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Implementing the buffalo concussion treadmill test to prescribe subsymptom exertion in managing post-concussion syndrome.

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  • Author(s): Strain, Chris. Azusa Pacific University, Physical Therapy, US
  • Source:
    Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 80(3-B)(E), 2019.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
    English
  • Document Type:
    Dissertation
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • Other Journal Titles:
      Dissertation Abstracts International
    • ISSN:
      0419-4217 (Print)
    • ISBN:
      978-0438550384
    • Keywords:
      buffalo concussion treadmill test, subsymptom exertion, post-concussion syndrome, intervention
    • Abstract:
      Background. Research has shown that 10 to 30% of concussions result in post-concussion syndrome (PCS). Previously, this has been managed largely by prescribing rest until symptoms subside. New research has shown that rest for more than a couple days can be detrimental to recovery. Purpose. The aim of this study was to evaluate the effect of targeted physical therapy for physiological, vestibulo-oculomotor, and cervicogenic impairments in PCS compared to rest and pharmacological intervention. Case description. The patient was a 44-year-old male police officer with a work-related case of PCS who wanted to manage his symptoms without medications. The patient had concussion symptoms for six weeks leading up to the physical therapy intervention. He presented with decreased tolerance of physical exertion, which is characteristic of physiological dysfunction. Literature review. There has been a growing body of evidence in support of active treatment strategies to target the individual patient's physiological, vestibulo-oculomotor, and cervicogenic impairments. Physical exertion (aerobic exercise) has had research support for (a) decreasing symptoms, (b) shortening time for medical clearance, and (c) improving activity tolerance in patients with PCS. Discussion. In this case, the patient was able to decrease symptoms, improve physiological responses to exercise, and successfully return to work over the five-week intervention period. From this case study and current literature findings, active treatment strategies for PCS have been shown to be effective management tools for clinicians. Further research is needed to determine optimal dosing parameters and standardized assessment procedures for determining individual patient impairments. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI10934049
      OpenURL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqm&rft_dat=xri:pqdiss:10934049
      Advisor(s): Abebaw Yohannes
      Degree: D.P.T., 2018
      Institution: Azusa Pacific University
      Department: Physical Therapy
    • Subject Terms:
    • PsycINFO Classification:
      Health & Mental Health Treatment & Prevention (3300)
      Physiological Psychology & Neuroscience (2500)
    • Population:
      Human
      Male
    • Age Group:
      Adulthood (18 yrs & older)
      Middle Age (40-64 yrs)
    • Methodology:
      Empirical Study; Quantitative Study
    • Physical Description:
      Electronic
    • Publication Date:
      20190124
    • Accession Number:
      2018-65235-185
  • Citations
    • ABNT:
      STRAIN, C. Implementing the buffalo concussion treadmill test to prescribe subsymptom exertion in managing post-concussion syndrome. 2019. ProQuest Information & Learning, [s. l.], 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2018-65235-185. Acesso em: 23 out. 2020.
    • AMA:
      Strain C. Implementing the buffalo concussion treadmill test to prescribe subsymptom exertion in managing post-concussion syndrome. Dissertation Abstracts International: Section B: The Sciences and Engineering. 2019;80(3-B(E)). Accessed October 23, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2018-65235-185
    • APA:
      Strain, C. (2019). Implementing the buffalo concussion treadmill test to prescribe subsymptom exertion in managing post-concussion syndrome [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering (Vol. 80, Issue 3–B(E)).
    • Chicago/Turabian: Author-Date:
      Strain, Chris. 2019. “Implementing the Buffalo Concussion Treadmill Test to Prescribe Subsymptom Exertion in Managing Post-Concussion Syndrome.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2018-65235-185.
    • Harvard:
      Strain, C. (2019) Implementing the buffalo concussion treadmill test to prescribe subsymptom exertion in managing post-concussion syndrome, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2018-65235-185 (Accessed: 23 October 2020).
    • Harvard: Australian:
      Strain, C 2019, ‘Implementing the buffalo concussion treadmill test to prescribe subsymptom exertion in managing post-concussion syndrome’, ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 80, no. 3–B(E), viewed 23 October 2020, .
    • MLA:
      Strain, Chris. “Implementing the Buffalo Concussion Treadmill Test to Prescribe Subsymptom Exertion in Managing Post-Concussion Syndrome.” Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 80, no. 3–B(E), ProQuest Information & Learning, 2019. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2018-65235-185.
    • Chicago/Turabian: Humanities:
      Strain, Chris. “Implementing the Buffalo Concussion Treadmill Test to Prescribe Subsymptom Exertion in Managing Post-Concussion Syndrome.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning, 2019. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2018-65235-185.
    • Vancouver/ICMJE:
      Strain C. Implementing the buffalo concussion treadmill test to prescribe subsymptom exertion in managing post-concussion syndrome [Internet]. Vol. 80, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning; 2019 [cited 2020 Oct 23]. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2018-65235-185