Telehealth Interdisciplinary Care Reduces Symptoms in Persistent Post-Concussion Syndrome

Persistent post-concussion symptoms constitute a major public health challenge, as more than 50 million individuals sustain a traumatic brain injury annually [1]. Clinical consensus from the 6th International Conference on Concussion in Sport dictates that management must be symptom-based and interdisciplinary, integrating neurological, vestibular, and psychological interventions [2, 3]. Specialized interdisciplinary rehabilitation has proven effective in randomized trials (n=89), showing a significant reduction in symptoms on the Rivermead Postconcussion Symptoms Questionnaire (a standard 16-item scale used to rate the severity of cognitive and physical symptoms) with an effect size of 0.28 [4]. However, these resource-intensive programs are often geographically limited to metropolitan centers, prompting investigation into remote delivery models to improve patient access [5]. Recent feasibility data (n=73) suggest that interdisciplinary protocols delivered via videoconferencing can achieve high treatment fidelity (96.8%) and strong patient retention (89%), offering a viable strategy for clinicians to manage patients in rural or underserved areas [6].