Protocol for a randomised clinical trial of multimodal postconcussion symptom treatment and recovery: The concussion essentials study

Abstract

Introduction While most children recover from a concussion shortly after injury, approximately 30% experience persistent postconcussive symptoms (pPCS) beyond 1-month postinjury. Existing research into the treatment of pPCS have evaluated unimodal approaches, despite evidence suggesting that pPCS likely represent an interaction across various symptom clusters. The primary aim of this study is to evaluate the effectiveness of a multimodal, symptom-tailored intervention to accelerate symptom recovery and increase the proportion of children with resolved symptoms at 3 months postconcussion. Methods and analysis In this open-label, assessor-blinded, randomised clinical trial, children with concu..