Multi-disciplinary TBI evaluation
|
|
- Alexander Watkins
- 6 years ago
- Views:
Transcription
1 Multi-disciplinary TBI evaluation Date: September 16, 2017 Ryan Rockwood, ATC Jennifer Wilhelm, PT, DPT, NCS Kyla Laraway, OT, DOT Haley Landau, M.S., CCC- SLP
2 Adapted from Collins MW et al; Knee Surg Sports Traumatol Arthosc 2014 OHSU Model Vestibular Ocular Migraine Cervical Concussion Cognitive Autonomic Auditory Anxiety/ Mood
3 Interdisciplinary Approach: Concussion Symptoms OT/neuroopt Neuropsych/psy chology School/ Work Patient Concussion Family Medical provider SLP PT
4 Athletic Trainer s Sideline Evaluation Injury Mechanism Hx of concussion Risk Factors Symptoms Log Testing Orientation Memory (immediate) Concentration Digits backwards Months in reverse Neruological Screen Balance Delayed Recall
5 Athletic Trainer Clinic Evaluation Intake Mechanism of injury Risk factors Current physical activity level Current status at school/work Symptoms Log Testing SCAT BESS VOMS Neurocognitive Computerized Testing Concussion Care Manager
6 PT evaluation: Headaches Vision screen VOMS Exercise tolerance Buffalo treadmill test VOR: vertical Cervical screen ROM Segmental mobility Motor control Strength
7
8 PT evaluation: Dizziness/balance BESS Decreased BOS Vestibular screen Vestibular Ocular Reflex VOR VOR cancellation/visual motion sensitivity Dynamic balance DGI Integration of balance and vision Change in head position Cervicogenic Orthostatic Otholith stimulation
9 PT evaluation: Exercise Intolerance Buffalo test Bike Treadmill Vestibular Ocular Reflex Vertical VOR
10 OT evaluation: Vision Interview Subjective report of difficult activities Reading, driving, past point reaching Rivermead Post Concussion Questionnaire Vision screen VOMS: Smooth pursuits, saccades, convergence, VOR, visual motion sensitivity Accommodation Pupillary Response Diplopia Stereopsis/ Binocular Dysfunction Timed Ann Arbor and Number Saccades
11 OT evaluation: Sensory Processing Disorder and Sensory Integration SPD: dysfunction in the way the nervous system receives messages from the senses and turns them into responses.
12 OT evaluation: Sensory Integration Occupational Profile Semi-formal interview Current activities and limitations Triggers/ Alleviators Adolescent Adult Sensory Profile 60 questions Likert scale Treatment Education Initial compensatory strategies Gradual, graded exposure
13 +/++ Sensory Sensitivity Low Registration +/++ +/++ Sensation Avoiding Sensation Seeking
14 _ neurotypical mtbi overstimulation threshold registration point With this profile, a person spends less time in the window of optimal function.
15 OT evaluation and treatment Other areas of practice Sleep hygiene Lighting adaptations School/work accommodations Occupational engagement and deprivation Stress and pain management Functional pacing Family education
16 SLP evaluation: Cognitive Function & Endurance Interview General symptoms: Headaches, sleep, mood changes Triggers? Ways that alleviate symptoms? Current endurance? Cognitive changes: Memory, attention, speed of processing, planning/organizing Baseline tools? Current cognitive demands: School, work
17 SLP evaluation: Cognitive Function & Endurance Standardized Assessments Memory, attention, word retrieval, organization, speed of processing Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Trail Making Test Controlled Oral Word Association Test (COWAT)
18 SLP evaluation & treatment : Informal Assessments Attention and executive functions questionnaires Symptom logs Next steps Develop and train compensatory cognitive strategies Provide recommendations for school & work return Cognitive exercises
19
20
21 Non-neurological factors ADHD, Reading LD, Math LD, Behavior problems Maladaptive coping Parental factors such as distress and anxiety Effort Good Old Days Bias Several other factors.
