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Open AccessConcept Paper

COACH CV: The Seven Clinical Phenotypes of Concussion

Faculty of Medicine, University of Manitoba, 14-160 Meadowood Drive, Winnipeg, MB R2M 5L6, Canada
School of Kinesiology and Applied Health, University of Winnipeg, Winnipeg, MB R3B 2E9, Canada
Author to whom correspondence should be addressed.
Brain Sci. 2017, 7(9), 119;
Received: 26 August 2017 / Revised: 7 September 2017 / Accepted: 12 September 2017 / Published: 16 September 2017
Our understanding of the diverse physiological manifestations of concussion is changing rapidly. This has an influence on the clinical assessment of patients who have sustained a concussion. The 2017 Consensus Statement on Concussion in Sport states that numerous post-injury clinical findings, such as cognitive deficits, post-traumatic headaches, dizziness, difficulties with oculomotor function, and depression have all been associated with a poorer prognosis in concussed patients. This demonstrates that there are several potential clinical manifestations after head injury warranting clinical evaluation. We have developed an acronym to guide the office-based assessment of concussed patients to consider each of the potential clinical phenotypes. “COACH CV” prompts the clinician to evaluate for cognitive problems, oculomotor dysfunction, affective disturbances, cervical spine disorders, headaches, and cardiovascular and vestibular anomalies. View Full-Text
Keywords: concussion; assessment; phenotype; trajectory; clinical; physical examination; whiplash concussion; assessment; phenotype; trajectory; clinical; physical examination; whiplash
MDPI and ACS Style

Craton, N.; Ali, H.; Lenoski, S. COACH CV: The Seven Clinical Phenotypes of Concussion. Brain Sci. 2017, 7, 119.

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