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Can the neck contribute to persistent symptoms post concussion? A prospective descriptive case series

Journal of Orthopaedic & Sports Physical Therapy Nov 13, 2019

Kennedy E, et al. - Researchers examined people with persistent symptoms following a concussion for the presence of neck injury. In addition, they appraised the potential of the neck to contribute to their symptoms. Two providers of a multidisciplinary concussion service for people with persistent symptoms prospectively recruited a consecutive series of participants (n = 20) referred for neck assessment. Evaluation of participants was done at a mean of 7.5 weeks postconcussion (median, 5 weeks). On neck assessment, clinicians considered 90% to have a neck problem contributing to their current symptoms. Multiple findings supported this view, including moderate-to-severe Neck Disability Index scores (mean ± SD, 33.4 ± 9.5 points), frequent neck pain (85%), frequent moderate-to-severe pain on occiput-C4 segmental assessment (85%), a positive flexion-rotation test (45%), and muscle tenderness (50%–55%). They emphasize recognizing these neck-related findings, as these may contribute to persistent symptoms postconcussion and may respond to neck treatment.
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