22
23
24
25 Dancer s outcomes from recent concussion treatment clinic participation PHQ-15 (Somatization Symptoms) GAD-7 (Anxiety Symptoms) PHQ-9 (Depressive Symptoms) PSQI (Sleep Quality) 5/3/2017 5/9/2017 5/16/2017 6/6/ (Severe) 13 (Moderate) 8 (Mild) 3 (No clinical concern) 13 (Moderate) 10 (Moderate) 9 (Mild) 2 (No clinical concern) 21 (Severe) 20 (Severe) 11 (Moderate) 2 (No clinical concern) 9 (>poor quality) (>5 poor quality)
26 Soccer player s outcomes from recent concussion treatment clinic participation 6/12/2017 6/19/2017 7/11/2017 PHQ-15 (Somatization 11(Moderate) 10 (Moderate) 7 (Mild) Symptoms) GAD-7 (Anxiety 8 (Mild) 6 (Mild) 2 (No clinical concern) Symptoms) PHQ-9 (Depressive 9 (Mild) 4 (No clinical concern) 2 (No clinical concern) Symptoms) PSQI (Sleep Quality) 8 (>5 poor quality) - 6 (>5 poor quality
27 Interdisciplinary approach: OHSU Model ATC On the field ED Sports Med Comprehensive Neurological Rehab Team OT PT SLP 3 wks Vision Therapist Neuro optometrist School coordinator Neuropsychologist Outside referral (MD, PT, DC, other)
28 Thank You
Beyond the Basics, Bringing Concussion Out of the Dark
Beyond the Basics, Bringing Concussion Out of the Dark Objectives Recognize different types of concussion based on symptomatology Identify risk factors for prolonged recovery after a concussion Predict
More informationVestibular Oculomotor Screening (VOMS) and Concussion Challenge
Vestibular Oculomotor Screening (VOMS) and Concussion Challenge Keely Battaglini, PT, SCS, ATC Courage Kenny Sports and PT Eagan Erin Baldridge, DPT, OCS, CLT Courage Kenny Sports and PT Mercy Specialty
More informationClinical Profiles and Recovery Trajectories Concussion Management
Disclosures and Recovery Trajectories Concussion Management I have no disclosures Aimee Custer, PsyD, LP Clinical Sports Neuropsychologist The following slides are property of Aimee Custer, PsyD. Do not
More information9/6/2017. Physical Therapist Role in Management of Concussions. Areas where Physical Therapy Can Help. What is the Vestibular System?
Physical Therapist Role in Management of Concussions The APTA recognizes that physical therapists are part of the multidisciplinary team of licensed healthcare providers that assist in concussion management,
More informationPhysiotherapy management of concussion
Physiotherapy management of concussion Ms. Mairead Daly, Senior Physiotherapist, Bon Secours Health System Saturday November 17 th Silver Springs Hotel Cork Concussion Physiotherapy Assessment and Management
More informationCompleting the Loop: Management of the Adolescent Sports Injury. Marisa Frank PT, DPT, CSCS
: Management of the Adolescent Sports Injury Marisa Frank PT, DPT, CSCS OBJECTIVES Describe patients who are appropriate for physical therapy. Demonstrate an understanding of the phases of concussion rehabilitation.
More informationClinical Profile and Active Treatment Approach to Concussion Management Micky Collins, PhD
Clinical Profile and Active Treatment Approach to Concussion Management Micky Collins, PhD University of Pittsburgh Medical Center Associate Professor Department of Orthopaedic Surgery Department of Neurological
More informationJanelle Trempe PT, ATC Kyla Larawary MS, OTD, OTR/L Kristin Knight MS, CCC-SLP
Janelle Trempe PT, ATC Kyla Larawary MS, OTD, OTR/L Kristin Knight MS, CCC-SLP Objectives: 1. Understand education and training of physical, occupational, and speech therapists. 2. Improve awareness of
More informationBerlin 2016 SRC. Concussion Management: An Update 7/26/2017. Sport related concussion. mtbi often used. Rapid onset, short lived
Concussion Management: An Update Jeff Sellman, MD, CAQSM Primary Care Sports Medicine Physician Florida Orthopedic Institute July 22, 2017 Berlin 2016 5th International conference on concussion in sport
More informationConcussion Management
Concussion Management Significant changes towards more individualized, specific management. Increased knowledge has lead to State and Local legislation. Jeff Anthony DO, FAAFP, FAOASM San Diego Sports
More informationConcussion: A Treatable Injury MELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST, DIRECTOR INOVA SPORTS MEDICINE CONCUSSION PROGRAM
