The role of the occupational therapist in concussion management

Occupational therapists play an important role in providing athletes and patients who have suffered a concussion with the services and opportunities to properly manage their return into activities of daily living. The unique training and experience of occupational therapists position them as health-care professionals knowledgeable in both the medical and physical limitations of a patient who have suffered a concussion, as well as the psycho-social factors that influence a person’s functional independence. This chapter presents a commentary on the inclusion of occupational therapy services during the management of a concussion and aims to address how the integration of an occupational therapist can improve the management of concussion rehabilitation. Covered topics include how the occupational therapist can be involved in the evaluation and intervention stages, as well as return to activity and school planning. A case study is provided that outlines how the occupational therapist can play an active role in the management of concussion rehabilitation. This chapter presents a commentary on the inclusion of occupational therapy services during the management of a concussion and aims to address how the integration of an occupational therapist (OT) can improve the management of concussion rehabilitation. A core competency across rehabilitation professions, including occupational therapy, is practicing in a client-centered manner. Traditionally, in the field of brain injury rehabilitation, OTs are responsible for screening cognitive difficulties such as attention and concentration that are affecting functional activities such as schoolwork and daily routines. Child and adolescent development is always considered with the OT evaluation, putting all performance problems in the context of age appropriate expectation and preinjury performance. As part of a good evaluation, an OT must know their client's tolerance for activity to help them and those involved in their life know where to begin, how much is tolerated, and how much is too much.