Factors Associated with Sport-Related Post-concussion Headache and Opportunities for Treatment

Abstract

Various factors may be associated with post-concussion headache presentation. These may include pre-injury or historical factors such as sex, family and self-history of headache and migraine, concussion history, and mood disorders. In addition, post-injury presentation factors for consideration may include injury mechanism, symptom clusters, cervicogenic dysfunction, and post-concussion physiologic dysfunction. Despite this complex interplay of factors, many treatment options may improve headache symptoms and recovery post-concussion including rehabilitation programs focusing on deficits such as visual-vestibular dysfunction, sub-symptom threshold exercise, and potential pharmacological interventions. Concussion is a complex injury that results in a variety of sequelae with headache being one of the most common. Understanding factors related to post-concussion headache presentation and the available options for treatment may improve patient care and outcomes post-concussion.

Cefaleia Relacionada Ao Esporte

“…Outro fato que merece atenção é descartar que a cefaleia seja especificamente por motivo cervicogênico. Biomecanicamente, a coluna cervical é um canal que promove absorção de forças durante movimentos de aceleração e desaceleração do crânio e do corpo (REGISTER-MIHALIK et al, 2018), e que portanto está vulnerável aos traumas concussionais.…”

Revisiting the ICHD-3 criteria for headache attributed to mild traumatic injury to the head: Insights from the Toronto Concussion Study Analysis of Acute Headaches Following Concussion

“…To date, there has been limited research on the clinical characteristics of acute headache following head trauma ( 5 – 7 ). Most prior research on PTH has been retrospective, looked at homogenous athlete, military or pediatric populations that do not optimally generalize to the general concussion population, or has focused on persistent PTH ( 11 – 15 ). Accordingly, this phase of the Toronto Concussion Study was designed to prospectively and comprehensively evaluate acute PTH within the first week post-concussion in a heterogeneous outpatient population.…”