Concussion: A Treatable Injury MELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST, DIRECTOR INOVA SPORTS MEDICINE CONCUSSION PROGRAM THE CURRENT PROBLEM 1. WHAT IS A CONCUSSION? 2. ACUTE/SIDELINE EVALUATION 3. AT
More informationCommon Modifying Factors for Baseline VOMS Performance 2018 Big Sky Athletic Training Sports Medicine Conference. Disclosure. Objectives 2/13/18
Common Modifying Factors for Baseline VOMS Performance 2018 Big Sky Athletic Training Sports Medicine Conference Ryan N. Moran, PhD, ATC Disclosure I have no actual or potential conflict of interest in
More informationShanley Part 1- Epidemiology, Care Team, Return to Play and Learn
Neural and Vestibular Contributions to Patients with Post Concussive Syndrome Combined Sections Meeting 2018 Jacqueline Davenport, PT, DPT, OCS Thomas Denninger, PT, DPT, OCS, FAAOMPT Ellen Shanley, PhD,
More informationOutline Cases in Sport Related Concussion Management The Team Approach. Initial Findings. Case 1: Initial Findings, recommendations: Referral
Outline Cases in Sport Related Concussion Management The Team Approach Panel: - Aimee Custer, PsyD - Amy Hamilton, ATC - Carly Mattson, DPT - Alex Noll, DO Case 1: 16 y/o FB Player, helmet to helmet contact
More informationJam Ghajar MD PhD Director, Stanford Concussion and Brain Performance Center Founder, SyncThink President, Brain Trauma Foundation
The Concussion Conundrum: an opportunity to explore the last frontier, TIME Jam Ghajar MD PhD Director, Stanford Concussion and Brain Performance Center Founder, SyncThink President, Brain Trauma Foundation
More informationVESTIBULAR THERAPY AND ASSESSMENT
VESTIBULAR THERAPY AND ASSESSMENT July 29, 2016 Marc Hinze, PT, MPT, CIMT Bronson Rehabilitation Services Objectives Vestibular Assessment Vestibular Rehabilitation Progression of Vestibular Exercise Vestibular
More informationConcussion is a brain injury. Like any injury it needs to be diagnosed and treated. About this talk. Why Am I Giving This Talk?
Concussion is a brain injury. Like any injury it needs to be diagnosed and treated. Joseph F. Clark, Ph.D. ATC Department of Neurology and Rehabilitation Medicine University of Cincinnati About this talk
More informationMild TBI (Concussion) Not Just Less Severe But Different
Mild TBI (Concussion) Not Just Less Severe But Different Disclosures Funded research: 1. NIH: RO1 Physiology of concussion 2016-2021, Co-PI, $2,000,000 2. American Medical Society of Sports Medicine: RCT
More informationBalance. Physical Therapy Management of Concussion. Evaluation
Physical Therapy Management of Concussion 1 Evaluation Balance Outcome Measures Oculomotor Cervical Exertion Reaction time and Divided attention 2 Balance 3 Balance There are two types of balance: static
More informationRole of Neuropsychology Concussion Management. Aimee Custer, PsyD Clinical Sports Neuropsychologist
Role of Neuropsychology Concussion Management Aimee Custer, PsyD Clinical Sports Neuropsychologist Disclosures I have no disclosures Objectives Understand the differences between Neurocognitive test and
More informationConcussions: the evidenced based office evaluation for primary care and beyond.
Concussions: the evidenced based office evaluation for primary care and beyond. Presented By: Dr. Corey Dean MD, FAAP, FACP, and CAQSM Associate Program Director of Ambulatory Education St. Joseph Hospital
More informationCONCUSSIONS & THEIR IMPACT
CONCUSSIONS & THEIR IMPACT By: John D. Anderson, PT, DPT, LAT, ATC Credit to Tim Rylander, PT, MPT, OCS Concussions/mTBI Increased awareness and attention 3.8 million incidents/year 15% minority (false)
More informationSports Concussions: Return to Learn
Sports Concussions: Return to Learn Jonathan Santana, DO Adolescent & Sports Medicine Objectives Be able to perform a brief cognitive assessment in the athlete with a head injury Be able to prescribe return
More informationClinical Practice of a Vision Based Concussion Tool MATT FRANTZ, M.ED., LAT, ATC LAFAYETTE COLLEGE
Clinical Practice of a Vision Based Concussion Tool MATT FRANTZ, M.ED., LAT, ATC LAFAYETTE COLLEGE Disclosure No financial COI No non-financial COI No corporate bias or sponsorship Your Concussion Toolbag
More informationCONCUSSION UPDATE 2017
CONCUSSION UPDATE 2017 Shannon Woods MD Medical Director CoxHealth Sports Medicine Team Physician Evangel University Team Physician Drury University 1 Cognitive Fogginess Difficulty concentrating Memory
