Traumatic brain injury (TBI) has been called “the most complicated disease of the most complex organ of the body”. Concussion is recognized as the most common sports injury in children and young adults, accounting for 1 of every 10 sports-related injuries. Up to 20% of those who suffer a concussion will experience prolonged symptoms and functional limitations for over three months post head injury.
Rest has been traditionally used as the main line of therapy for concussions. Recently it has been reported that long-term rest after a concussion not is not an effective therapy for concussion and has a probability of making a person worse over an extended period of time. As the world continues to learn about concussions, it is important for health care providers to stay up to date with the most current evidence regarding concussion assessment and management.
This course will review the pathophysiology of concussion, the evidence-based assessment of concussion, and specific rehabilitation procedures which have been shown to be effective for concussion. No two concussions are identical, and therefore in this course there is an emphasis on examination skills. Based on each individuals examination findings, personalized treatment protocols will be taught. At the completion of this three-part course, all learners will understand the science of concussion as well as the most appropriate ways to manage a concussion.
General Course Objectives (for the three part series)
At the end of the course, participants should be competent to demonstrate:
- Understanding of all pertinent anatomy and physiology related to concussions and vestibular problems, including: cervical spine, inner ear, and vision system
- Understanding of all pertinent central nervous system anatomy, including brain topography, gross anatomy, and nuclei
- Understanding of all appropriate reflexes associated with testing and understanding the state of the human nervous system
- Understanding of the intricacies and interconnections of the varying anatomical areas of the body as well as the neurological and physiological interplay between disparate systems
- Understanding of pertinent neuroscience and assessment thereof
- Understanding of what tests and assessments to do when and why
- Understanding of the integrations of balance, hand-eye coordination, and cognition
- Understand the value of a multimodal assessment, including significantly more than the traditional testing measures
- Capacity in testing, assessment, and differentiation of the many aspects of concussion and vestibular rehab
- Capacity in administering, progressing, regressing, and appropriately altering rehab programs according to patient presentations
Weekend 1: Concussion Assessment
Each head injury is unique and requires a comprehensive examination that emphasizes cognition, memory, vision, eye movements, balance, coordination and hearing. Autonomic testing, cranial nerve testing, and sensorimotor testing is required in a comprehensive concussion evaluation. This course will review the anatomy and physiology behind the concussion examination. Learners will be provided hands on time to learn the psychomotor aspects of the examination. By the end of this course learners will feel comfortable understanding and performing the examination of a concussed patient.
Concussion Assessment: From Acute to Chronic