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Journal Article

Citation

Broshek DK, Pardini JE, Herring SA. PM R 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, American Academy of Physical Medicine and Rehabilitation, Publisher Elsevier Publishing)

DOI

10.1002/pmrj.12884

PMID

36152344

Abstract

The term postconcussion syndrome (PCS) has long been used to refer to symptoms occurring after the acute phase of concussion. This term has lost meaning over time, however, because of misunderstanding by patients and providers, overuse or inappropriate use, and misrepresentation in the media. At the International Congress of the Athlete Brain Health Foundation held in Park City, Utah in 2019, our workgroup advocated for new terminology--Persisting Symptoms after Concussion (PSaC). This term reflects our call for a paradigm shift in how all patients--not just athletes--are managed and treated when they do not recover within the typical time frame after concussion. We believe that this new terminology will shift focus to active rehabilitation with the goal of recovery and improved quality of life, regardless of duration of symptoms. Just as there has been a shift in terminology from "bell ringer" to "concussion" to emphasize the clinical importance of acute mild brain injury, we believe it is equally important to shift terminology that can guide the conceptualization and management of symptoms that linger or worsen beyond the expected time frame for recovery after concussion...


Language: en

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