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ForwardSports Physical Therapy Education Series: Management of Concussion from the Sideline to the Clinic and Back to Sport
This virtual course will discuss how the incidence of sports related concussion in the adolescent population continues to be on the rise. There are between 1.1-1.9 million sport and recreation-related concussions per year in United States in athletes 18 years and younger (Bryan 2016), representing 8.9% of all high school athletic injuries (Marar, 2012). Additionally, those athletes with a history of concussion have been shown to have a 34% increase in odds of sustaining a time-loss lower extremity injury (Lynall, 2017). Concussion management requires a collaborative team approach, including professionals across several health care and educational fields, in order to allow for successful return to school and sport following a concussion. However, treating pediatric and adolescent concussions is a specific skill set that requires a great deal of knowledge as well as an understanding of one’s knowledge gaps or areas of expertise, especially given the high rate of this injury, and there are many clinicians who need to improve their ability to manage these patients.
Target Audience
The target audience for this activity includes physical therapists, athletic trainers & physicians.
Learning Objectives
1. Illustrate concussion evaluation techniques for sideline and office settings
2. To evaluate innovative approaches that add rehabilitation elements to the return-to-play progression to reduce the risk of future injuries after concussion.
3. Prescribe appropriate sub-symptom threshold aerobic activity based on results of exertional testing during the course of concussion rehabilitation
4. Identify post-concussion symptoms
5. Distinguish between outdated and current evidence-based concussion management best practices including brain rest and return to school.
6. Review promising interventions, including a brief cognitive-behavioral intervention
7. Review and understand evidence-based physical therapy management of the post-traumatic headache.
8. List the current evidence regarding clinical presentation, examination and treatment for vestibular and oculomotor dysfunction for children with concussion
9. Identify and describe components of cervical spine dysfunction that are common after concussion
10. Discuss exercise progression for balance and dual task training for concussion management
11. Administer return to sport testing in clinic for patients post-concussion
Additional Information
8:00am – Introduction – Shane Noffsinger, PT, DPT, OCS, CSCS, Allison D’Lauro, PT, DPT
8:05am – Concussion evaluation and management: from sideline to clinic – Julie Wilson, MD, Megan Zoesch, ATC, Virginia Winn, ATC
9:05am – Integrating multimodal intervention approaches throughout concussion recovery – David Howell, PhD, ATC
9:35am – The Role of Exertional Testing in Sub-symptom Threshold Aerobic Exercise Prescription – Nicki Remington, PT, DPT, Brittney Millett, ATC
10:05am – 5 minute break
10:10am – Persistent Symptoms after Concussion: So why are things taking so long? – Pam Wilson, MD
10:40am – The Role of Neuropsychological Evaluation in the Management of Youth Concussion – David Baker, Psy.D, ABPP-CN
11:10am – Prolonged Symptoms after Pediatric Mild TBI: Contributing Factors and a Cognitive Behavioral Approach to Intervention – Ann Lantagne, PhD
11:40am – Panel Discussion and Questions
12:00 – Lunch Break
12:30pm – Assessment and Management of the Post-Concussion Headache – Zach Varsos, PT, DPT, OCS
1:15pm – Vestibular and Oculomotor Dysfunction in Pediatric Concussion: What We Know Now – Margot Gray, PT, DPT, Caryn Keller, PT, DPT, NCS
2:15pm – What about the neck? The role of the cervical spine in concussion management – Kate Smulligan, PT, DPT
2:45pm – Importance of Balance and Dual Task Training in Sports Related Concussion - Alice Barnes, PT, DPT
3:15pm – Concussion return to sport testing and considerations – Sarah Reinking, PT, DPT, SCS & Megan Zoesch, ATC
3:45pm – Questions/Wrap-up
Program Activity Director
Shane Noffsinger, PT, DPT, OCS, CSCS
Sports Physical Therapist II, ACL Diagnosis Lead
Program Planning Committee/Faculty:
Allison D’Lauro, PT, DPT
Children’s Hospital Colorado
Physical Therapist
Allison.D’Lauro@childrenscolorado.org
Julie Wilson, MD
Children’s Hospital Colorado
Primary Care Sports Medicine
Julie.Wilson@childrenscolorado.org
Megan Zoesch, ATC
Children’s Hospital Colorado
Athletic Trainer
Megan.Zoesch@childrenscolorado.org
Virginia Winn, ATC
Children’s Hospital Colorado
Athletic Trainer
Virginia.Winn@childrenscolorado.org
David Howell, PhD, ATC
Children’s Hospital Colorado
Research Director
David.Howell@childrenscolorado.org
Nicki Remington, PT, DPT
Children’s Hospital Colorado
Physical Therapist
Nicki.Remington@childrenscolorado.org
Brittney Millett, ATC
Children’s Hospital Colorado
Athletic Trainer
Brittney.Millett@childrenscolorado.org
Pam Wilson, MD
Children’s Hospital Colorado
Pediatric Physical Medicine and Rehabilitation
Pam.Wilson@childrenscolorado.org
David Baker, Psy.D, ABPP-CN
Children’s Hospital Colorado
Pediatric Neuropsychologist
David.Baker@childrenscolorado.org
Tess Simpson, PhD
Children’s Hospital Colorado
Pediatric Rehab Psychologist
Tess.Simpson@childrenscolorado.org
Zach Varsos, PT, DPT, OCS
Children’s Hospital Colorado
Physical Therapist
Zach.Varsos@childrenscolorado.org
Margot Gray, PT, DPT
Children’s Hospital Colorado
Physical Therapist
Margot.Gray@childrenscolorado.org
Caryn Keller, PT, DPT, NCS
Children’s Hospital Colorado
Physical Therapist
Caryn.Keller@childrenscolorado.org
Kate Smulligan, PT, DPT
University of Colorado, Anschutz Medical Campus
PhD Student
Kate.Smulligan@childrenscolorado.org
Alice Barnes, PT, DPT
Children’s Hospital Colorado
Physical Therapist
Alice.Barnes@childrenscolorado.org
Sarah Reinking, PT, DPT, SCS
Children’s Hospital Colorado
Physical Therapist
Sarah.Reinking@childrenscolorado.org
Athletic Trainers
Children’s Hospital Colorado (BOC AP#: P3765) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 7.0 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.
Attendance
A certificate of attendance will be provided upon completion of this course.
Available Credit
- 7.00 APTA
- 7.00 Attendance
- 7.00 BOC