Concussion Flashcards
initial rest
24-48 hours followed by activities that do not increase symptoms
concussion review
rapid onset of short lived impairment and neurological dysfunction that resolves spontaneously
resolving symptoms within
7-10 days with proper RTL and RTP protocols
what can be associated with persistent concussion symptoms
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
3 categories of post concussion disorder that we focuse on
physiological (BF dysregulation)
vestibulo-ocular
cervicogenic
starting rehab tips
turn the blue light off on devices
wear earplugs if sound sensitive
slant board for reading
coloured glasses
blue most effective followed by green, red and purple
for photophobia
tips for increasing concentration
- work at only 1 task at a time
- reduce distractions when you are concentrating
- give yourself more time to complete tasks
- choose a time when your energy level is at its best
- avoid or limit your contact with noisy or busy places
- maintain good eye contact to stay focused during conversations
sleep hygiene
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
what to do if you cant fall asleep within 30 min
do something relaxing until feel sleepy
post-traumatic psychiatric outcomes typically resolve within
3-6 months
can persist to 1 year
what is associated with the development of PCS
old age
Female
premorbid psychiatric illness
anxiety
cognitive biases
migraines H/A
cognitive behavioural therapy
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
what is the gold standard for psych disorders
CBT
cervicogenic persistent symptoms - S/S
HA
neck pain
dizziness
referred pain
compression of n. roots
dec in BF
cervicogenic persistent symptoms - C0-C2 problems
C0-C1: HA, vertigo, fatigue, poor concentration, irritability
C0-C2: often fascial connection issues
whiplash MOI causes what
C/S implications
strains/spasm
facet joint contusions, sprain
Cervicogenic PCS
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
cervicogenic post concussion disorder
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
cervicogenic PCD common S/S
neck pain and stiffness
fatigue
fogginess
dizziness
where are the HA located with cervicogenic
occipital area, can radiate to the temples and eyes
cervicogenic- what makes HA worse
poor posture and neck related activities such as weight training and running
Rehab for cervicogenic
guiding local inflammation
dec. muscle spasm
ROM
restoring communication btw C/S, vestibular and oculomotor systems
manual therapy
optimal rehab for cervicogenic
manual therapy
PROM, AROM
low velocity mobs
proprio
strengthening of deep and superficial neck m.
