Did the Concussion CPG for PTs Go Far Enough?

 Image Puzzle Brain by Raquel Mela CC by 1.0

By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DN

Last month the Journal of Orthopedic and Sport Physical Therapy (JOSPT) published a lengthy Clinical Practice Guidelines (CPG) specific to physical therapy and concussion management. Here's a link to the authors' summary. The authors of the CPG offered a long list of references, well-thought out discussions, and clear evidenced-based recommendations. However, our team at Nutritional Physical Therapy feel the CPG did not go far enough for physical therapists (PTs). 

Managing patients with concussions, or mild traumatic brain injuries (TBIs), involves a multidisciplinary and multi-faceted approach. Concussions involve disruptions in cognition, planning, executive function, balance, physical performance, speech, vision, and even sleep. As such, the authors do a fabulous job outlining the need for PTs to screen for cognitive, vision, speech, and sleep issues....

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