Updates in Evidence-Based Management of Concussion/mTBI

PT, PTA, AT – this podcast may help you meet your continuing education requirements. Access Relias Academy to review course certificate information.

In this episode, we talk with concussion expert Dr. Danit Macklin about how to screen, assess, and treat patients with concussion.

 

(02:18) Intro to the CPG for Concussion

(07:28) Limitations of the CPG

(10:10) When to Screen for Concussive Event

(12:30) Screening: Signs/Symptoms and Red Flags

(14:16) Is Therapy Appropriate?

(19:19) PT Evaluation: Four Impairment Domains

(20:16) Symptom Irritability

(23:00) Structuring Your Evaluation

(26:33) Evaluation: Motor Function Impairments

(30:03) Evaluation: Vestibulo-Oculomotor Impairments

(33:31) Evaluation: Autonomic Dysregulation/Exertional Intolerance

(38:05) Additional Areas to Address

(41:40)  Interventions: General Considerations

(43:04) Cervical Interventions

(43:43) Vestibular-Oculomotor Interventions

(44:52) Autonomic Dysfunction Interventions

(46:43) Motor Function Interventions

(50:18) Patient Education

(53:20) Interdisciplinary Management

(57:42) Conclusion

The content for this course was created by Danit Macklin, PT, DPT, ITPT.

The content for this course was created by Casey Robinson-Bullock, PT, DPT, OCS.

Here is how Relias can help you earn continuing education credits:

Access your Relias Library offered by your employer to see course certificate information and exam; 
or 
Access the continuing education library for clinicians at Relias Academy Review the course certificate information, and if eligible, you can purchase the course to access the course exam and receive your certificate.

Learn more about Relias at www.relias.com.  

Legal Disclaimer: The content of Stretch: Relias Rehab Therapy Education is provided only for educational and training purposes for healthcare professionals. The educational material provided in this podcast should not be used as medical advice to treat any medical condition in either yourself or others.

Resources

Physical Therapy Evaluation and Treatment After Concussion/mTBI CPG: https://www.jospt.org/doi/full/10.2519/jospt.2020.0301

 

Additional CPGs:

• Neck Pain CPG (2017 Revision): https://www.jospt.org/doi/10.2519/jospt.2017.0302
• CPG for BPPV (2017 update): https://pubmed.ncbi.nlm.nih.gov/28248609/
• ANPT Peripheral Vestibular Hypofunction CPG: https://www.neuropt.org/practice-resources/anpt-clinical-practice-guidelines/vestibular-hypofunction-cpg14

International Classification of Headache Disorders 3^rd Edition: https://ichd-3.org/

 

Screening Tools:

• Acute Concussion Evaluation (ACE): https://www.cdc.gov/headsup/pdfs/providers/ace-a.pdf
• Sport Concussion Assessment Tool – 5^th Edition (SCAT5): https://cattonline.com/scat/
• Concussion Grading Scale:
  • Post-Concussion Symptom Scale: https://neurotoolkit.com/pcss/
• Vestibular Ocular Motor Screening (VOMS): https://rehabscience.usask.ca/cers/documents/concussion_toolkit.pdf  

Buffalo Concussion Treadmill Test (BCTT): https://cdn-links.lww.com/permalink/jsm/a/jsm_2020_01_28_haider_19-313_sdc1.pdf

 

See Relias Pro-on-the-Gos for more information on static and dynamic balance assessments.