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Concussion: Assessment & Medical Management

Improve your management and treatment of concussion patients from the basics to complex presentations.

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About this Certificate Program

Concussion is an ongoing public health initiative, due to high prevalence and potentially serious long-term consequences that may arise from incomplete recovery and improper management. According to the CDC, up to 3.8 million concussions occur annually in the United States. Approximately 20% of these injuries may not recover quickly and cause significant disruption to the performance of work, school and life roles.

Concussion often results in a multitude of symptoms, deficits in cognitive function and impairment in the vestibular and visual systems. Effective management employs a multidisciplinary team approach in which these various deficits areas can be assessed and treated. This certificate program covers concussion basics, classification and management, return to activity, medical management, and vestibular abnormalities to help you better evaluate, treat, and refer the concussion patient. The program interweaves case examples to illustrate best practice in evaluation and management of the patients

Target Audience

This certificate program is designed for physical therapists and occupational therapists. It the clinician taking this course's responsibility to ensure the information provided within this program is within their scope of practice.

Goals & Objectives

  • Discuss the concussion basics, including pathophysiology, epidemiology and biomechanics of concussion, along with pertinent information regarding diagnosis and negative outcomes following this injury.
  • Implement basic screening techniques for cervical, vestibular and ocular pathology following concussion, including exposure and instruction in performing the Vestibular/Ocular Motor Screen (VOMS).
  • Identify common vestibular and visual system impairments and symptom presentations associated with cervical, vestibular and ocular impairments.
  • Discuss the components of an ocular motor examination following concussion, along with normal and abnormal findings and the implications of abnormal ocular motor findings.
  • Properly classify the type of concussion based on symptoms and presentations and apply proper management strategies.
  • Explain and appropriately apply return to play guidelines following concussion.
  • Identify appropriate medical management techniques to control symptoms and reduction of morbidity following concussion, including pharmacological as well as non-pharmacological intervention.

What's Included in the Certificate Program

Courses
Accredited Online Courses*

6 hours of online video lectures and patient demonstrations.

Courses
Interactive Learning Assessments

Case-based quizzes to evaluate and improve clinical reasoning.

Courses
Case Study Interviews

Recorded Q&A sessions between instructors and practice managers.

Section 1: Introduction: Concussion Basics

1 Chapters

Concussion Basics: Assessment, Screening, and Risk Factorskeyboard_arrow_down

Course
  • Concussion: Anatomy and Physiology of the InjuryChapter 1

    Dr. Whitney and Dr. Mucha describe the pathophysiology, biomechanics and epidemiology of concussion as well as the potential negative consequences arising from concussion. This chapter also discusses the latest information related to diagnostic testing and biomarkers for concussion.

  • Evaluation of Concussion: Neurocognitive and other Clinical Assessment ToolsChapter 2

    In this chapter, Dr. Whitney and Dr. Mucha describe how to recognize the positive and negative aspects of neurocognitive testing. The instructors demonstrate how to utilize solid “rules” about test properties in order to make an informed decision about a concussion self-report tool for the participant's practice. The participant will learn to effectively use these concussion self-report tools.

  • Prognosis and Risk Factors for Recovery following ConcussionChapter 3

    Dr. Whitney and Dr. Mucha describe key constitutional risk factors associated with poorer outcome after a concussion. The participant will learn to recognize injury-specific and post injury risk factors that affect outcome following concussion. This chapter will also teach the participant to incorporate assessment of key risk factors into the physical therapy examination.

  • Screening for Vestibular and Ocular Motor Dysfunction following ConcussionChapter 4

    In this chapter, Dr. Whitney and Dr. Mucha discuss the prevalence of vestibular and ocular motor deficits following concussion. They describe the effect of vestibular and ocular motor impairments on recovery following concussion. The participant will learn how to perform screenings for BPPV, balance and vestibular/ocular (VOMS) impairment.

  • Patient Education MaterialsChapter 5

    It's common to hear about concussions in sports, but the treatment for concussions has changed a lot in the past few years. With the right approach, most concussions can be healed like any other injury. Give these Patient Education Materials to your patients, their family members and/or coaches in order to explain concussion recognition and management strategies and ensure their proper recovery.

  • View full course details »

Section 2: Physical Therapy Evaluation and Management

2 Chapters

Concussion: Common Findings in the Physical Therapy Evaluationkeyboard_arrow_down

Course
  • Common Vestibular and Visual Findings in ConcussionChapter 1

    In this chapter, Dr. Whitney and Dr. Mucha describe common vestibular and visual system abnormalities following concussion. The participant will learn how to identify how vestibular and visual system abnormalities influence recovery following concussion

  • Clinical Vestibular TestingChapter 2

    The participant will learn how to assess the positives and negatives of clinic vestibular testing for persons with concussion. Dr. Whitney and Dr. Mucha describe the value of the head impulse test. They demonstrate how to generate at least 3 clinical balance tests that can be used for a person post-concussion. The participant will learn how to identify the clinical significance of abnormal gaze holding during the examination of the person post-concussion.

  • Lab Vestibular TestingChapter 3

    Dr. Whitney and Dr. Mucha assess the positives and negatives of lab vestibular testing for persons with concussion. They describe the value of caloric and rotational chair testing. The participant will learn how to interpret the findings of computerized dynamic posturography.

  • Balance Assessment following ConcussionChapter 4

    In this chapter, Dr. Whitney and Dr. Mucha will teach the participant how to utilize and apply the findings from the computerized dynamic posturography results to the design of an exercise program for a person post-concussion. They discuss how to judge which test and measure is most applicable for a person post-concussion. The participant will learn to analyze the benefits and limitations of balance testing in persons post-concussion.

