Balance problems, dizziness, headaches, nausea, vomiting and sensitivity to light and sound, are a few of the symptoms which may be associated with post concussion syndrome (PCS), concussion symptoms which persist longer than 21 days. This article presents a physical therapy perspective on managing dizziness experienced by athletes with PCS. It provides an overview of conditions that may contribute to dizziness: this may include benign paroxysmal positional vertigo (BPPV), poor gaze stabilisation, visual motion sensitivity, postural instability and cervicogenic dizziness. Goals of physical therapy targeted at the identified cause are explained. This article is set within the context of a journal edition devoted to raising awareness of concussion or mild traumatic brain injury (mTBI) particularly as it relates to the variety of sporting activities (both amateur and professional) that may put an individual at risk for concussion. A useful read for any practitioner involved in differential diagnosis of balance disorders.
Postconcussion syndrome: weighing up the options on balance
Reviewed by Roganie Govender
Management of athletes with postconcussion syndrome.
CONTRIBUTOR
Roganie Govender
University College London, Head & Neck Academic Centre, UK.
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