More informationAn Update on the Physiology of Mild Traumatic Brain Injury. Barry Willer PhD Grand Rounds Psychiatry 2017
An Update on the Physiology of Mild Traumatic Brain Injury Barry Willer PhD Grand Rounds Psychiatry 2017 Disclosures The Buffalo Sabres Foundation Robert Rich Family Foundation PUCCS Foundation NFL Charities
More informationThe Role of Active Rehabilitation -taking a targeted approach
The Role of Active Rehabilitation -taking a targeted approach Willem (Winne) Meeuwisse, MD, PhD MANAGING CONCUSSIONS IN THE TEAM SETTING ATPC Marrakech, Morroco September, 2018 Rehab: from what? Majority
More informationSports Concussion After the Injury. Carol Scott, MD UNR Student Health Center Sports Medicine September 22, 2016
Sports Concussion After the Injury Carol Scott, MD UNR Student Health Center Sports Medicine September 22, 2016 Goals Understand the initial assessment of concussion Become familiar with tools that aid
More informationHard Hitting Evidence Regarding Concussion. Christina Cooper PT, NCS Shelly Janning, MS, OTR/L,CAPS Sharon Rains, MS, CCC, SLP
Hard Hitting Evidence Regarding Concussion Christina Cooper PT, NCS Shelly Janning, MS, OTR/L,CAPS Sharon Rains, MS, CCC, SLP Introduction Objectives The participants will: Define the pathophysiology of
More informationLife After Concussion:
Life After Concussion: Self Management Strategies Kira Heaton, Occupational Therapist Jamie Dunnett, Physical Therapist Presenters: Jamie Dunnett Kira Heaton Doctor of Physical Therapy CBI Health Group
More informationCONCUSSION AWARENESS, MANAGEMENT, AND ASSESSMENT FROM AN ATHLETIC TRAINER
CONCUSSION AWARENESS, MANAGEMENT, AND ASSESSMENT FROM AN ATHLETIC TRAINER Dr. Ryan Krzyzanowicz, DAT, ATC Clinical Associate Professor Program Director - Athletic Training Education University at Buffalo
More informationDr. JoAnne Savoie, L.Psyc. Clinical Neuropsychologist Stan Cassidy Center for Rehabilitation Fredericton, NB. October 16, 2012
Dr. JoAnne Savoie, L.Psyc. Clinical Neuropsychologist Stan Cassidy Center for Rehabilitation Fredericton, NB October 16, 2012 Risk factors for concussion Players at all levels are at risk 5-10% of athletes
More informationConcussion Management
Concussion Management Jennifer Gray, DO Medical Co-Director, ThinkSMART! Concussion Management Program Department of Physical Medicine and Rehabilitation St. Charles Hospital Residency Program Director,
More informationThe Role of School Personnel in Concussion Management
The Role of School Personnel in Concussion Management Carisa Raucci, PhD, ATC, CSCS (Athletic Trainer) Patricia Beldotti, PsyD, CBIS (Neuropsychologist) Tucson Concussion Center Objectives Define a concussion
More informationPaul D. Berkner, D.O., FAAP Director of Health Services/Team Physician Colby College
Paul D. Berkner, D.O., FAAP Director of Health Services/Team Physician Colby College MCMI ImPACT The Mission of MCMI is to improve the safety of Maine s youth by reducing activity related concussions.
More informationHELPING YOU REACH YOUR PEAK PERFORMANCE IN RECORD TIME!
406.541.3004 NOVEMBER 2015 02 03 07 08 CAVE THERAPY MAY NOT BE TREATMENT OF CHOICE CONCUSSION TRAJECTORIES THE DYLAN STEIGERS CONCUSSION PROJECT RETURN TO SPORT HELPING YOU REACH YOUR PEAK PERFORMANCE
More information5/19/2017. Concussion: Advancement in Diagnostic & Management Practices
Concussion: Advancement in Diagnostic & Practices Jacob E. Resch, Ph.D., AT Exercise Sport and Injury Laboratory Department of Kinesiology The University of Virginia If it has become cheaper to produce
More informationBeyond the Basics, Bringing Concussion Out of the Dark
Beyond the Basics, Bringing Concussion Out of the Dark Kristina Wilson, MD, MPH, CAQSM, FAAP Medical Director, Brain Injury and Concussion Program Barrow Neurologic Institute at Phoenix Children s Hospital
More informationApril 28, Katie Barnes Wood, PT, DPT Orthotennessee Therapy. Concussion Therapy. How and Why Physical Therapy Can Help Concussions
April 28, 2018 Katie Barnes Wood, PT, DPT Orthotennessee Therapy Concussion Therapy How and Why Physical Therapy Can Help Concussions Background Concussion Rehab at KOC Our Care Team Athletic Trainers
More informationPrognosticating Protracted Recoveries from Sports Concussion: What are we Learning?
