Concussion 2 Flashcards
What would EXERTION tests be used for in the management of concussion?
- they can give recovery status looking at presence of symptoms
- want to work at and maintain intensities below symptom threshold
What are some EXERTION tests that can be utilized to monitor patient recovery from concussion and RETURN TO PLAY readiness?
- Buffalo Concussion Test (identifies HR where symptom exacerbation occurs)
- Cycle Ergometry with progressive intervals
What are AFFECTIVE changes that can result from concussion?
Anxious, sleeplessness, fatigue, sadness, irritability, difficulty concentrating, deep thought, feeling overwhelmed
What are some ways to address AFFECTIVE disorders as a result of concussion?
- Sleep schedule (important)
- pharmo and/or psychotherapy
- REFER if no progress in symptoms (neuropsych, psychiatry, CBT)
*affective issues = risk factor for persistent symptoms
What percentage of those diagnosed with concussion have HEADACHES?
Up to 90%
*important to determine if they had headaches pre-concussion
What types of headaches have symptoms that OVERLAP with post-concussive symptoms?
Migraines
What are some signs and symptoms of MIGRAINES?
- Throbbing pain
- Worse with exertion
- Autonomic symptoms (sensitivity to light/sound/odor)
- Nausea
- Last 4-72 hours
- often unilateral
- common, chronic and disabling
*subtype = with aura (changes in visual field (loss of focus, dark spots, flashing lines)
What is the most common type of headache seen POST concussion?
Cervicogenic headache
What is the CPG for treating CERVICOGENIC headaches?
Restore cervical ROM, neck flexor and extensor endurance, cervical proprioception, soft tissue for pain
*injections, blocks at facet joints may help
What are the signs and symptoms of TENSION-TYPE HEADACHES? What other pathology do you need to rule out with these patients?
Pericranial muscle tenderness with possible trigger points (rule out TMD)
