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Curr Sports Med Rep. 2017 Nov/Dec;16(6):419-427. doi: 10.1249/JSR.0000000000000430.

Neuromechanical Considerations for Postconcussion Musculoskeletal Injury Risk Management.

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1Division of Athletic Training, School of Applied Health Sciences and Wellness, and Ohio Musculoskeletal and Neurological Institute, University of Tennessee at Chattanooga, Chattanooga, TN; and 2Graduate Athletic Training Program, Department of Health and Human Performance, Ohio University, Athens, OH.


Recent epidemiological studies have documented increased susceptibility to musculoskeletal injury after sport-related concussion, which raises questions about the adequacy of current clinical practices to ensure safe return to sport. A growing body of evidence derived from advanced neuroimaging and neurological assessment methods strongly suggests that mild traumatic brain injury has long-lasting adverse effects that persist beyond resolution of clinical symptoms. Plausible interrelationships among postconcussion changes in brain structure and function support the rationale for specific methods of clinical assessment and training to target the interaction of cognitive and motor function for reduction of musculoskeletal injury risk after concussion. The findings of preliminary clinical studies are presented to support suggested strategies for reduction of postconcussion musculoskeletal injury risk, and to identify novel approaches that we consider worthy areas for further research.

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