  • Recognizing BPPV in the Person Post-ConcussionChapter 5

    The participant will learn how to recognize the signs and symptoms of BPPV and how to screen for it. They will be able to perform the DixHallpike and Roll Tests and provide common interventions for posterior and horizontal canal BPPV.

  • Case Study: 18 Year-old Hockey PlayerChapter 6

    In this chapter, Dr. Whitney and Dr. Mucha discuss the case of a 18 year-old defensive player in the Major Junior Hockey League. He presents with a concussion with 1-2 sec LOC, brief retrograde amnesia, 20 min post-traumatic amnesia, and a negative CT scan. Dr. Whitney and Dr. Mucha discuss the player's initial symptoms, medical history and ongoing complaints to better diagnose and treat the patient's concussion.

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Concussion: Physical Therapy and Medical Managementkeyboard_arrow_down

Course
  • Concussion SubtypeChapter 1

    In this chapter, Dr. Mucha and Dr. Whitney describe common clinical subtypes following concussion. They teach the participant to recognize presenting symptoms associated with each clinical subtype. The participant will learn to identify potential management strategies for each clinical subtype.

  • Medication Prescription Following ConcussionChapter 2

    The participant will learn to recognize when medication may be helpful to enhance recovery. The participant will gain an appreciation for the commonly provided medications for children and adults post-concussion. Dr. Mucha and Dr. Whitney demonstrate how to recognize possible side effects of commonly used medications in concussion management.

  • Alternative Interventions in Concussion Management: Is there a Role?Chapter 3

    In this chapter, the participant will become familiar with the latest findings related to alternative therapies, including hyperbaric oxygen, supplements, and other interventions.

  • Exertion Considerations After ConcussionChapter 4

    Dr. Mucha and Dr. Whitney discuss how to differentiate between the latest recommendations about exertion and Return to Play Guidelines from the International Consensus Conference on Concussion. The participant will learn to design an exertional program for a person with a concussion based on their presenting signs and symptoms. The participant will gain an appreciate of how neurocognitive testing can assist the physical therapist in helping to make decisions about return to play.

  • Case StudiesChapter 5

    In this chapter, Dr. Mucha and Dr. Whitney discuss two advanced concussion cases. In the first case, they discuss the case of a 20-year-old cornerback for semi-pro football team. The case will discuss the player's return to play with physical exertion considerations discussed. The second case will discuss the management of a 19-year-old female Division 1 hockey player who is complaining of a constant headache since a concussion 6 months earlier. The player has no previous concussions, but a history of migraines. In this chapter, the online learner will learn how to assess and treat more advanced concussion cases.

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Section 3: Vestibular Abnormalities

1 Chapters

Concussion: Vestibular Abnormalities and Ocular Motor Examinationkeyboard_arrow_down

Course
  • Vestibular System Abnormalities Following Concussion: Beyond BalanceChapter 1

    The participant will learn to recognize components of an ocular motor examination in patients following concussion. Dr. Mucha and Dr. Whitney demonstrate how to perform all components of an ocular motor examination in patients following concussion. The participant will learn to identify normal and abnormal findings for each ocular motor examination component.

  • Ocular Motor Examination in ConcussionChapter 2

    In this chapter, Dr. Mucha and Dr. Whitney teach the participant how to perform components of the ocular motor exam, including testing of smooth pursuits, saccades, gaze holding, and vergence. The participant will learn how to perform ocular alignment testing and recognize phorias, trophias and skew deviations and identify normal and abnormal findings for the above tests and measures. This chapter provides insight into the relevance of findings in the ocular motor exam and intervention options.

  • Case Study: 13-Year-old WrestlerChapter 3

    Dr. Whitney and Dr. Mucha discuss the case of a 13-year-old wrestler with a labyrinthine concussion. The boy fell while wrestling and landed on the right parietal area of his skull. There was no LOC but was immediately vertiginous and could not sit or stand. When he was lying down he reported feeling as though he were tilting back and forth from his head to his legs. Dr. Whitney and Dr. Mucha discuss their take on this concussion case.

  • View full course details »
Instructors
Anne Mucha

DPT, MS, NCS

Susan Whitney

DPT, PhD, NCS, ATC, FAPTA

CEU Approved

6 total hours* of accredited coursework.
MedBridge accredits each course individually so you can earn CEUs as you progress.

      Our clinic could not be happier with MedBridge.

Amy Lee, MPT, OCS
Physical Therapy Central

       MedBridge has allowed us to create a culture of learning that we were previously unable to attain with traditional coursework.

Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services

    MedBridge has created a cost-effective and quality platform that is the future of online education.

Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy

Frequently Asked Questions

Do I get CEU credit?
Each course is individually accredited. Please check each course for your state and discipline. You can receive CEU credit after each course is completed.

When do I get my certificate?
You will receive accredited certificates of completion for each course as you complete them. Once you have completed the entire Certificate Program you will receive your certificate for the program.

*Accreditation Hours
Each course is individually accredited and exact hours will vary by state and discipline. Check each course for specific accreditation for your license.

Do I have to complete the courses in order?
It is not required that you complete the courses in order. Each Certificate Program's content is built to be completed sequentially but it is not forced to be completed this way.

How long do I have access to the Certificate Program?
You will have access to this Certificate Program for as long as you are a subscriber. Your initial subscription will last for one year from the date you purchase.

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