As we’ve discussed several times, concussion can be a serious injury. Numerous young people are forced to cut their careers short due to the sequale of this injury.
A major hypothesis in rehabilitation has been earlier intervention will decrease long-term disability. Matuseviciene, et al 2013 set out to determine if an extra visit with an expert and written documentation would change long-term disability.
The authors selected the Rivermead Post-Concussion Symptoms Questionnaire to determine levels of disability in the subjects. Participants with a Glasgow coma scale 14-15 were randomly placed in 2 groups (n = 97), standard treatment or standard treatment plus extra information and a visit with a concussion rehabilitation expert. Questionnaires were completed 10 days post injury and 3 months post-injury. 83% of subjects completed the study.
It was found that depression, headache, disability and other symptoms second to the injury were lower in both groups 3 months post-incident. Neither group had a statically different result. This would indicate that information alone will not change outcomes. Consider a sport like soccer where most concussions are mild, most athletes will be fine. Cumulative damage must be monitored but individual incidents seem to show good recovery.