Abstract Details

Title Brazilian Jiu-Jitsu Related Post-Concussion Symptoms Ameliorated With Neurorehabilitation

Topic Concussion Management

Presentation(s) P1 - Poster Session 1 (7:00 AM-3:15 PM)

Poster/Presentation
Number 024

Objective Discuss neurorehabilitation efficacy in a case of concussion without direct head impact.

Background While there is growing concern about the prevalence and severity of concussion in mixed martial arts, a grappling component, Brazilian Jiu-Jitsu, is not typically perceived as high risk. Rapid acceleration or deceleration without direct head trauma led to a concussion for a 15-year-old male during jiu-jitsu throwing drills. The subject and parents reported difficulty with academic performance, social interactions, and emotional regulation. Symptoms persisted for four months before care was sought by the subject and his parents. Without direct head trauma or impact, concussion was not initially suspected.

Design/Methods Thirteen sessions of treatment were performed in a neurorehabilitation setting utilizing joint manipulation, vestibular rehabilitation with a whole-body off-axis rotation device, oculomotor exercises, neuromuscular re-education, and electrical stimulation. C3 Logix was utilized as a baseline (immediately preceding second treatment due to equipment difficulties) and at discharge to measure effects of treatment.

Results

Data is reported as "(baseline, discharge, percent-change)". Graded Symptom Checklist score out of 162 (91, 20; -78.02%), Trail Making Test A (sec) (26.8, 19.7; -26.49%), Trail Making Test B (sec) (69.9, 37.9; -45.78%), Digit-Symbol Matching speed (# of symbols) (66, 71; +7.58%), Choice reaction time (msec) (452, 397; -12.17), Static:Dynamic Visual Acuity (line difference) (1, 0.4; -60%). Subjectively, the subject and his parents reported improved academic performance, social interactions, and emotional regulation leading to a better home and educational experience for all involved.

Conclusions This case displays positive clinical improvements with a functional neurology approach to outpatient neurorehabilitation. Further investigation into this multimodal rehabilitation for post-concussion symptoms, with and without direct head impact, is recommended. Continued concussion education and awareness are recommended for sports with rapid acceleration or deceleration and limited direct head impact.

Authors/Disclosures
PRESENTER	No disclosure on file
Matthew Antonucci, DC, DACNB, FACFN (NeuroSynergy Associates)	Dr. Antonucci has received stock or an ownership interest from TBIC, Inc. An immediate family member of Dr. Antonucci has received stock or an ownership interest from Carrick Institute.

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