Persistent non-vertiginous dizziness can be a prominent disabling complaint following a concussion. While treatment techniques of habituation, adaptation, and substitution are well established, many individuals with post-concussion syndrome suffer from additional psychological and cognitive impairments. Traditional vestibular rehab techniques are often ineffective and occasionally counterproductive in dealing with these individuals. The intent of this course will be to provide rehabilitation professionals specific tools to better treat and manage patients who exhibit primary impairments of somatosensory/vestibular processing deficits, dual task intolerance and autonomic nervous system maladaptation. We will present the latest evidence regarding the use of dual task techniques, sensory facilitation and integrative relaxation techniques. Through case applications, we will present a framework to successfully identify individuals that will benefit from this expanded toolbox based on their history and examination, and clear examples of progressing interventions and measuring progress. Proper dosage to ensure tolerance and sufficient training to optimize recovery will be reviewed. The content of this course is appropriate for the PT, PTA and AT.
Course created on November 14, 2017
Course Type: Recorded Webinar
CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/2.0; BOC/2.0 Category A; CA/2.0; CO/2.0; CT/2.0; DE/2.0; FL/2.0; GA/2.0; HI/2.0; IA/2.0; IACET/0.2; ID/2.0; IL/2.0; IN/2.0; KS/2.0; KY/2.0 Category 2; LA/2.0; MA/2.0; ME/2.0; MI/2.0; MN/2.0; MO/2.0; MS/2.0; MT/2.0; NC/2.0; ND/2.0; NE/2.0; NH/2.0; NJ/2.0; NM/2.0; NV/0.2; NY/2.0; OR/2.0; RI/2.0; SC/2.0; SD/2.0; TN/2.0; TX/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0
- The participant will be able to describe at least two components of differential testing and at least two evidence based outcome measures that quantify functional limitations in cognition and psychological distress in individuals with post-concussion syndrome.
- The participant will be able to identify at least three appropriate strategies to successfully manage abnormal sensory dominance and autonomic nervous system maladaptation in persistent disability.
- The participant will be able to list at least three novel interventions based from evidence-based treatment paradigms that address the complex presentation of the patients.
- The participant will be able to describe at least two case studies presented within this course, of challenging patient presentations to allow for immediate clinical application of the treatment paradigms.
|0-20 Minutes||Introduction and review of pathophysiology of concussion including cognitive and psychological implications|
|20-35 Minutes||Discuss sensory re-weighting and how the "fight or flight" response can affect rehabilitation strategies. Review of the literature|
|35-50 Minutes||Evidence-based outcome measures to quantify progress and determine prognosis|
|50-85 Minutes||Interventions to achieve success including dual tasking, cognitive rehab, and the role of managing the flight or fight response as a core intervention.|
|85-100 Minutes||Discussion on dosage and pacing issues|
|100-120 Minutes||Conclusion, case studies, and Q&A|
Brady Whetten, PT, DPT, GCS
Brady Whetten, DPT, GCS, received a degree in Exercise Science from Brigham Young University and a Doctorate of Physical Therapy from the University of Utah. He is currently practicing as a physical therapist at Northwest Rehabilitation Associates in Salem, OR. He is also currently an adjunct faculty at George Fox University in the DPT program as a professor in Geriatrics. He specializes in working with geriatric and neurologic populations and is passionate about learning and applying the latest evidence to maximize improvements for elderly individuals and individuals with neurologic disorders, including dizziness and vertigo. He is a Board-certified Geriatric Clinical Specialist, and has presented on a variety of topics dealing with geriatric and neurologic physical therapy around the country. Brady has completed the Vestibular Competency course through Emory University and has served on a number of committees for the Vestibular Special Interest Group of the Neurology section of the APTA.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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