Abstract
Purpose:
The authors explored changes in outcome measures and return to meaningful life activities in six individuals who participated in a home-based multi-modal rehabilitation programme to address persistent dizziness and debility that had continued for more than 9 months since a documented concussion.
Methods:
In a case series using a repeated-measures design, changes from pre- to post-treatment assessments were assessed after a 6-month intervention. The outcome measures used were the Rivermead Post-Concussion Symptoms Questionnaire's subsidiary scales (RPQ-3, RPQ-13), Dizziness Handicap Inventory (DHI), Activities-specific Balance Confidence Scale, Functional Gait Assessment, return to work or study, and return to activity.
Results:
Six months after the multi-modal rehabilitation programme, statistically significant differences were found on the RPQ-3 (
p
=0.026), RPQ-13 (
p
=0.037), and DHI (
p
=0.033). In addition, four participants had returned to their previous work, and all six participants had been able to return to physical activity.
Conclusion:
A supervised home programme, provided in the context of a multi-modal rehabilitation programme, has the potential to improve outcomes even when rehabilitative services are delayed and persistent concussion-related symptoms continue for a significant amount of time after the onset of a concussion.