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Master Thesis

Revue de littérature sur les effets de la rééducation vestibulaire sur la récupération des commotions cérébrales liées à la pratique sportive

Abstract : Introduction: It has been established that major brain injury or repeated shocks can lead to a post-concussion syndrome. This is a recognized pathology called Chronic Traumatic Encephalitis potentially leading to various neurological disorders. The post-concussion symptoms involve the vestibular system (vertigo, balance). Purpose: In this review, we then purpose to know the effectiveness and the effects of vestibular rehabilitation in the recovery of sports related concussions. Method: The PubMed database was used to collect and select the studies in this review, including randomized clinical trials and case studies. The period of publication of these studies ranged from 1999 to 2021. The studies had to focus on vestibular rehabilitation in the context of concussion or brain injury related or not to sports practice. Results: 6 studies are included in the analysis of this review. 3 randomized clinical trials and 3 cases studies. The context of sports related concussion is within only one study, the 5 other ones are not specifically related to sports practice. We found an efficacy of vestibular rehabilitation on the medical clearance of sports activity with a p-value = 0.002, improvement in symptoms of vertigo, balance, walking and quality of life after brain injury. Discussion : The results do not allow us to conclude on the initial objective. The lack of studies in the field of vestibular rehabilitation in concussed subjects, the gap context of the studies, the impossibility of comparing the studies between them (statistical impossibility) as well as the different biases noted contribute to the uncertainty of the interpretation and extrapolation of these results within the target population.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03358259
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Submitted on : Wednesday, September 29, 2021 - 11:40:35 AM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM

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Yohann Petit. Revue de littérature sur les effets de la rééducation vestibulaire sur la récupération des commotions cérébrales liées à la pratique sportive. Médecine humaine et pathologie. 2021. ⟨dumas-03358259⟩

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