Citation

Mucha A, Fedor S, DeMarco D. Handb. Clin. Neurol. 2018; 158: 135-144.

Affiliation

Baylor Institute for Rehabilitation, Frisco, TX, United States.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/B978-0-444-63954-7.00014-8

PMID

30482341

Abstract

The assessment and treatment of sport-related concussion (SRC) often requires a multifaceted approach. Vestibular dysfunction represents an important profile of symptoms and pathology following SRC, with high prevalence and association with prolonged recovery. Signs and symptoms of vestibular dysfunction may include dizziness, vertigo, disequilibrium, nausea, and visual impairment. Identifying the central and peripheral vestibular mechanisms responsible for pathology can aid in management of SRC. The most common vestibular disturbances after SRC include benign paroxysmal positional vertigo, vestibulo-ocular reflex impairment, visual motion sensitivity, and balance impairment. A variety of evidence-based screening and assessment tools can help to identify the various types of vestibular pathology in SRC. When vestibular dysfunction is identified, there is emerging support for applying targeted vestibular rehabilitation to manage this condition.

Copyright © 2018 Elsevier B.V. All rights reserved.

Language: en

Keywords

balance; concussion; dizziness; migraine; rehabilitation; vestibular