Research Article
Issue Date: January 25, 2019
Published Online: January 28, 2019
Updated: July 31, 2019
Interventions to Address the Needs of Adults With Postconcussion Syndrome: A Systematic Review
Author Affiliations
  • Ala’a F. Jaber, PhD, OTR, is Assistant Professor, Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan; afjaber@just.edu.jo. At the time of this study, he was a doctoral student at the University of Kansas Medical Center, Kansas City.
  • Julie Hartwell, MLIS, is Instructional Design Librarian, Miller Nichols Library, University of Missouri–Kansas City. At the time of this study, she was a librarian at the University of Kansas Medical Center, Kansas City.
  • Jeff D. Radel, PhD, is Associate Professor, Department of Occupational Therapy Education, School of Health Professions, University of Kansas Medical Center, Kansas City.
Article Information
Evidence-Based Practice / Mental Health / Neurologic Conditions / Traumatic Brain Injury / Research Articles
Research Article   |   January 25, 2019
Interventions to Address the Needs of Adults With Postconcussion Syndrome: A Systematic Review
American Journal of Occupational Therapy, 01 2019, Vol. 73, 7301205020. https://doi.org/10.5014/ajot.2019.028993
American Journal of Occupational Therapy, 01 2019, Vol. 73, 7301205020. https://doi.org/10.5014/ajot.2019.028993
Abstract

Postconcussion syndrome (PCS) affects physical, cognitive, and emotional functioning. Existing reviews of interventions to address PCS are limited to psychological and rehabilitation interventions and to child and adolescent populations. We conducted a systematic review integrating current evidence about interventions for adults with PCS. The inclusion criteria were intervention studies of adults (ages ≥18 yr) with PCS that evaluated recovery from PCS symptoms and focused on functional outcomes; 10 studies met the criteria. Included studies demonstrated medium to high levels of evidence and investigated psychotherapy, counseling, social support, self-management strategies, individualized rehabilitation, hyperbaric oxygen interventions, and group-based cognitive–behavioral therapy. Outcomes included reduced postconcussion symptoms, improved cognitive function, enhanced quality of life, and increased community integration. The evidence supports psychotherapy, counseling, and social support interventions as being beneficial for cognitive and emotional functions in adults with PCS.