ConcussionCertification Workshop

Day 18:30 am – 6:00 pm

Morning Session: 8:30 am – 12:00 pm(Break 10:00 - 10:15 am)

  • Welcome and Introduction
  • Prevalence of Sports-Related Concussions and the Societal Impact
  • Berlin Consensus Statement on Concussion in Sport
  • Functional Anatomy and Physiology & Cortical Assessment
  • Structural vs. Metabolic Damage
  • Concussion Cascade
  • Chronic Traumatic Encephalopathy (CTE)
  • SCAT 5
  • King Devick Test
  • Post Concussion Symptom Scale (PCSS)
  • Buffalo Concussion Treadmill Test
  • Defense Automated Neurobehavioral Assessment (DANA)
  • Inner Ear Considerations

Lunch12:00 pm – 1:00 pm (on your own)

Afternoon Session: 1:00 – 6:00 pm (Break 3:00 –3:15 pm)

  • Vestibular and Oculo-motor Assessment
  • Central Vestibular Compensation
  • Symptoms of Impaired Vestibulo-Ocular Reflex (VOR) and Vestibulo-Spinal Reflex
  • Clinimetrics
  • Postural Stability
  • BESS
  • Single Leg Stance
  • Sway Balance
  • Gans SOP
  • VOR Evaluation
  • Gaze evoked nystagmus
  • The Vestibular/Ocular-Motor Screening (VOMS)
  • Head Thrust Test
  • Dynamic Visual Acuity
  • Optokinetic Test
  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Pathophysiology of BPPV
  • Evaluation of BPPV and Nystagmus Patterns
  • Importance of Vertebral Artery Screening Test (VAST)
  • Demonstration of Canalith Repositioning Maneuvers (CRM)
  • Manual practice hands-on - CRMs
  • Posterior/Anterior Canal
  • Modified Canalith Repositioning (CRM Epley/Herdman style)
  • Semont Liberatory Maneuver (SLM)
  • Gans Repositioning Maneuver (GRM)
  • CRM Treatment Considerations
  • Restrictions Post BPPV treatment
  • Complications of treatment
  • Horizontal Canal Demonstration
  • Appiani/Casani
  • Horizontal Hybrid Maneuver

Day 2 8:30 am – 6:00 pm

Morning Session: 8:30 am – 12:00 pm (Break 10:00 - 10:15 am)

  • Cervical Assessment
  • Incidence and Prevalence
  • Subjective History
  • Objective Examination
  • Upper Cervical Instability (UCI)
  • Sharp-Purser Test
  • Alar Ligament Stress Test
  • Transverse Ligament Test
  • Cervical Dizziness
  • Cervical Proprioception Testing
  • Joint Position Sense
  • Hands on practice

Lunch12:00 pm – 1:00 pm (on your own)

Afternoon Session: 1:00 – 6:00 pm (Break 3:00 – 3:15 pm)

  • Mental Health Aspects of mTBI
  • Pre-morbid Psych Issues
  • Cognitive Problems
  • Personality Changes
  • Emotional Responses
  • Inappropriate, Embarrassing, Impulsive
  • Angry Outbursts & Irritability
  • Anxiety
  • Depression
  • PTSD
  • Sleep Problems
  • Alcohol Use & TBI
  • Supplemental Interventions
  • Concussion Management
  • The Role of Vestibular Rehabilitation Therapy in Concussion Patients
  • Evidence-based Clinical Pathways: Using VRT protocols and creating patient-centered therapy
  • Building a Concussion Management Strategy
  • AIB- Vestibular Cognitive Integration (AIB-VCI)
  • Manual Practice

Day 3 8:30 am – 12:15 pm

Morning Session: 8:30 am – 12:15 pm (Break 10:00 - 10:15 am)

  • Return to Activity, Return to Play, & Return to School Strategies
  • Recovery & the Role of Rest
  • Special Considerations
  • The Future
  • Sport Rule Changes
  • Legal Considerations
  • Case Studies
  • Summary and Concluding Remarks

Syllabus timeline is for general purposes only. Depending on interest of the class, depth of discussions, questions, demonstrations, and hands-on, timeline may be adjusted. All content, however, will be covered.

March 2018