Chiropractic Management of Musculoskeletal Symptoms in a 14-Year-Old Hockey Player With Postconcussion Symptoms

Chiropractic Management of Musculoskeletal Symptoms in a 14-Year-Old Hockey Player With Postconcussion Symptoms: A Case Report

A ChiroSecure Research Update

Abstract: The purpose of this study is to describe the chiropractic management of a student athlete with postconcussion syndrome.

Discussion: A 14-year-old male hockey player presented to a chiropractic clinic with postconcussion symptoms 13 days after his initial injury. He experienced an occipital headache with a pain rating of 8/10, upset stomach, blurry vision, nausea, dizziness, balance problems, a “foggy feeling,” difficulty with concentration, difficulty with memory, fatigue, confusion, drowsiness, and irritability. Prior to seeing the doctor of chiropractic, the patient was monitored by a medical doctor, and the care he had been receiving was in accordance with current concussion guidelines. At the time of presentation to the chiropractic clinic, he had failed to progress toward return to play, and his computerized neurocognitive testing scores had not improved.

Chiropractic manipulative therapy, myofascial release, instrument-assisted soft tissue technique, and therapeutic exercises were provided over 5 treatments spanning a 20-day period. The patient followed up each treatment with ImPACT testing. At the conclusion of the treatments, the patient’s computerized neurocognitive testing scores had improved, and the patient was returned to play.

Conclusion: This case demonstrates the improvement of postconcussion syndrome in a 14-year-old male hockey player under chiropractic management.

Reference: Olson HM, Tunning MJ, Boesch RJ. Chiropractic Management of Musculoskeletal Symptoms in a 14-Year-Old Hockey Player With Postconcussion Symptoms: A Case Report. J Chiropr Med. 2016 Sep;15(3):208-13. doi: 10.1016/j.jcm.2016.04.006. Epub 2016 May 27. PMID: 27660598; PMCID: PMC5021900.