Evaluating Return-to-Work Outcomes for Patients with Post-Concussion Syndrome

Abstract

Approximately 22% of all injury-related emergency department visits are due to a concussion (van der Vlegel, et al., 2021). If symptoms persist following an injury, the individual is diagnosed with post-concussion syndrome and may experience significant impacts to their occupational participation, including returning to work (Graff, et al., 2018). A local hospital's Comprehensive Outpatient Post-Concussion Rehabilitation Program provides thorough assessments and interventions to improve functioning and quality of life for individuals with post-concussion syndrome. However, research has not been completed within the program to better understand population characteristics and outcomes for post-concussion patients. This doctoral capstone student conducted research using retrospective data on return-to-work outcomes and self-appraisal scores (using the Appraisals of Disability: Primary and Secondary Scale) following a concussion for workman’s compensation patients. Results indicated that there were no significant differences in outcomes or self-appraisal scores for workman’s compensation patients compared to non-workman's compensation patients (p > 0.05). However, self-appraisal ratings of Fearful Despondency and Overwhelming Disbelief were significantly higher for individuals who did not complete therapy compared to individuals who returned within six months (p < 0.05). Therefore, the research conducted by the doctoral capstone student will serve as a pilot study for future research on self-appraisal and therapeutic outcomes for post-concussion patients.