A Treatment-Based Profiling Model for Physical Therapy Management of Patients Following a Concussive Event.

Abstract

Concussions are a public health concern that affects individuals across the life span. The multifaceted effects of concussion warrant an interdisciplinary management strategy that may include physical therapy. However, physical therapists may feel underprepared for clinical decision making following a concussive event. We propose a new treatment-based profiling model to help physical therapists manage patients following a concussive event. This profiling model, based on symptom type and intensity, disability status, and response to movement, prioritizes treatment emphasis on (1) symptom management, (2) movement system optimization, or (3) performance optimization. We consider contextual factors that modify treatment decision making and present examples of each treatment-based profile. J Orthop Sports Phys Ther 2019;49(11):829-841. doi:10.2519/jospt.2019.8869.