Prognosticating Protracted Recoveries from Sports Concussion: What are we Learning? Associate Professor UPMC Department of Orthopaedic Surgery UPMC Department of Neurological Surgery Director UPMC Sports
More informationBuilding Evidence for Concussion Clinical Profiles
Building Evidence for Concussion Clinical Profiles Micky Collins, PhD Executive and Clinical Director- UPMC Sports Medicine Concussion Program Associate Professor- Departments of Orthopaedic and Neurological
More informationSam Schimelpfenig, MD, FAAP Team Physician, University of Sioux Falls Avera Medical Group
Sam Schimelpfenig, MD, FAAP Team Physician, University of Sioux Falls Avera Medical Group Understand the basic management principles of sports-related concussions Review some of the current literature
More informationDisclosure Statement. Objectives. Micky Collins May Rehabilitation and Treatment of Sports Concussion: What are we Learning?
Rehabilitation and Treatment of Sports Concussion: What are we Learning? Micky Collins, Ph.D. University of Pittsburgh Medical Center Associate Professor Department of Orthopaedic Surgery Department of
More informationDayna Geiger DPT Concussion Education Specialist January 2015
Dayna Geiger DPT Concussion Education Specialist January 2015 Understand and implement at least 2 balance assessments Capable of being done in any environment Require minimal equipment Implement at least
More informationDayna Geiger DPT Concussion Education Specialist June 2014
Dayna Geiger DPT Concussion Education Specialist June 2014 Understand and implement at least 2 balance assessments Capable of being done in the training room Require minimal equipment Implement at least
More informationMELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST/DIRECTOR INOVA SPORTS MEDICINE COMPREHENSIVE CONCUSSION PROGRAM
MELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST/DIRECTOR INOVA SPORTS MEDICINE COMPREHENSIVE CONCUSSION PROGRAM THE CURRENT PROBLEM 1. PATHOPHYSIOLOGY OF CONCUSSION 2. SIGNS AND SYMPTOMS OF CONCUSSION 3. TYPICAL
More informationDiagnostic Tools. Objectives UPDATES AND ADVANCES IN THE DIAGNOSIS AND MANAGEMENT OF SPORTS RELATED CONCUSSION
UPDATES AND ADVANCES IN THE DIAGNOSIS AND MANAGEMENT OF SPORTS RELATED CONCUSSION Summer D. Ott, Psy.D. Neuropsychologist & Assistant Professor Department of Orthopedics UT Medical School at Houston Director,
More informationVisual-Vestibular Approaches in Concussion Management
Visual-Vestibular Approaches in Concussion Management Exertional Balance/ Vestibular Cognitive Visual Course Highlights Overview: This course encourages education and discussion with a focus on an evidence-based
More informationTexas State University Concussion Program for Varsity Athletes
Administrative Considerations o Emergency Action Plan placed in all venues including the Concussion Plan for all high risk sports. o Coaching education regarding EAP & Concussion Plan including signs &
More informationConcussion Assessment, Management, and Return to Play Guidelines
Concussion Assessment, Management, and Return to Play Guidelines The following policy and procedures on neurocognitive baseline testing and subsequent assessment and management of concussions as well as
More informationDavidson College Sports Medicine Concussion Management Policy
Davidson College Sports Medicine Concussion Management Policy Davidson College practices concussion management care based on the most current research and consensus statements from noted concussion experts.
