Traumatic Brain Injury and Concussions
This course is available for our private and course sponsor program
Why take this course?
This course is a two-day advanced hands-on seminar focusing on effective identification and management of physical symptom sequella that may arise following a concussion or mild traumatic brain injury (mTBI). Through this course, participants can expect to further advance their knowledge of the complexities of the vestibular system and understand why knowledge of this system is paramount to the successful management of this diagnosis. Evidence and current practice patterns will be discussed and supported throughout the seminar.
The physical symptoms developing after a mTBI can follow many clinical trajectories, many of them mediated by or involved directly with the vestibular system. The International Consensus on Concussion in Sport suggests that rehabilitation of cervical, vestibular, oculomotor and autonomic systems can be an integral part of the recovery from a concussion. We will explore each of these dysfunctions, how to identify their clinical patterns and presentations, develop treatment paradigms and understand expected recovery outcomes and prognosis.
Sessions will focus primarily on mild TBI and we will cover a variety of pathologies that may arise as a result of a TBI. These include diffuse axonal injury, metabolic changes following a concussion, skull fractures, fistulas, post- traumatic Ménière’s, whiplash, cervicogenic dizziness, BPPV, central or peripheral vestibular dysfunction, cranial nerve damage, sensory integration defects, autonomic dysregulation and balance and gait deficits. We will discuss the current “return to play” guidelines, their limitations, and gaps in research.
This course is organized to build in skill development through case presentations, guided lab, video examples, and lectures to allow the learner to have a thorough understanding of how to systematically manage this population without getting overwhelmed. We will provide the participant with a clinical algorithm to follow based on the most current evolving evidence. Participants will be able to develop a clear concise treatment regimen, learn how to educate the patient, their family, coaches and other medical professionals on expected recovery, and “return to play” guidelines based on the best current evidence available. Finally, participants will learn what is known in the literatures, what is not known and how you as a health care provider can play a prominent role and be an advocate for normal recovery.
- Describe the core features and overlap of symptoms from mild traumatic brain injury to post-concussion syndrome protracted recovery, expected outcomes and literature updates.
- Identify possible barriers to rehabilitation following a concussion and how to address them to maximize outcomes in the most efficient, cost-effective manner.
- Identify the areas of possible damage to the vestibular system following a mTBI or concussion.
- Identify how to choose the most appropriate tests to differentially diagnose vestibular and balance deficits following TBI.
- Describe the tools used for balance and vestibular interview and evaluation and apply it to this complex population.
- Evaluate the visual system (pursuits, saccades, vergence, and alignment) & understand how to integrate findings into the treatment plan.
- Describe how to effectively manage whiplash associated dizziness.
- Identify patterns and clinically relevant finding for a variety of pathologies that may arise following a TBI including central and peripheral vestibular deficits, skull fractures, fistulas, cranial nerve damage, visual dysfunction, post-traumatic Meniere's, headaches, migraines, whiplash, sensory integrations defects, balance and gait dysfunction.
- Develop individualized treatment plans for cervical, vestibular, ocular and autonomic clinical trajectories post-concussion.
- Describe the effects of multi-sensory damage and the importance of interdisciplinary management, including when to refer out.
- Develop programs that incorporates “return to play” guidelines in a more useful, clinically relevant manner.
- Describe how technological advances can help in your clinic and how to utilize low-cost evaluation and treatment tools.
Download a Brochure
PDF Brochure - Traumatic Brain Injury and Concussions
Instructed by: Karen Skop, PT, DPT
Karen Skop, PT, DPT, MS graduated in 2000 from University of Miami with her Master’s in Physical Therapy, 2008 from Temple University with her Doctorate in Physical Therapy. During her coursework at the University of Miami (UM), she studied under world-renowned Dr. Susan Herdman, completing the first of 4 “Vestibular Rehabilitation” competency course work while still a student. She was also able to have Dr. Herdman as her faculty advisor while completing research in providing visual feedback in individuals with vestibular loss. Since graduation, Dr. Skop has continued her work in vestibular rehabilitation helping “dizzy” patients of all ages from high school athletes to geriatric population. Primarily a clinical therapist she specializes in both the orthopedics and neurological population. She has worked within a multi-disciplinary team leading the rehabilitation efforts for various orthopedic & neurological clinics including Orthopedics, Sports Medicine, Parkinson’s, Stroke, Vestibular and Traumatic Brain Injuries (TBI). It is through this diversity of experience that positions her perfectly for the management of concussions and mild traumatic brain injuries (mTBI). She has published research on FIM data in stroke recovery, and continues to study the chronic effects of balance and sensory dysfunction in neuro-trauma. Dr. Skop is currently working on a variety of research/best practice for rehab in mild TBI and its effect on the vestibular system & knowledge translation from research to clinical practice. She currently practices for the Department of Veteran’s Affairs, leading a mTBI program which manages the post-concussive sequela following blast/blunt TBI and rehabilitation of the tactical athlete. Dr. Skop lectures for the Department of Defense and National Centers of Excellence, locally to residents and physicians to raise awareness and effective management of vestibular disorders. Dr. Skop part of the first taskforce of PT’s nominated by the APTA to disseminate clinical practice guidelines for vestibular rehabilitation and remains active within the SIG’s of the APTA. She serves as faculty for VA’s ABPTRFE Orthopedic & Neurological Residency program and continues to lecture as adjunct faculty for the University of South Florida. .
State Continuing Education Course Approvals
All courses are pre-approved by the state licensing boards for physical therapists, physical therapy assistants and occupational therapists, occupational therapy assistants and athletic trainers for license renewal in the state the course is offered.
Courses provided by AOTA providers are accepted by NBCOT. 1 hour = 1.25 PDU. North American Seminars is an AOTA provider, provider #4487
North American Seminars, Inc. (BOC provider #P2047) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for the maximum stated hours of Category A hours/CEUs. Athletic Trainers should claim only those hours actually spent in the education program.
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Online Continuing Education Course Resource For This Course
Current Concussion Evaluation and Treatment Approaches
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