CEU Information for the Leahy Memorial Lecture

2.5 Continuing Education Units (CEUs) will be offered in DE, NJ and PA for this event.

Abstract

The signs and symptoms of Post-Concussion Syndrome (PCS) are very similar to those experienced after a neck injury, perhaps because it is difficult for the head to sustain injurious forces without the neck also being exposed to them. This poses a diagnostic dilemma for the clinician: how much (if any) of the symptoms are coming from the brain injury, a vestibular injury, or a neck injury? Differentiating between the three is a key to designing an effective plan of care. Much of the attention in PCS treatment has been on exercise strategies, but does manual therapy play a role? This session will highlight the current evidence and outline diagnostic and management strategies for PCS.

Objectives

In a patient suffering from PCS:

  1. Participants will be able to differentiate between central, vestibular and cervical sources of symptoms.
  2. Participants will describe in general terms how to manage post-concussion symptoms.
  3. Participants will describe the evidence supporting the use of manual therapy in PCS.
  4. Participants will perform manual techniques appropriate for PCS symptoms.

References

  1. Blanpied PR, Gross AR, Elliott JM, et al. Neck Pain: Revision 2017. J Orthop Sports Phys Ther. Jul 2017;47(7):A1-A83.
  2. Ellis MJ, Leddy JJ, Willer B. Physiological, vestibulo-ocular and cervicogenic post-concussion disorders: An evidence-based classification system with directions for treatment, Brain Injury. 2015; 29:2, 238-248, DOI: 10.3109/02699052.2014.965207
  3. Lystad RP, Bell G, Bonnevie-Svendsen M, Carter CV. Manual therapy with and without vestibular rehabilitation for cervicogenic dizziness: a systematic review. Chiropractic & manual therapies. 2011;19(1):21.
  4. Mucha A, Collins MW, Elbin RJ, et al. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479-2486.
  5. Quatman-Yates C, Cupp A, Gunsch C, et al. Physical rehabilitation interventions for post-mTBI symptoms lasting greater than 2 weeks: systematic review. Phys Ther. 2016;96:1753–1763.
  6. Reneker, J. C., Hassen, A., Phillips, R. S., Moughiman, M. C., Donaldson, M., & Moughiman, J. (2017). Feasibility of early physical therapy for dizziness after a sports-related concussion: A randomized clinical trial. Scand J Med Sci Sports, 27(12), 2009-2018. doi:10.1111/sms.12827
  7. Schneider KJ, et al. Cervicovestibular rehabilitation in sport-related concussion: a randomised controlled trial. Br J Sports Med 2014;48:1294–1298.
  8. Schneider, K. J., Meeuwisse, W. H., Barlow, K. M., & Emery, C. A. (2018). Cervicovestibular rehabilitation following sport-related concussion. Br J Sports Med, 52(2), 100-101. doi:10.1136/bjsports-2017-098667

 

Contact:

Dr. Gregory Thielman 

Address:

University of the Sciences
600 South 43rd Street
Philadelphia, PA 19104-4495

Phone:

215-596-8680

Email:

g.thielm@usciences.edu