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Concussion subtypes in the RPQ

...is a questionnaire helpful to guide management of concussed athletes?

It is widely accepted that a one-size-fits-all approach in concussion treatment is not sufficiently effective.

This study aimed to investigate whether the Rivermead Post-concussion Questionnaire (RPQ) can identify six sub-categories of concern in those who have suffered a recent concussion, and use these for guiding treatment. The six subcategories are: cognitive/ fatigue, vestibular, oculomotor, anxiety/ mood, post-traumatic migraine, and sleep disturbances.  

The classification of the most prevalent symptoms with the RPQ can be valuable for clinicians to guide early treatment. The RPQ is also used to detect elevated symptoms within one week and can be useful in determining prognosis and recovery time after a concussion. While the RPQ does has its limitations, such as narrowing the specific issues to one of these six subgroups, it aids in prioritisation of care for the healthcare professional. 

> From: Maruta et al., Front Neurol 9 (2018) 1034 . All rights reserved to . Click here for the online summary.

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