Physical rest after concussion appears to be unhelpful, even harmful, in children and young people after concussion.

Parental expectations for pediatric ED concussion care are high.  Many expectations we can and should meet, some we can't.

Ankle PT after a mild sprain may not be helpful in making an excellent recovery.

This study found that usual discharge instructions vs cognitive/physical rest + graduated return to play did not impact post-concussion symptoms.  What they may have found is that people don't read or pay close attention to their discharge instructions.

Recovery time was doubled and symptoms worsened when kids were not removed from play after concussion.

Short Attention Span Summary If you are a little cray-cray before your concussion, you complain of symptoms longer than if you’re not.  Pre-injury somatization symptom score was the best predictor of post-concussive symptom duration. FOAM Report Twitter Facebook Med Page Today Abstract Neurology. 2016 May 17;86(20):1856-63. doi: 10.1212/WNL.0000000000002679. Epub 2016 Apr 20. Preinjury somatization symptoms […]