Current Concussion Evaluation and Treatment Approaches

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Why should a physical therapist, or athletic trainer take this concussion continuing education course

A concussion is a type of mild traumatic brain injury, mTBI. A concussion is typically not life-threatening;however, it can be life - altering. Symptoms can include dizziness, fatigue, confusion, depression, inability to focus, and intolerance for noisy environments. Physical therapists, occupational therapists, and athletic trainers are trained to assess and treat concussions properly. Managing the symptoms in a timely fashion is critical for the successful progression back to life and function.

This evidence-based concussion course provides the clinician with the tools necessary to evaluate and treat the concussion patient’s many symptoms.

Rehab clinical tools instructed in this concussion continuing education course to enhance your functional outcomes.

  • A progressive treatment approach to improve symptoms related to BPPV, oculomotor issues such as gaze stabilization, accommodation deficits, and convergence deficits, as well as static and dynamic balance motion sensitivity
  • Additional tests to identify the underlying cause of symptoms, including the Modified Clinical Test of Sensory Integration on Balance and Dynamic Balance Testing
  • Pathophysiology of a concussion and its associated symptoms from medical, neuropsychological, and therapeutic perspectives
  • Demonstration of tests to identify joint position sense deficits, BPPV, and causes of motion sensitivity
  • A certified orthopedic specialist performs assessment techniques to rule out the cervicogenic origins of symptoms and demonstrates standard treatment techniques to address the musculoskeletal dysfunction, which may present as a headache or migraine
  • Demonstration on the Balance Master® to assess a patient’s balance abilities and his or her ability to use different sensory systems

Specific instruction that will enhance your understanding and ability to deliver better patient care.

  • Identify red flags, develop proper communication skills, and in turn, promote patient compliance throughout the rehabilitation process
  • Oculomotor screening and common tests utilized within the oculomotor exam to rule out convergence, accommodation, VOR deficits, ocular misalignment, and static and dynamic acuity issues

Features unique to this concussion and vestibular continuing education course

  • Essential concussion evaluation and treatment techniques to progress a patient through rehab
  • Demonstration on the Balance Master® provides an excellent summary of how to assess a patient’s balance abilities and ability to use different sensory systems. Information on how to apply this type of testing in the clinical setting for the clinical settings that do not have access to a Balance Master®
  • Multidisciplinary approach and coordinated communication to treatment
  • Emotional testimonials of three people who suffered concussions/TBI and their journeys. Exposure to their perspectives enhance the understanding of the patient experiences throughout the healing process and post -concussion symptoms

Professional Accreditation

This is an intermediate level course applicable for PT, PTA, OT, AT. Physical Therapy Accreditation: For specific state information, use the accreditation verification menu and select your state of license. AOTA: provider #4487, Occupational therapy professional development activity: Occupational Therapy Service Delivery, evaluation and intervention, and Foundation Knowledge: human body, development, and behavior. Athletic Trainers: BOC provider #P2047, category A. This course has not been submitted for Evidence-Based BOC approval.

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View PT, PTA, OT and AT Continuing Education Course State Accreditation

Responsible CME® - Testimonials

This Material is fresh compared to courses on both Vestibular Therapy and concussion that I took a couple of years ago. Material was presented in a very comprehensive and easy to follow way. I would highly recommend this course. -- Karen, Physical Therapist

I was skeptical about whether or not an online course was really going to be valuable to me. The videos were well done and really helped my learning. I was able to go at my own pace and work on the course when it was convenient for my schedule. Overall, I was pleasantly surprised but what a high quality course it was! -- Amy, Physical Therapist

This course was a good refresher with some new added information recovering covering all areas concussion treatment with the variety of symptoms. -- Kristen, OT

The information was easy to follow and understand. I am excited to apply a more comprehensive visual and balance evaluation to post-concussion patients. -- Kelly, Physical Therapist

I've been treating patients with vestibular disorders but haven't seen post-concussive cases yet. After taking this course, I feel confident to eval and treat and post-concussive patient with vestibular dysfunction. There were very helpful, clinic tips in here for both assessment and treatment, and I feel very confident moving forward with this information in my practice. Thank you! -- Sarah, PT

Good introductory course providing basic skills to manage concussion patient population. -- Michael, Physical Therapist

Great demonstrations in videos and wonderful patient testimonies -- Melissa, PT

Very good background course on concussion. Good review of tests and exercises. -- Jean, Physical Therapist

Lots of wonderful hands on videos for understanding testing. Great patient experiences presented. Loved how this program is interdisciplinary. -- Boni, Occupational Therapist

One of the best courses I've ever taken. Organized well and very easy to understand. Speaker was excellent! Thank you!! -- Elizabeth, PT

