Psychologically Informed Rehabilitation for Concussion

(PIC Rehab Trial)

This trial explores new methods to aid recovery from mild traumatic brain injuries (mTBIs), such as concussions, by combining two types of therapy. One group will receive cervicovestibular rehabilitation (CVPT), which includes exercises and treatments for the neck and balance systems. The other group will receive CVPT combined with cognitive behavioral therapy (CBT), which addresses mood and cognitive issues. This combined approach is known as Psychologically Informed Cervicovestibular Rehabilitation (PIC Rehab). The goal is to determine if adding CBT to physical therapy enhances recovery. Individuals experiencing dizziness, neck pain, or headaches 14 days after a concussion may be suitable for this trial, provided they have not previously undergone this therapy. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants a chance to be among the first to receive this innovative therapy.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research has shown that cervicovestibular rehabilitation (CVPT), which includes exercises for the neck, balance, and vision, is supported by evidence and is safe and effective for concussion recovery. This treatment enhances the coordination between the brain and body, particularly for balance and coordination.

Adding cognitive behavioral therapy (CBT), a non-drug method using education and strategies to reduce symptoms, has shown benefits in similar conditions involving pain and dizziness. CBT is safe and helps individuals manage symptoms by changing thoughts and behaviors.

Researchers are excited about Psychologically Informed Cervicovestibular Rehabilitation (PIC Rehab) because it combines traditional cervicovestibular therapy with cognitive behavioral therapy (CBT), a fresh twist on concussion care. This approach not only tackles the physical aspects of recovery, like balance and coordination, but also addresses the psychological symptoms, which are often overlooked in standard treatments. By integrating CBT, PIC Rehab offers a dual-action strategy that might enhance recovery rates and improve overall well-being for concussion patients.

Research has shown that cervicovestibular rehabilitation (CVPT), one of the treatment arms in this trial, can aid people with mild traumatic brain injuries (mTBI) by targeting the neck and balance systems, potentially reducing symptoms like dizziness and neck pain. Another treatment arm, Psychologically Informed Cervicovestibular Rehabilitation (PIC Rehab), combines CVPT with cognitive behavioral therapy (CBT). Studies suggest that adding CBT to physical rehabilitation can enhance outcomes for conditions involving dizziness and pain. This combination uses CBT techniques to manage symptoms alongside physical exercises. Evidence from other conditions indicates that this approach can boost recovery by addressing both physical and mental aspects. Initial findings, although not specific to mTBI, support the potential benefits of combining these therapies.¹²⁶⁷⁸