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Friday General Session & Breakout Session Details

Friday General Session & Breakout Session Details

Friday General Session

Title: Concussion: Cervico-Vestibulo-Ocular Integration over Brain Isolation
Presenters: Airelle Giordano, PT, DPT; Rob Landel, PT, DPT, FAPTA

Description: In this session we will review the complex interaction between the central nervous system, vestibulo-ocular system and cervical musculoskeletal system in generating signs and symptoms after concussion, with special emphasis on the latter two systems. We will describe the differential diagnostic thought process and integrated management of common vestibulo-ocular and cervico-thoracic impairments that occur after a concussive event. Case examples will be used to illustrate key concepts and caveats for treatment.

Key Topics Addressed:

  • The importance of identifying what system is driving what impairment
  • Key issues to consider when selecting order of tests, measures and treatment interventions
  • Differentiating dizziness and headache/migraine symptoms
  • Review of the evidence in assessment and treatment of post-concussion symptoms
  • Overview of the role that contextual factors play in treatment and outcomes

Breakout Session #1

Title: Considerations for Managing Vestibulo-ocular Impairments
Presenter: Airelle Giordano, PT, DPT

Breakout Description: In this session we will review key tests and measures for identifying and differentiating vestibular and oculomotor impairments that contribute to symptoms post-concussion. Using case vignettes participants will be asked to identify appropriate measures, to summarize their findings and explain how the findings can be used to guide clinical practice. Participants will be given the opportunity to perform/administer the tests/measures and key manual interventions.

Objectives:

  1. Perform key tests and measures.
  2. Identify appropriate interventions, including vestibulo-ocular habituation exercises and progressive tolerance towards return to activity.
  3. Describe and practice appropriate examination and treatment sequencing.
  4. Perform appropriate evidence-supported treatment interventions.

Breakout Session #2

Title: Considerations for Managing Post-concussion Cervicothoracic Impairments
Presenter: Rob Landel, PT, DPT, FAPTA

Description: In this session we will review key tests and measures for identifying and differentiating cervical and cervicothoracic musculoskeletal impairments that contribute to post-concussive event symptoms. Using case vignettes participants will be asked to identify appropriate measures, to summarize their findings and explain how the findings can be used to guide clinical practice. Participants will be given the opportunity to perform/administer the tests/measures and key manual interventions.

Objectives: Given a patient with persistent symptoms after a concussive event, at the end of this session the participant will be able to:

  1. Describe appropriate examination and intervention sequencing.
  2. Identify and perform key tests and measures.
  3. Identify and perform appropriate evidence-supported interventions, including manual therapy, exercise, and progressive tolerance towards return to activity.

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