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Concussion Treatment for Vestibular and Oculomotor Profiles

presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

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Financial:

Dr. Whitney is a consultant for three Department of Defense grants related to concussion with IAI, inc. She also teaches a continuing education course with Michael Schubert, PT, PhD.

Dr. Mucha is a provider of continuing education courses for APTA and other entities.

Nonfinancial:

Dr. Whitney is vice president of the International Neurological Physiotherapy Group of WCPT.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 68 Minutes, Learning Assessments: 36 Minutes

There is scant up-to-date information available for clinicians on how to treat individuals with concussion. This work is a significant expansion of what we have done previously, using the most up-to-date evidence for intervention according to clinical profiles. Clinicians will be exposed to management of vestibular and ocular profiles following mild head injury. The course provides many illustrations and video demonstrations of treatment ideas for persons who fit the vestibular and/or oculomotor profiles. Several cases are utilized to illustrate the exercises that are often prescribed and when exercises should be provided during patient management. This course is appropriate for physical and occupational therapists who treat persons post concussion/mild brain injury in all settings.

Meet Your Instructors

Anne Mucha, DPT, MS, NCS

Anne Mucha is the coordinator of vestibular rehabilitation for the University of Pittsburgh Medical Center Sports Medicine Concussion Program and Centers for Rehab Services. She is a board-certified clinical specialist in neurologic physical therapy with advanced certification in vestibular rehabilitation. With more than 20 years of experience treating individuals with neurologic conditions, she is also…

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Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Susan L. Whitney received her PhD in motor development/motor learning from the University of Pittsburgh, her professional physical therapy education from Temple University in Philadelphia, and her DPT from MGH Institute of Health Professions. Currently, she is a professor in physical therapy in the School of Health and Rehabilitation Sciences and treats clinically for the…

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Chapters & Learning Objectives

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1. A Complex BPPV Treatment Case

A complex case of a person post head injury with horizontal and subsequent posterior canal benign paroxysmal positional vertigo is discussed. Clinical pearls are provided regarding decision-making and management of an older person post brain injury treated in the home who was at risk for falling and had a history of past fractures.

2. Management of the Vestibular Profile

Treatment of a person who fits the vestibular profile after concussion/mild TBI is discussed with many illustrations and videos of exercises commonly used for dizziness or balance deficits post concussion. Treatment progression ideas are included to help clinicians progress their exercise prescription for optimal patient outcomes.

3. Management of the Ocular Profile

A detailed case of a person with an ocular profile following concussion is described with specific information about treating oculomotor impairment. Many examples of treatment, including vergence exercises, are demonstrated. Concepts of how to advance the exercise prescription are described in detail.

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