Exploring Symptom Overlaps: Post-COVID-19 Neurological Syndrome and Post-Concussion Syndrome in Athletes.

Journal: Biomedicines

Volume: 12

Issue: 7

Year of Publication: 

Affiliated Institutions:  Department of Neuroscience, Leeds Teaching Hospitals NHS Trust, Leeds LS JT, UK. Third Department of Neurology, Aristotle University of Thessaloniki, Thessaloniki, Greece. Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", University Street No. , Iasi, Romania. Department of Biology, Faculty of Biology, Alexandru Ioan Cuza University of Iasi, Bd. Carol I no. A, Iasi, Romania. Higher Institute of Nursing Professions and Health Techniques, Marrakesh , Morocco. Faculty of Physical Education, Alexandru Ioan Cuza University of Iasi, Bd. Carol I no. A, Iasi, Romania.

Abstract summary 

The COVID-19 pandemic has introduced new challenges in managing neurological conditions, particularly among athletes. This paper explores the intersection of post-COVID-19 neurological syndrome (PCNS/PASC) and post-concussion syndrome (PCS), focusing on their implications in sports medicine. Our analysis covers the symptomatology, pathophysiology, and management strategies for PCNS/PASC and PPCS, with special attention paid to the unique challenges faced by athletes recovering from these conditions, including the risk of symptom exacerbation and prolonged recovery. Key findings reveal that both PCNS/PASC and PPCS present with overlapping symptoms such as cognitive difficulties, exercise intolerance, and mental health issues, but differ in specific manifestations like anosmia and ageusia, unique to COVID-19. Pathophysiological analysis reveals similarities in blood-brain barrier disruption (BBB) but differences in the extent of immune activation. Management strategies emphasize a gradual increase in physical activity, close symptom monitoring, and psychological support, with a tailored approach for athletes. Specific interventions include progressive aerobic exercises, resistance training, and cognitive rehabilitation. Furthermore, our study highlights the importance of integrating neurology, psychiatry, physical therapy, and sports medicine to develop comprehensive care strategies. Our findings underscore the dual challenge of COVID-19 and concussion in athletes, necessitating a nuanced, interdisciplinary approach to effective management. Future research should focus on the long-term neurological effects of both conditions and optimizing treatment protocols to improve patient outcomes. This comprehensive understanding is crucial for advancing the management of athletes affected by these overlapping conditions and ensuring their safe return to sports.

Authors & Co-authors:  Mavroudis Ioannis I Petridis Foivos F Petroaie Antoneta Dacia AD Ciobica Alin A Kamal Fatima Zahra FZ Honceriu Cezar C Iordache Alin A Ionescu Cătălina C Novac Bogdan B Novac Otilia O

Study Outcome 

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Statistics
Citations :  Winter D., Braw Y. COVID-19: Impact of diagnosis threat and suggestibility on subjective cognitive complaints. Int. J. Clin. Health Psychol. 2022;22:100253. doi: 10.1016/j.ijchp.2021.100253.
Authors :  10
Identifiers
Doi : 1587
SSN : 2227-9059
Study Population
Male,Female
Mesh Terms
Other Terms
COVID-19;athletes;neurological syndrome;post-concussion syndrome;rehabilitation;sports medicine
Study Design
Study Approach
Country of Study
Publication Country
Switzerland