It was very helpful and concise. I feel I can now start treating patients more confidently -- Jose, PT

The instructors are very knowledgeable and provide instructions in an easy way to learn -- Gayle, OT

Great Course! Good foundation for concussion rehab with some valuable treatment interventions. A truly integrative approach! -- David, PT

This is a great, informative course. The information is presented in a manner that is easy to follow and the video is very helpful for learning how to use the concepts in practice -- Rhonda, ATC

Excellent course for a good overview of concussion management and in depth look at vestibular tests and measures for concussion patients. -- Kelly, PT

Great course for new professional and person who has been in the game for a while -- Gregory, OT

Well rounded, in-depth and covers all areas -- A.J., OT

Really appreciate the use of cases to explain and show how the assessment/tests are utilized. I felt it was a much more effective way to promote learning when we can visualize these tests and see the potential positive outcomes versus testing on a healthy subject. -- Loren, PT

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Current Concussion Evaluation and Treatment Approaches


  • CE Hours: 13.0 hrs, 1.3 CEU
  • Delivered: Online
  • Instant Online Access, Color 175 Page PDF Manual for Download, 365 days of access, Mobile Ready

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  • 12 months of access to all online courses, course tests and state approval certificates.
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  • AOTA approved.
  • Designed for Physical Therapists, Occupational Therapists, Athletic Trainers and Assistants.
  • Access to future courses and content.
  • Start, stop and resume, right where you left off in a course.
  • Real patient interviews.
  • Medical expert contributors.
  • 3D anatomy and medical illustrations.
  • Easy to use learning system for fast access to your courses.
  • Award winning content.
  • Top instructors teaching evidence based skills and techniques.

Highlights of this Online Course

PT OT Online continuing education course objectives

Course Objectives

  • Identify the importance of the multidisciplinary rehab team when developing a comprehensive rehab program for successful functional outcomes.
  • Describe the underlying pathophysiology of a concussion, common symptoms and the factors involved with recovery..
  • Develop problem-solving skills to identify the most appropriate assessment tool for differentiating the source of the problem in order to avoid over stimulation and fatigue.
  • Identify common red flags that are associated with a concussion and determine when a referral is needed.
  • Perform a cervical screen to rule out cervicogenic headaches.
  • Discuss common tools utilized among the interdisciplinary team to assess executive functioning abilities.
  • Discuss the importance of mindfulness and sleep patterns with your patients so they have the tools necessary to achieve better functional outcomes.
  • Understand the patient’s perspective on symptoms by listening to specific testimonials and then incorporate this information into a comprehensive plan.
  • Perform a comprehensive oculomotor exam by establishing the patient’s baseline.
  • Perform evidence-based test for convergence and accommodation issues, saccadic eye movements, vestibular-ocular reflex, VOR cancellation and ocular misalignment.
  • Properly perform the motion sensitivity test to determine severity of symptoms with specific movements.
  • Identify when modification of the treatment plan is necessary to avoid overstimulation and regression of gains.
  • Perform specific tests to rule out BPPV as a cause of the symptoms.
  • Determine when it is appropriate to use infrared goggles in your assessment plan.
  • Utilize evidence-based assessments and tools such as: Accommodation Tool, King-Devik, Functional Gait Assessment to establish baselines for treatment.
  • Develop appropriate rehab programs that incorporate the synergistic coordination of multileveled sensory integration.
  • Develop challenging and progressive treatment sessions to improve visual motion sensitivity, dynamic balance, oculomotor control, joint position awareness and endurance.
  • Perform the Modified Test for Sensory Interaction on balance and accurately interpret your findings.
  • Develop tools to help your patient successfully apply rehab activities to real life situations, functional activities and daily tasks.
  • Understand how to perform the six steps within the Sensory Organization Test and accurately interpret the findings to establish a proper treatment progression program.
  • Test and treat for advanced sensory integration and balance deficits.
  • Understand how the Balance Master assists in reaching overall goals and how to apply the concepts of the Balance Master into your treatment approach if it is not accessible in your clinic.
  • Be an advocate for post-concussion patients who can’t advocate for themselves.

Introduction to the Certified Neurological Clinical Specialist

Introduction to the Certified Neurological Clinical Specialist
  • Educators background and clinical experience
  • What is a vestibular specialist?

What is a Concussion? How do you Effectively Approach the Evaluation and Treatment Plan?

What is a Concussion
  • What is a concussion and how is it diagnosed?
  • Determining the severity of a concussion determined?
  • Pathophysiology of a concussion.
  • Physiological systems involved with a concussion.

