Rehabilitation strategies addressing neurocognitive and balance deficits following a concussion in a female snowboard athlete: a case report

Abstract

Head injuries, including concussions, in athletes can account for an extended period of time lost from sports competition. Neurocognitive and balance deficits which may linger following a concussion affect an athlete's ability to return to sport safely. If these deficits are not specifically addressed in a rehabilitation program then the athlete may be at risk for not only additional concussions but possible musculoskeletal injury. ImPACT testing is a reliable method for identifying neurocognitive deficits and assists in the development of a neurocognitive training program. The information gathered from ImPACT may also indicate risk for musculoskeletal injuries. Research evidence suggesting specific rehabilitation strategies and interventions addressing neurocognitive deficits following a concussion is lacking. Progressions in a neurocognitive training program may include the integration of balance, reaction training, and activities that address memory deficits. The purpose of this case report is to discuss the evaluation and treatment plan for a female snowboard athlete following a concussion.

Level of evidence: 5.

Keywords: Concussion; neurocognitive rehabilitation; reaction training.

Figure 1.

Example of static balance training exercise, tandem stance on foam.

Figure 2.

Visual tracking exercises using laser pointer to provide a target.

Figure 3.

Sport specific balance training using snowboard on BOSU™.

Figure 4.

Example jumping exercises, medial/lateral.

Figure 5.