More informationIntroduction To Mild TBI. Not Just Less Severe But Different
Introduction To Mild TBI Not Just Less Severe But Different Purpose Provide a discussion of issues related to diagnostic criteria for mild brain injury and concussion To present incidence data on MTBI
More informationSport Related Concussion Update 2017
Sport Related Concussion Update 2017 HAYLEY QUELLER, MD ST. CHARLES ORTHOPEDICS, SPORTS MEDICINE DIRECTOR THINKSMART! CONCUSSION MANAGEMENT, CO-DIRECTOR Consensus Statement: 5 th Annual Meeting, Berlin
More informationCONCUSSIONS: What You Really Need to Know Dr. Emily Dixon
CONCUSSIONS: What You Really Need to Know Dr. Emily Dixon TriHealth Heads Count Concussion Medical Director Emily Dixon, DO Born and raised north of Kansas City, Missouri. Earned her medical degree from
More informationGuideline for Concussion/Mild Traumatic Brain Injury and Persistent Symptoms. Patient Version
Guideline for Concussion/Mild Traumatic Brain Injury and Persistent Symptoms 3 rd Edition - for adults, +18 years of age Patient Version This guideline has been created to help with management of concussion/mild
More informationCarleton College Concussion Safety Protocol
Carleton College Introduction Carleton College is committed to ensuring the health and safety of its student-athletes. To this end, and in accordance with NCAA legislation [Division III Constitution 3.2.4.16],
More informationSports Related Concussion. Joshua T. Williams, PT, DPT, OCS, SCS, CSCS
Sports Related Concussion Joshua T. Williams, PT, DPT, OCS, SCS, CSCS Concussion & Traumatic Brain Injury Glasgow Coma Scale Minimal Mild Mod Severe? Sports concussion Severe GCS 8 Moderate GCS 9-12 Mild
More informationVestibular Ocular Motor Screening and Its Importance In The Management of Concussed Athletes
Vestibular Ocular Motor Screening and Its Importance In The Management of Concussed Athletes March 15, 2018 Scott Euype, PT, DPT APTA Board Certified Orthopaedic Specialist Education Director, Cleveland
More information10/11/2017. Disclosure: I have no actual or potential conflict of interest in relation to this program/presentation
Vestibular Rehabilitation: Beyond BPPV Treatment Options for Challenging Vestibular Disorders Kathy L. Joy Vestibular Rehabilitation Program Director Kathy_joy@meei.harvard.edu Disclosure: I have no actual
More informationReturn-to-Play Decision-Making From a Neuro-Vision Perspective. David H. Biberdorf, OD, FCOVD
Return-to-Play Decision-Making From a Neuro-Vision Perspective David H. Biberdorf, OD, FCOVD Post-Concussion Vision Problems 90% of all concussions will have 1 or more ocular problems Symptoms may include
More informationConcussion 2013 A Program For Logan County
Concussion 2013 A Program For Logan County Boyd C Hoddinott MD, MPH Logan County Health Commissioner ----------------------------------- Kristy Wisner PT, DPT Mary Rutan Physical Rehab Center Consensus
More informationTHE ROLE OF THE PHYSICAL THERAPIST IN MANAGEMENT OF CONCUSSIONS
BEFORE WE GET STARTED THE ROLE OF THE PHYSICAL THERAPIST IN MANAGEMENT OF CONCUSSIONS DISCLOSURES No. Open to entertaining any offers CORINA MARTINEZ PT,DPT,SCS,LAT,ATC DUKE SPORTS MEDICINE PT 10/12/2017
More informationDirector of Athletics
3341-8-1 Concussion Management Policy. Applicability Intercollegiate Athletics Responsible Unit Policy Administrator Intercollegiate Athletics/Director of Athletics Director of Athletics (A) Policy Purpose
More informationA comprehensive, targeted approach to the clinical care of athletes following sportrelated
A comprehensive, targeted approach to the clinical care of athletes following sportrelated concussion Michael W. Collins, Anthony P. Kontos, Erin Reynolds, Christopher D. Murawski & Freddie H. Fu Knee
More informationConcussion: Pressure to Play in Sports: Can We Trust What the Athlete Tells Us? How I Manage Concussion: A Neuropsychologist s Perspective
How I Manage Concussion: A Neuropsychologist s Perspective Jamie Pardini, Ph.D. UPMC Concussion Program University of Pittsburgh Medical Center Department of Orthopaedic Surgery UPMC Sports Concussion
More informationPredictors of Protracted Recovery
CONCUSSION MANAGEMENT SPECIALIST ON LINE CURRICULUM Protracted Recovery and Clinical Rehabilitation All rights reserved. Sports Medicine Concepts Concussion Management Specialist Program 1 Predictors of
More informationSports Concussion: Optometry s Role Catherine McDaniel, OD, MS, FAAO The Ohio state University, College of Optometry
Sports Concussion: Optometry s Role Catherine McDaniel, OD, MS, FAAO The Ohio state University, College of Optometry mcdaniel.547@osu.edu Traumatic Brain Injury (TBI) - A form of acquired brain injury
More informationThe Value of Rest. Makdissi- Zurich A brief period of rest is important in the acute period following concussion.
