KNES 372 Lecture Notes - Lecture 19: Physical Therapy, Tylenol (Brand), The Strongest
Document Summary
Management principles: treatment: tertiary prevention, relative rest, addressing modifiers, treat underlying issues (visual/sleep/mood/fatigue/exertional/mental health/cognitive/neck pain/headaches/dizziness/etc. ), education and counselling, step-wise progression: current consensus: a brief period (24 48 hours) of cognitive and physical rest is appropriate for most patients. Following this, patients should be encouraged to gradually increase activity. The data support interventions including cervical and vestibular rehabilitation and multifaceted collaborative care. Should also have closely monitored sub-symptom threshold, submaximal exercise may be of benefit. Baseline screening: no evidence to support mass baseline screening, significant costs, questionable clinical utility not very necessary from a public health perspective. Chronic traumatic encephalopathy (cte: specific tauopathy, progressive neurodegenerative disease, clinical areas affected : cognition, mood, behavior, and motor but diagnosis currently only possible on autopsy, no cause and effect yet proven, but there is significant medico-legal concern. Lot more research and work that need to go into this!