Effectiveness of vestibular rehabilitation therapy in decreasing concussion symptoms in patients under the age of 60: A critically appraised topic

Abstract

Clinical Scenario: Concussions, also known as mild traumatic brain injuries or traumatic brain injuries, are prevalent injuries sustained by both young and old. These injuries can leave people with lasting symptoms. Vestibular Rehabilitation Therapy (VRT) is a form of physical therapy which is comprised of exercises encouraging head and eye movements.Clinical Question: In patients ages twelve to sixty who have sustained a diagnosed concussion and have experienced symptoms for up to one year, does completing vestibular rehabilitation therapy efficiently return them to activities of daily living through symptom resolution sooner than conservative methods?Clinical Bottom Line: There is moderate evidence supporting the integration of VRT to concussion protocols in order to achieve efficient symptom resolution as soon as two weeks to return patients with diagnosed concussions to their activities of daily living.Strength of Recommendation: These findings suggest the Strength of Recommendation Taxonomy (SORT) Level B evidence¹² with a CEBM level 2 indicating the quality methods used by the included studies