Treatment 2 The Value of Rest Makdissi- Zurich 2012 A brief period of rest is important in the acute period following concussion. There is no evidence however that prolonged rest is beneficial for athletes
More informationFrom Research to Recovery
From Research to Recovery Oregon Health & Science University September 16-17, 2016 John Leddy MD FACSM FACP Professor of Clinical Orthopaedics and Rehabilitation Sciences Medical Director, University at
More informationBrain-based disorders in children, teens, and young adults: When to know there is a problem and what to do
Brain-based disorders in children, teens, and young adults: When to know there is a problem and what to do Timothy A. Fratto, Ph.D. Neuropsychology Associates of Fairfax What is Neuropsychology? The study
More informationPEDIATRIC SPORTS RELATED CONCUSSIONS
Anna Mazur, PhD PEDIATRIC SPORTS RELATED CONCUSSIONS Disclosure No financial interests or funding 1 Presentation Outline Prevalence Predicting recovery: Post Traumatic Amnesia and Loss of Consciousness
More informationDr. Paul Comper. Toronto Rehabilitation Institute. with PIA LAW
with PIA LAW and Toronto ABI Network Dr. Paul Comper Toronto Rehabilitation Institute Dr. Paul Comper is a clinical neuropsychologist at the Toronto Rehabilitation Institute University Health Network,
More informationapproach to their treatment at LGH.
Evolving Treatment Strategies for Post-Concussion Syndrome Jon E. Bentz, Ph.D., ABN Manager, Lancaster General Health Physicians-Neuropsychology Dale R. Walton, P.T., N.C.S. Lead Therapist, LG Health Vestibular
More informationConcussion Management and Update. Objectives
Concussion Management and Update Ricardo Guirola MD M Ed Pediatric Rheumatology Primary Care Sports Medicine Objectives Review definition, signs and symptoms Discuss the initial evaluation of a patient
More informationPhysical and Psychological Factors in Persistent Concussion Symptoms
Physical and Psychological Factors in Persistent Concussion Symptoms 11/5/17 Elizabeth Pieroth, PsyD, ABPP Board Certified Neuropsychologist Associate Director NorthShore Sports Concussion Program Disclosures
More informationFlawless 2/20/2018. All rights reserved. Sports Medicine Concepts, Inc. Concussion Management Specialist Program 1. The CMS Resources Page
Sports Medicine Concepts Concussion Management Specialist On Field Management and Differential Diagnosis The CMS Resources Page Session Recordings Pre Recorded Sessions Seminal Readings Open Quizzes Case
More informationmtbi/concussion in Children, Adolescents & Young Adults: What it is and Why we should be Concerned Ronald C. Savage, Ed.D.
mtbi/concussion in Children, Adolescents & Young Adults: What it is and Why we should be Concerned Ronald C. Savage, Ed.D. rcsavage@comcast.net 1 How Common Are mtbi/concussions? CDC reports indicate that
More informationPresented By: Corey Dean, MD, FAAP, FACP, CAQ Sports Medicine
Concussions Traumatic Brain Injuries (TBI) in Sports Presented By: Corey Dean, MD, FAAP, FACP, CAQ Sports Medicine Team Physician for Concordia University, Saline and Ypsilanti-Lincoln High Schools IHA
More informationNeurological Effects of Sports-Related Injury
Neurological Effects of Sports-Related Injury DAVID RUBIN, MD Disclosures Neither I nor my spouse/partner has a relevant financial relationship with a commercial interest to disclose Epidemiology 1.6 3.8
More informationProlonged Issues with Cognitive Function. Julie Miller, Psy.D., ABPP-CN Neuropsychologist Wallace-Kettering Neuroscience Institute
Prolonged Issues with Cognitive Function Julie Miller, Psy.D., ABPP-CN Neuropsychologist Wallace-Kettering Neuroscience Institute Presentation Outline Basics of human brain development Vulnerability of
More informationConcussion: Recognizing, Managing and Assisting Athletes to Return to Play Safely
Concussion: Recognizing, Managing and Assisting Athletes to Return to Play Safely Todd Barron, MD Medical Director, WellSpan Neurosciences Medical Director, WellSpan Pediatric Neurology Agenda Safety in
More informationManagement of Chronic Conditions. Aaron Watters, MD Parkview Sports Medicine
Management of Chronic Conditions Aaron Watters, MD Parkview Sports Medicine Disclosure I have no financial disclosures Objectives Summarize the differential diagnosis for cough in the athlete Explain the
More informationUnderstanding Medical Assessment and Diagnosis of Concussion in Canada
Understanding Medical Assessment and Diagnosis of Concussion in Canada Summary Recommendations that all patients and athletes with a suspected concussion undergo urgent medical assessment have been outlined
More informationOptometry s role increases in identifying, treating concussion
Optometry Optometry s role increases in identifying, treating concussion Primary Care Optometry News, April 2014 Visual pathways alone account for more than 50% of the brain s pathways and, therefore,
More informationAdult Neuropsychological Issues: Impact on Intellectual Functioning and Return to Work. Kenneth Perrine, Ph.D., ABPP-CN Weill Cornell Medical College
Adult Neuropsychological Issues: Impact on Intellectual Functioning and Return to Work Kenneth Perrine, Ph.D., ABPP-CN Weill Cornell Medical College Disclosures I receive compensation from the New York
More informationFinnish practices: Cognitive assessment and interventions
Finnish practices: Cognitive assessment and interventions Kati Peltonen, psychologist, MSc, MA University of Helsinki, Clinical Neuropsychology Research Group Cognitive assessment and interventions 1.
