Concussions are increasingly common in older adults, with falls as the leading mechanism of injury. Older adults often experience prolonged recovery, and lingering post-concussive symptoms, perpetuating the cycle of elevated fall risk with significant public health implications. This highlights the need for age-specific concussion care incorporating multidomain assessment and individualized treatment....
Multidomain rehabilitation (combining vestibular, cognitive, and physical therapies) is a reasonable framework for persistent post-concussive symptoms in older fall patients, but this case-review level of evidence is insufficient to mandate a protocol change.
Falls are the leading cause of concussion in older adults, and persistent post-concussive symptoms in this population are often undertreated; a structured multidomain approach may improve outcomes.
- 01Focuses on older adults with prolonged recovery from fall-related concussion — a frequently overlooked group.
- 02Multidomain rehabilitation addresses vestibular, cognitive, and physical sequelae simultaneously.
- 03Case-based format illustrates clinical decision-making rather than providing population-level evidence.
- 04Post-concussive dizziness and balance deficits are a direct overlap with audiology and vestibular practice.
- 05Published in the Irish Journal of Medical Science (Springer).
Multidomain rehabilitation is effective for managing persistent concussion symptoms following falls in older adults.
opinionpartially supported- PMID
- 42496864
- DOI
- 10.1007/s11845-026-04575-w.
- Journal
- Irish Journal of Medical Science
- Publication type
- case_report
- Evidence level
- 5
- Population
- Older adults with persistent concussion symptoms following falls
- Intervention
- Multidomain rehabilitation (vestibular, cognitive, and physical therapy components)
Primary outcomes
Recovery from persistent post-concussive symptoms; Functional outcomes following multidomain rehabilitation