The focus of this course is to review current standards and guidance to return individuals post-concussion to activity, including considerations for self-report and performance-based assessment to identify impairments that require intervention, and methods to progress challenges in therapy to approximate the conditions that are necessary for individuals across the lifespan. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
Course created on March 21, 2022
On Demand
Course Type: Recorded Webinar
CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/2.0; BOC/2.0; CA/2.0; CO/2.0; CT/2.0; DC/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; MA/2.0; MD/0.2; ME/2.0; MI/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; NY/2.0; OK/2.0; OR/2.0; PA/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
Learning Outcomes
- After this course, participants will be able to describe recommendations for relative rest and gradual return to activity based on current evidence and guidance after mTBI that can be applied across the lifespan.
- After this course, participants will be able to identify the areas of focus within the APTA Concussion Clinical Practice Guideline, providing a foundation for sequence intervention.
- After this course, participants will be able to identify strategies to capture symptom irritability using generic, and alternative, self-reporting measurement tools.
- After this course, participants will be able to list performance-based assessment tools that can be used to identify impairments in exercise tolerance, balance, and dual-task capacity that are appropriate for use after mTBI.
- After this course, participants will be able to describe strategies for designing appropriate therapy challenges that may provoke symptoms slightly but also encourage improvement over time.
Agenda
| 0-15 Minutes | Background – Concussion CPG elements for PT focus and in what order |
| 15-30 Minutes | Rest and Exert/Challenge – why do either? And when? |
| 30-45 Minutes | Role of self-report to identify irritability and alternative measures |
| 45-60 Minutes | Performance-based measures - exertion |
| 60-75 Minutes | Performance-based measures – balance and dual-task |
| 75-90 Minutes | Intervention strategies – just the right challenge using irritability and performance-based measures to inform choice |
| 90-115 Minutes | Factors that influence pace and progress |
| 115-120 Minutes | Summary, Q & A |
Reviews
440 ReviewsPresented By
Karen McCulloch
PT, PhD, MS, NCS(E), FAPTA
Karen is a Professor at UNC-Chapel Hill in the Division of Physical Therapy, Department of Health Sciences, School of Medicine, where she teaches entry level students, residents, and PhD students about neurologic physical therapy and research. Karen has cared about individuals post-TBI her entire PT career, starting with more moderate to severe injury in inpatient and residential settings eventually transitioning to work with military and sports mTBI with a research focus on the development of clinical tools and the development of interventions that facilitate return to duty or sport. She assisted in the development of the APTA Clinical Practice Guideline on Physical Therapy Management of Concussion and the development of the military Progressive Return to Activity Guidance. She has a long history of involvement in the Academy of Neurologic Physical Therapy and co-developed an online course series with MedBridge for those interested in pursuing neurologic specialty certification.
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Financial disclosures: I have received Department of Defense grant support to study some of the assessment tools that I will mention in my presentation. I receive royalties from: Elsevier for editing a section of a Pathology textbook, MedBridge for the development of an NCS Preparation course series, and from IKT for serving as a speaker.
Non-financial disclosures: I am a co-developer/author of practice guidance documents that I will mention in my presentation (APTA Concussion CPG, TBI CoE original Progressive Return to Activity guidance for rehabilitation providers) and co-author of a paper that includes case descriptions that I will use as illustrations during the presentation.
Sponsor Disclosure: This Course is presented by PhysicalTherapy.com, a Continued site.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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KPTA
This course is offered for 2.0 hours (Intermediate level, Category 2) by the Kentucky Physical Therapy Association (Provider #CS80-2024-APTAKY).
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Oklahoma
PhysicalTherapy.com is an Approved Provider by the Oklahoma State Board of Medical Licensure & Supervision for Physical Therapists, PT CE Provider BAP202310006. This course is offered for 2.0 hours of continuing education for Oklahoma PTs/PTAs.
Texas Physical Therapy Association
This course is offered for 2.0 hours (Intermediate level) by the Texas Physical Therapy Association. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. The Texas Physical Therapy Association (TPTA) administers the CCAP on behalf of the Texas Board of Physical Therapy Examiners (Provider #2406033TX).
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