Education Opportunity:

Concussions: cutting through the confusion - a collaborative session for GPs

Date: Monday, September 25. 2017
Time: 6-8PM
Location: Tall Tree Integrated Health Centre

Concussion has over 40 different working definitions with a variety of clinical implications.  Due to this lack of clarity, concussion has become a confusing topic and a difficult to treat problem. Furthermore, research over the past several years has exploded, making it challenging to stay up to date.

Tall Tree Concussion Program invites you to join us for a collaborative discussion on Monday September 25 2017 from 6-8PM to review the newest research, guidelines and approaches to elevate your practice and together clarify how we can best treat concussion in Victoria.

Can't join in person?  Join online through this link.
 

Please RSVP using the form below:

Assessment Tools

Templates

tREATMENT OPTIONS

Concussion is a rehabilitative injury and treatment should be offered to all patients, especially if symptoms do not begin to improve over the first weeks post-injury.  Options include:

 

SELECTED References

  1. Brilliant, A., Meehan, W., & Howell, D. (2017). Dual-task gait abnormalities after sport-related concussion and their association with prolonged symptom duration (P6. 146). Neurology, 88(16 Supplement), P6-146.
  2. Broshek, D. K., De Marco, A. P., & Freeman, J. R. (2015). A review of post-concussion syndrome and psychological factors associated with concussion. Brain injury, 29(2), 228-237.
  3. Cheever, K., Kawata, K., Tierney, R., & Galgon, A. (2016). Cervical injury assessments for concussion evaluation: A review. Journal of athletic training51(12), 1037-1044.
  4. Iverson, G. L. (2010). Mild traumatic brain injury meta-analyses can obscure individual differences. Brain Injury, 24(10), 1246-1255.
  5. Iverson, G. L., & Schatz, P. (2015). Advanced topics in neuropsychological assessment following sport-related concussion. Brain injury, 29(2), 263-275.
  6. Kontos, A. P., Deitrick, J. M., Collins, M. W., & Mucha, A. (2017). Review of vestibular and oculomotor screening and concussion rehabilitation. Journal of athletic training, 52(3), 256-261.
  7. Lal, A., Kolakowsky-Hayner, S., Ghajar, J., Vazquez, O., & Balamane, M. (2017). A systematic review and meta-analysis on the role of exercise or rest in patients with concussion and mild traumatic brain injury. Br J Sports Med, 51(11), A83-A83.
  8. Makdissi, M., Cantu, R. C., Johnston, K. M., McCrory, P., & Meeuwisse, W. H. (2013). The difficult concussion patient: what is the best approach to investigation and management of persistent (> 10 days) postconcussive symptoms?. Br J Sports Med, 47(5), 308-313.
  9. Makdissi, M., Schneider, K. J., Feddermann-Demont, N., Guskiewicz, K. M., Hinds, S., Leddy, J. J., ... & Johnston, K. M. (2017). Approach to investigation and treatment of persistent symptoms following sport-related concussion: a systematic review. Br J Sports Med, bjsports-2016.
  10. Matuszak, J. M., McVige, J., McPherson, J., Willer, B., & Leddy, J. (2016). A Practical Concussion physical examination toolbox: evidence-based physical examination for concussion. Sports health, 8(3), 260-269.
  11. McCrory, P., Meeuwisse, W., Dvorak, J., Aubry, M., Bailes, J., Broglio, S., ... & Davis, G. A. (2017). Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med, bjsports-2017.
  12. Murray, N., Salvatore, A., Powell, D., & Reed-Jones, R. (2014). Reliability and validity evidence of multiple balance assessments in athletes with a concussion. Journal of athletic training, 49(4), 540-549.
  13. Schneider, K. J., Leddy, J. J., Guskiewicz, K. M., Seifert, T., McCrea, M., Silverberg, N. D., ... & Makdissi, M. (2017). Rest and treatment/rehabilitation following sport-related concussion: a systematic review. Br J Sports Med, bjsports-2016.
  14. Sharp, D. J., & Jenkins, P. O. (2015). Concussion is confusing us all. Practical neurology, 15(3), 172-186.
  15. Silverberg, N. D., Hallam, B. J., Rose, A., Underwood, H., Whitfield, K., Thornton, A. E., & Whittal, M. L. (2013). Cognitive-behavioral prevention of postconcussion syndrome in at-risk patients: a pilot randomized controlled trial. The Journal of head trauma rehabilitation, 28(4), 313-322
  16. Sufrinko, A. M., Marchetti, G. F., Cohen, P. E., Elbin, R. J., Re, V., & Kontos, A. P. (2017). Using Acute Performance on a Comprehensive Neurocognitive, Vestibular, and Ocular Motor Assessment Battery to Predict Recovery Duration After Sport-Related Concussions. The American journal of sports medicine45(5), 1187-1194.
  17. Ventura, R. E., Balcer, L. J., & Galetta, S. L. (2015, October). The concussion toolbox: the role of vision in the assessment of concussion. In Seminars in neurology (Vol. 35, No. 05, pp. 599-606). Thieme Medical Publishers.