full | Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping Review |
| title_fullStr | Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping Review |
| title_full_unstemmed | Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping Review |
| title_short | Occupational and Physiotherapy modalities used to support interdisciplinary rehabilitation after concussion: A Scoping Review |
| title_sort | occupational and physiotherapy modalities used to support interdisciplinary rehabilitation after concussion a scoping review |
| topic | Commotio cerebri mild traumatic brain injury mTBI concussion post commotio syndrome rehabilitation modalities |
| url | https://medicaljournalssweden.se/jrm/article/view/4512 |
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