Active Rehabilitation After Childhood and Adolescent Mild Traumatic Brain Injury: a Narrative Review and Clinical Practice Implications

Purpose of Review: Development of rehabilitation strategies for youth after mTBI can be challenging for the rehabilitation professional. The purpose of this narrative review is to highlight current evidence for the use of active rehabilitation to manage common impairments after concussion/mild traumatic brain injury (mTBI). Recent Findings: Exertional intolerance, vestibular deficiency, visual problems, and cervical dysfunction are common after mTBI. Active rehabilitation strategies targeting these problems are likely effective at reducing these impairments, leading to improved functioning. Summary: Active rehabilitation recommendations for mTBI are evolving rapidly. There appears to be consensus that various impairment domains can be targeted with exercise and education after a thorough evaluation. More rigorous studies within the youth population are needed to move the field toward individualized, active rehabilitation strategies for youth after mTBI.