provide new insight to the benefits that the osteopathic medical profession has to offer for patients with concussion, an injury that often causes significant morbidity. I have concerns, however, regarding the exclusion criteria of this study. According to the criteria, patients with "active or marked depression, anxiety, or psychosis" were not permitted to participate, and there was no explanation provided for the exclusion of this population. The psychological symptoms of depression and anxiety are common sequelae of concussion. Therefore, the results of this pilot study may not be generalizable for patients who have sustained concussions and have subsequent psychological symptoms.
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