Negi B, Saini P, Sharma S, Ahmad I, Rizvi M R, Sethi P. Effect of Manual Therapies on Parameters of Postconcussion Symptoms Recovery: A Systematic Review. Iranian Rehabilitation Journal 2023; 21 (2) :201-214
URL:
http://irj.uswr.ac.ir/article-1-1741-en.html
1- Department of Physiotherapy, School of Allied Health Sciences, Modern Vidya Niketan (MVN) University, Palwal, India.
2- Department of Physiotherapy, Faculty of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, Faridabad, India.
3- Department of Physiotherapy, Faculty of Physiotherapy, SGT University, Gurugram, India.
Abstract: (2051 Views)
Objectives: Postconcussion syndrome (PCS) results from an injury to the head, leading to loss of consciousness. It includes symptoms like fatigue, headache, dizziness, and difficult concentration. PCS is frequently seen among athletes, and its treatment is still controversial. This systematic review aims to study the impact of manual therapies on recovery from postconcussion syndrome.
Methods: A systematic search was performed using three databases (PubMed, Google Scholar, and Research Gate) from 2011 to 2021. GRADE approach (grading of recommendations assessment, development, and evaluation) was utilized to evaluate and appraise the quality of studies deemed eligible for this study.
Results: A total of 5489 articles were identified. After undergoing the process of screening and review, only 7 articles were used in the systematic review. Data were extracted from these 7 articles (GRADE rating very low to low).
Discussion: Manual therapy is an intervention for treating postconcussion symptoms. More studies especially controlled trials with randomization with greater sample sizes, are required to confirm the existing findings.
Coresponding author: Baldev Negi, E-mail: negibaldev1207@gmail.com
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• The postconcussion syndrome is a common clinical condition among athletes involved in collision sports.
• Manual therapies can be a better alternative in managing symptoms of postconcussion syndrome.
• There is a shortage of research evaluating the effect of manual therapeutic techniques in managing the symptoms observed in individuals following postconcussion syndrome.
Plain Language Summary
The postconcussion syndrome can last up to several months, negatively affecting athletic performance. In non-athletic populations, it also causes considerable interference and challenges in normal daily activities. Therefore, this clinical condition needs to be addressed by proper treatment interventions. Although systematic reviews have been performed earlier evaluating the effect of rest, pharmacotherapy, and cognitive behavioral therapy, few studies have been done on manual therapy. This systematic review has found few studies in this area. Their results suggest that manual treatments like lymphatic drainage, visceral manipulation, craniosacral therapy, and neural manipulation can provide substantial relief in the symptoms of postconcussion syndrome.
Article type:
Reviews |
Subject:
Physiotherapy Received: 2022/08/1 | Accepted: 2023/02/26 | Published: 2023/06/7
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