Interview : Board Certified Concussion Specialist MD

Board Certified Concussion Specialist MD
  • Importance of a unified team approach when treating a patient with a concussion
  • Common problems associated with a concussion
  • Importance of a cognitive screening
  • The use of Computerized Neuropsychological Testing
  • Neurometabolic dysfunction
  • Red flags
  • Research-biomarkers

Neuropsychology and its Contribution to the Treatment Team

Neuropsychology and its Contribution to the Treatment Team
  • The role of the Neuropsychologist
  • Specific tests performed by a Neuropsychologist to establish barriers, strengths and weaknesses
  • Mindfulness meditation

Therapy Overview for Patients with Concussions

Therapy Overview for Patients with Concussions
  • Components of the evaluation
  • Balance
  • Motor control
  • Gaze stabilization
  • Convergence issues
  • Orthopedic considerations
  • Vestibular involvement
  • Cognitive deficits
  • Oculomotor and visual deficits
  • Prioritizing your approach

Case Presentation: Young Athletic Patient with a Concussion

Case Presentation:  Young Athletic Patient with a Concussion
  • Rehab summary
  • Case study- the journey to a proper diagnosis
  • Establish an understanding of the post concussive journey from a patient’s perspective

Orthopedic Screening and Treatment for Cervicogenic Headaches

Orthopedic Screening and Treatment for Cervicogenic Headaches
  • Ruling out underlying orthopedic issues
  • Performing an upper quarter screen
  • Joint mobilization-cervical-thoracic
  • Cervical neck flexor endurance test
  • Checking for compensatory motion
  • Joint mobilizations-treatment

Oculomotor Exam

Oculomotor Exam
  • Establish a baseline
  • Specific tests
  • Vestibulo-ocular reflex-VOR
  • Head thrust test
  • VOR cancellation
  • Dynamic visual Acuity
  • Ocular misalignment
  • Conversion test

Motion Sensitivity Test

Motion Sensitivity Test
  • Establishing a baseline
  • Motion Sensitivity Quotient test
  • King-Devick Test
  • What is considered a positive test for BPPV?
  • Ruling Out BPPV
  • Post traumatic BPPV
  • Dix hallpike test
  • Roll test

Testing VOR with Goggles

Testing VOR with Goggles
  • Testing the vestibular system with visual fixation removed
  • Gaze evoked nystagmus
  • Shake Test

Dynamic Balance Testing

Dynamic Balance Testing
  • Functional Gait Assessment
  • Tandem walking-easy to challenging

BPPV Treatments

BPPV Treatments
  • Horizontal BPPV
  • BBQ Roll
  • Epley Maneuver

Treatments for : Gaze Stabilization; Convergence Insufficiency; Oculomotor Issues; dynamic Balance; Visual Motion Sensitivity

Gaze Stabilization-Convergence Insufficiency
  • Variety of treatment activities and progression of activities to increase function
  • Gaze stabilization exercises
  • VOR x 2
  • Convergence training activities
  • Brock String and modifications
  • Oculomotor activities
  • Activities to improve tracking
  • Working on saccadic eye movement
  • Dynamic balance activities
  • Optokinetic stimulation

Case Presentation: Actual Patient Story-Post Concussion

Case Presentation: Actual Middle age Patient with Concussion
  • Rehab summary
  • Case study- the journey to a proper diagnosis
  • Most challenging symptoms
  • Establish an understanding of the post concussive journey from a patient’s perspective
  • Test to determine joint position sense in the neck
  • Test to determine static balance
  • Modified CTSIB
  • Assessing for the Ability to Converge
  • Establishing a baseline

Case Presentation: Actual Patient Story-Post TBI

Case Presentation: ACtual Patient with Traumatic Brain Injury
  • Rehab summary
  • Case study- the journey to a proper diagnosis Most challenging symptoms Establish an understanding of the post concussive journey from a patient’s perspective

Balance Assessment

Balance Assessment
  • Modified Clinical Test of Sensory Integration on Balance
  • Advanced Sensory Integration
  • Sensory Organization Test-six conditions demonstrated on Balance Master and modified for when a Balance master is not available

Course Test - Evaluate your knowledge

Evaluate your understanding of the online continuing education course material
  • Use the Healthclick proprietary online education system which provides the online student with:
    • Worldwide access to high definition video, anatomical animations and images, and written information
    • The highest quality film in the industry, you can see the difference!
    • Stop and resume within a course, the Healthclick system will optimize your course based on your device, connection and remembers where you left off.
    • Real-time course updates. We are always adding to each courses, updating content, adding animations, these are not static courses!
  • Evaluate your knowledge with the course test on any device.
  • Print your state course certificate for CE credit.
  • Take the online test as many times as need in order to achieve a 70 % or greater score.