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Cata 439 final > Concussion > Flashcards

Concussion Flashcards

1
Q

initial rest

A

24-48 hours followed by activities that do not increase symptoms

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2
Q

concussion review

A

rapid onset of short lived impairment and neurological dysfunction that resolves spontaneously

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3
Q

resolving symptoms within

A

7-10 days with proper RTL and RTP protocols

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4
Q

what can be associated with persistent concussion symptoms

A

younger age
female
LOC or post traumatic amnesia at the time of injury
previous history of concussion
ADHD and mood disorders
initial H/A or dizziness at the time of injury
delayed symptoms onset
initial symptom burden

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5
Q

3 categories of post concussion disorder that we focuse on

A

physiological (BF dysregulation)
vestibulo-ocular
cervicogenic

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6
Q

starting rehab tips

A

turn the blue light off on devices
wear earplugs if sound sensitive
slant board for reading

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7
Q

coloured glasses

A

blue most effective followed by green, red and purple
for photophobia

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8
Q

tips for increasing concentration

A
  1. work at only 1 task at a time
  2. reduce distractions when you are concentrating
  3. give yourself more time to complete tasks
  4. choose a time when your energy level is at its best
  5. avoid or limit your contact with noisy or busy places
  6. maintain good eye contact to stay focused during conversations
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9
Q

sleep hygiene

A

regular sleep routine
try not to nap during the day
do something relaxing 1 hour before bed
dark quiet cool room
ear plugs, white noise
keep electronics out bedroom

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10
Q

what to do if you cant fall asleep within 30 min

A

do something relaxing until feel sleepy

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11
Q

post-traumatic psychiatric outcomes typically resolve within

A

3-6 months
can persist to 1 year

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12
Q

what is associated with the development of PCS

A

old age
Female
premorbid psychiatric illness
anxiety
cognitive biases
migraines H/A

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13
Q

cognitive behavioural therapy

A

psychosocial intervention approach in which pt confronts and modify the irrational thoughts and beliefs that are most likely at the root of their maladaptive thoughts

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14
Q

what is the gold standard for psych disorders

A

CBT

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15
Q

cervicogenic persistent symptoms - S/S

A

HA
neck pain
dizziness
referred pain
compression of n. roots
dec in BF

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16
Q

cervicogenic persistent symptoms - C0-C2 problems

A

C0-C1: HA, vertigo, fatigue, poor concentration, irritability
C0-C2: often fascial connection issues

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17
Q

whiplash MOI causes what

A

C/S implications
strains/spasm
facet joint contusions, sprain

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18
Q

Cervicogenic PCS

A

subtype of PCD that is mediated by isolated dysfunction of the neurological cervical spine system
nociceptive fibers transmmit important sensory info from C/S to spinal cord, brainstem and cerebellum

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19
Q

cervicogenic post concussion disorder

A

trauma or persistent muscle spasm affecting the deep and superficial cervical and sub-occipital muscles can also lead to irritation and impingement of the sensory nerves that innervate the neck and posterior scalp leading to cervicogenic headaches and occasionally occipital neuralgia

20
Q

cervicogenic PCD common S/S

A

neck pain and stiffness
fatigue
fogginess
dizziness

21
Q

where are the HA located with cervicogenic

A

occipital area, can radiate to the temples and eyes

22
Q

cervicogenic- what makes HA worse

A

poor posture and neck related activities such as weight training and running

23
Q

Rehab for cervicogenic

A

guiding local inflammation
dec. muscle spasm
ROM
restoring communication btw C/S, vestibular and oculomotor systems
manual therapy

24
Q

optimal rehab for cervicogenic

A

manual therapy
PROM, AROM
low velocity mobs
proprio
strengthening of deep and superficial neck m.

25
Q

physiological approach of rehab for PCS

A

recommended tailored submax exercise program

26
Q

can early controlled aerobic exercise be safe post concussion

A

yes
may not always decrease S/S and duration
can help improve physiological state

27
Q

what does research suggest with neurological recovery in physiological PCD

A

may be mediated by improvement of CO2 sensitivity, resting CBF, and cerebrovascular reactivity

28
Q

submax aerobic activity recommendation

A

80-90% of HR during graded aerobic testing on treadmill 1x/day 20 min 5-6x/week

29
Q

goal of aerobic exercise

A

adequate stimulation to facilitate positive physiological response

30
Q

HR max for trained vs untrained individuals

A

60-70%
40-50%
HRmax= 208 - 0.7 x age

31
Q

buffalo concussion treadmill test

A

3..6mph 5’5’’ or taller, otherwise 3.2 mph
increase incline 1% every 1min
max incline 15deg
then increase 0.4mph every min
pt rate RPE and symptom severity

32
Q

terminated buffalo

A

max exertion reached or 3 point increase on likert scale or rapid progression of symptoms or pt report unable to continue

33
Q

vesitublo-ocular PCD

A

dysfunction of vestibular and oculomotor systems

34
Q

oculomotor and vestibular systems control

A

balance
posture
gaze stability

35
Q

what can help with stress and fear

A

improving peripheral vision

36
Q

clinical predictors of vestibulo-ocular dysfunction

A

female
pre-injury depression
post-traumatic amnesia
dizziness
blurred vision
difficulty focusing at the time of the injury

37
Q

patients with vestibulo-ocular PCD can present with deficits in

A

impairments in convergence
accomodation
smooth pursuits
saccades
VOR
BPPV

38
Q

S/S of vestibulo-ocular

A

dizziness
intermittent blurred vision or diplopia
difficulty focusing or concentrating
fogginess
motion sensitivity
postural imbalance
HA

39
Q

Key visual skills for sport

A
40
Q

gaze stabilization

A

ability to maintain visual acuity while the body/head is in motion

41
Q

postural stability

A

ability to maintain upright posture, balance and equilibrium in response to body movements

42
Q

motion sensitivity

A

information about the position and movement of the head in space

43
Q

progression of visual and vestibular exercises

A
44
Q

brock string

A

vision therapy tool
learn to use eyes together more effectively

45
Q

vestibulo-ocular motor screen as rehab

A

smooth pursuits
saccades
near point of convergence
VOR
visual motion sensitivity
1min 2-3x/day

46
Q

what are you assessing when doing rehab

A

HA
dizziness
fogginess
nausea

47
Q

see ppt for exercises

A

:)

Cata 439 final (8 decks)

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