Activity, not rest - Reframing the narratives on the treatment of concussion

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Approach no longer demands patients rest and refrain from exercise and computers

“Having gone to the hospital they’d given it as mild concussion and you just have to rest a for a few weeks and you’d be fine basically,” said O’Donnell. “My brother and his wife, also doctors, they also gave me the same kind of advice, just rest for a couple weeks and you’ll start to come out of it.

Dr Michael Collins, a renowned concussion expert and one of many speakers at UCD’s seminar, Concussion in Sport – A National Conversation, is at the cutting edge of understanding the injury and talks of a paradigm shift in the way it is treated. The advanced methods are far from what most Irish people have understood as the way to deal with concussion and challenge the orthodoxies that had taken O’Donnell away from work, his electronic devices and exercise.

Much of the therapy, which has caused some controversy, is ‘symptom provocation’ which is having patients engage in activity that may induce symptoms but result in better long-term outcomes. “It’s only when you realise that if you treat them one at a time as they come that you can go out there and if you get another one, we can treat that as well.

The reality of the injury, maintains Dr Collins’s team, is that concussion is treatable and in their research they are not seeing cumulative effects.

 

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