More informationEmerging Topics in Concussion Treatment: Lower Extremity Injury and Active Recovery
Emerging Topics in Concussion Treatment: Lower Extremity Injury and Active Recovery 11 th Annual Sports Medicine Conference Saturday, June 17, 2017 Taeopae Wetterman, ATC & Laura Most, ATC Objectives Describe
More informationRutgers University Sports Medicine Concussion Management Program
Rutgers University Sports Medicine Concussion Management Program The following document will serve as Rutgers University s policy on concussion management. It is a living document and subject to change
More informationPsychosocial Impact of Concussions
Psychosocial Impact of Concussions Tammy Miller, COTA/L, MHS, CBIS, CCM Jillian Jones, DPT, CBIS, CCI Definition A concussion is an injury that affects the way the brain works or functions. It is also
More informationHOCKEY WINNIPEG YOUTH CONCUSSION PROTOCOL SUMMARY
2018-2019 HOCKEY WINNIPEG YOUTH CONCUSSION PROTOCOL SUMMARY The following is a summary of the HOCKEY WINNIPEG YOUTH CONCUSSION PROTOCOL. 1.) All youth athletes (
More informationOPSC 56 th Annual Convention CONCUSSIONS: DIAGNOSIS. Alan Shahtaji, DO CAQ-SM February 17, 2017
OPSC 56 th Annual Convention CONCUSSIONS: DIAGNOSIS Alan Shahtaji, DO CAQ-SM February 17, 2017 How will this improve and/or change your practice? 1. Recognize a concussion on the sideline or acute setting
More informationActive rehabilitation for youth who are slow to recover from concussion
Active rehabilitation for youth who are slow to recover from concussion Isabelle Gagnon Kids and Teens Concussion Research Lab Trauma Center Montreal Children s Hospital-MUHC School of Physical and Occupational
More informationImplementing Medical Recommendations at School and Home
Implementing Medical Recommendations at School and Home R E G I N A L A I N E, M S N, P N P - B C, C N R N R E B E C C A S T E V E N S, M S N, C P N P B O S T O N C H I L D R E N S H O S P I T A L N E
More informationSt. John Fisher College Intercollegiate Athletics Concussion Management Protocol
St. John Fisher College Intercollegiate Athletics Concussion Management Protocol Definition of Concussion Concussion is defined as a complex pathophysiological process affecting the brain, induced by traumatic
More informationThe Role of Sports in Long-Term Brain Health
July 21, 2017 Bronson Sports Medicine Symposium The Role of Sports in Long-Term Brain Health Jeffrey Kutcher, MD, FAAN National Director, The Sports Neurology Clinic Team Neurologist, USSA @JeffKutcherMD
More information2018 CONCUSSION UPDATE WHAT S NEW? 4/12/2018. Michele LaBotz MD FAAP InterMed Sports Medicine AAP Council on Sports Medicine and Fitness
2018 CONCUSSION UPDATE Michele LaBotz MD FAAP InterMed Sports Medicine AAP Council on Sports Medicine and Fitness I have no relevant financial relationships with the manufacturers of any commercial products
More informationReview of: NATA Position Statement Management of Sport Concussion.
Review of: NATA Position Statement Management of Sport Concussion www.csm-institute.com Topics: Education and Prevention Documentation and Legal Aspects Evaluation and RTP Other Considerations Strength
More informationOBJECTIVES BALANCE EVALUATION COMMON CAUSES OF BALANCE DEFICITS POST TBI BRAIN INJURY BALANCE RELATIONSHIP
OBJECTIVES Understand variables that contribute to balance deficits Understand the relationship between a brain injury and balance Become familiar with the components of a vestibular/balance assessment
More informationNo relevant financial relationships to be discussed, directly or indirectly, referred to or illustrated with or without recognition within the
No relevant financial relationships to be discussed, directly or indirectly, referred to or illustrated with or without recognition within the presentation. 24 year old Olympic ice hockey player gets hit
More informationCopyright 2009 ACNN 1
1 The focus of this information is children who have previously been evaluated and have an established diagnosis of concussion. The information contained herein is not intended for acute concussion management.
More information