Concussion is defined as a traumatic brain injury where an impulsive force, caused by direct blow to the head, neck or body, is transmitted to the brain, triggering a neurotransmitter and metabolic cascade, with possible axonal injury, blood flow change and inflammation affecting the brain. Concussion can result in a constellation of non-specific and heterogeneous post-concussion symptoms (PCS), including balance impairment, somatic and/or emotional symptoms, cognitive impairment, and/or sleep disturbance. For most children and adults, PCS tend to resolve spontaneously within 2 to 4-weeks post-injury, however, approximately 30% will experience persisting PCS (pPCS) for greater than 4-weeks. pPCS can interfere with participation in school, sport, social, and recreational activities, with secondary consequences on mental health and quality of life.

For the 30% of children and adolescents who experience pPCS, emerging biopsychosocial conceptualisations emphasise the contribution of injury, pre-injury, psychological, social, and environmental factors to the development and maintenance of these symptoms. Our team developed a multimodal intervention, Concussion Essentials (CE), that combines targeted education and management strategies for common symptoms, with physiotherapy and psychology treatment. Student projects will involve examination of child, parent or intervention factors that contribute to recovery of pPCS.

Relevant for longer projects (e.g. PhD), the team is also beginning a new study trialling a pediatric concussion clinic. This is an implementation study which will examine the acceptability, feasibility, adoption and costs of a new concussion service. The Concussion Clinic will offer an innovative, integrated stepped-care model that provides individualised, evidence-based intervention and continuity of care for children and adolescents following the initial assessment and diagnosis of concussion in Emergency or Primary Care settings. This would suit students interested in translation, implementation science and people interested in the multi-disciplinary context (ED physicians, psychologists, physiotherapists).

If you are interested in this PhD project, send an email to Prof Vicki Anderson (vicki.anderson@mcri.edu.au) explaining why you would like to be considered for this opportunity and how the project fits with your experience and interests. Make sure to attach your CV and transcripts to the email. Only enquiries sent via email will be considered.

Dr

Kate Bray

Honorary Fellow

Department of Paediatrics

Dr

Kate Bray

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