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Treating Mood, Migraine, and Sleep-Related Problems After Concussion

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: 58 Minutes, Learning Assessments: 27 Minutes

Mood and migraine are among the most common profiles experienced following a concussion and are frequently encountered by therapists. Additionally, sleep, as a modifying factor of concussion, contributes specifically to the persistence of migraine and mood profiles. Through case studies and evidence, practical ideas of how to deal with individuals who have mood, migraine, and sleep impairment are illustrated. The most up-to-date evidence is provided for the chosen interventions to give you a better understanding of how to treat people post concussion who have mood complications, migraine, or sleep disorders that are affecting their recovery. This course is applicable to physical and occupational therapists in any setting who treat persons with concussion/mild traumatic brain injury.

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. Management of Anxiety and Mood Profiles Following a Concussion

Many patients who have experienced a concussion demonstrate some form of anxiety or mood dysregulation. This chapter illustrates practical ways for therapists to successfully manage patients who have mood profiles through discussion of a case.

2. Management of the Migraine Profile Following a Concussion

Patients who experience migraines often take longer to recover from a concussion. Therapists who understand migraine management (pharmacologic and nonpharmacologic) can achieve better outcomes for their patients with migraine profiles following a concussion. This chapter presents a case in which migraine treatment strategies are effectively implemented.

3. Management of Sleep Disorders Following a Concussion

Sleep dysregulation is particularly prevalent in patients with mood and migraine profiles after a concussion. Poor sleep has potential to exacerbate and lengthen concussion recovery. In this chapter, a discussion of managing sleep disorders is illustrated through a patient case.

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