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
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.
6 hours of online video lectures and patient demonstrations.
Case-based quizzes to evaluate and improve clinical reasoning.
Recorded Q&A sessions between instructors and practice managers.
Concussion Basics: Assessment, Screening, and Risk Factorskeyboard_arrow_downCourse
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.
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.
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.
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.
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.
Concussion: Common Findings in the Physical Therapy Evaluationkeyboard_arrow_downCourse
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
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.
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.
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.
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.
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.
Concussion: Physical Therapy and Medical Managementkeyboard_arrow_downCourse
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.
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.
In this chapter, the participant will become familiar with the latest findings related to alternative therapies, including hyperbaric oxygen, supplements, and other interventions.
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.
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.
Concussion: Vestibular Abnormalities and Ocular Motor Examinationkeyboard_arrow_downCourse
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.
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.
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.
CEU Approved6 total hours* of accredited coursework.
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