Article

Vertigo, dizziness, and imbalance are a symptom complex that is
commonly found following concussion. Early metabolic changes following concussion
may lead to worsening of the injury and symptoms in individuals not properly
managed from the outset. When symptoms do not recover spontaneously, skilled
vestibular rehabilitation can be an effective modality in an attempt to normalize
the individual's vestibular responses. PURPOSE: The purpose of this review is to
appraise the current and accepted methods available to the skilled clinician in
quantifying and treating vestibular dysfunction following concussion. Incidence
and prognostic indicators will be reviewed along with common barriers to
recovery. SUMMARY: Vestibular Rehabilitation following concussion utilizes
similar tools and techniques employed when treating those solely with peripheral
pathology. The clinician must not only have a solid understanding of when and why
certain exercises are required, but also be willing to accept that less exercise
may be indicated in this population. As injury to the system following mild
traumatic brain injury can include both peripheral and central structures, the
duration of therapy and the time to recovery may be prolonged. Co-morbidities
including cognitive and behavioral issues, visual-perceptual dysfunction,
metabolic dysfunction, and autonomic dysfunction may hamper the effectiveness of
the traditional Vestibular Rehabilitation approach. As successful treatment does
not occur in a vacuum, working closely with other disciplines well versed in
treating these co-morbid issues will help the individual to obtain optimal
recovery. CONCLUSION: Vestibular Rehabilitation is an effective modality for
managing dizziness, vertigo, and imbalance following concussion. Careful
consideration of the acuity of the injury, along with effective management of
co-morbid conditions will optimize the result.

Langue : ANGLAIS