Continuing education for concussion and post-concussion syndrome is a must for Physical Therapists (and Physiotherapists). This post breaks down the best concussion management training courses for PTs to allow you…
Concussions are a serious and common injury, especially among young athletes. As a medical professional, it is important to stay up to date on the latest concussion management methods to treat both simple and complex cases.
The Complete Concussions Course, specifically tailored to meet the needs of physical therapists, chiropractors, and athletic therapists, contains 12 modules and close to 60 hours of evidence-based training that is designed to update your knowledge base on how to provide the best possible treatment for patients with brain trauma.
This signature course provides an in-depth overview of the signs, symptoms, and risks associated with concussions as well as the latest research and evidence-based protocols used in concussion management. Created by a multidisciplinary team of concussion experts and clinicians, this concussion training program offers a comprehensive resource for chiropractors looking to effectively treat concussions in their practice.
In today’s blog, we’re going to give you a glimpse of the 12 modules and what you should expect to learn from each one, should you enroll.
Additionally, the United States alone spends $77 billion annually on Traumatic Brain Injury care.
With these alarming numbers, as a chiropractor, you play a key role in the management, prevention, and optimization of concussion care for your patients. With the concussion prevalence across various sports and industries on the rise, this 2-hour module helps to frame the concussion problem across sports, military, motor vehicle, and workplace accidents. You will learn the evidence surrounding concussion prevention strategies and which ones work, and which are theater. Moreover, you will get the latest updates on the international concussion consensus statement, updated local and international reports about concussions, and learn how to coordinate care in a multidisciplinary framework.
Introduction & Epidemiology of Concussion
Concussion Mechanisms by the numbers (top sports, motor vehicle, workplace, etc.)
Neurons vs. Support Cells
The International Consensus Statement on Concussion in Sport
Brain Injury Classification
Acute Signs & Symptoms
International Recommendations & Guidelines
Concussion Prevention and Recovery Optimization
Primary, Secondary, Tertiary Prevention & Supporting evidence for each
This 4-hour module will walk you through the biological and neurological responses to a concussion, including the neurometabolic cascade and its implications for long-term recovery. Additionally, this module also highlights the neurological impacts of concussion, the metabolic changes associated with it, and the alterations in autonomic function and cerebral blood flow
Lastly, this module will enable you to explore post-concussion vulnerability and second impact syndrome through the lens of pathophysiology and metabolic recovery.
The Neurometabolic Cascade of Concussion
Associated clinical signs
Cerebral Blood Flow & Autonomic Nervous System Dysregulation
Neuroautonomic Cardiovascular Regulation
Blood Brain Barrier Disruption
Post-Traumatic Vulnerability, Physiologic Recovery, & Second Impact Syndrome
mTBI vs. Severe TBI
Second Impact Syndrome
Repeated mTBI & Susceptibility
Module 3:Pharmaceutical and Natural Interventions for Concussion
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Pharmaceutical and natural interventions for concussion should be discussed in any concussion training course. Pharmaceutical options such as medications to reduce pain, inflammation and other symptoms can be beneficial, while natural options such as diet, gut health, sleep and autonomic function can be even more effective. It is important to note that there is no one-size-fits-all solution to concussion. Thus, this 2.5 hour module will help you to gain a strong understanding of these principles to appropriately apply the right treatment strategy to the right patient.
Module 4:Biomechanics of Concussion, Subconcussive Impacts, and the Cervical Spine
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How much force is required to cause a concussion? Do smaller, subconcussive hits cause concussions over time? How can we protect our athletes and leverage these biomechanical principles to reduce their concussion risk? This 2-hour module breaks down the latest literature and dispels the most commonly believed myths regarding concussion and sport safety. This module will completely reframe how you think about concussion.
The objective of this course is to give you a better understanding of the biomechanics of concussion, subconcussive impacts, and the cervical spine to ensure efficient athlete performance and protect their health in the process.
Biomechanics of Concussion
Coup-Contracoup vs. Acceleration-Deceleration
Mean Impact Velocities across sports
Research & Controversy
Influence of Repeat Concussions
Analysis of Findings
Verdict – does having a previous concussion make you more susceptible to suffering another one?
Impact Sensors & Wearables
How they work?
Influence of Cervical Spine
Cervical spine influence on head kinematics
Head to neck ratio in kids vs. adults & males vs. females
Does neck strengthening reduce concussion risk?
Module 5:CCMI Baseline Testing Protocol
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In one of our previous blogs, we discussed the importance of concussion baseline testing. This procedure provides evidence of an individual’s brain functioning prior to suffering a concussion. While most protocols focus on the elements listed within a CCMI battery, rational and support for testing should ensure that all appropriate tests are completed. It is important to consider the purpose behind each test and how it provides insight into an individual’s functioning.
As such, the chiropractor must be knowledgeable about the tests being implemented, as well as the reasons behind why each test is included in the comprehensive baseline testing protocol. Understanding the evidence behind the tests and how to correctly perform the CCMI battery is key to ensuring proper administration, valid interpretation of results, and implementation of appropriate interventions which is what this 3.5-hour module will teach you.
Baseline Testing Evidence
Symptomatic vs. Functional Recovery
Arguments both for and against Baseline Testing
Neurocognitive vs. Multimodal
Use of Normative Data
Psychometric Properties of Various Commonly Used Tests.
Baseline Testing Preparation
Ensuring proper rest, hydration, etc.
Testing Station Setup
Medical & Concussion Hx
Balance & Postural Sway
Module 6:Neurocognitive Test Administration, Interpretation, and Evidence
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TheDANA(Defense Automated Neurobehavioral Assessment) test consists of a cognitive-behavioral comprehension task that is used to provide a thorough summary of an individual’s neurocognitive profile. It assesses a range of cognitive functions including simple reaction time, executive function, memory, decision making, and mental health metrics. The test is preferred by Complete Concussions due to its increased sensitivity and diagnostic accuracy over other computerized neurocognitive tests for concussion beyond symptom resolution.
During this 2-hour module, chiropractors will be taught how to effectively administer and interpret the DANA test in a variety of scenarios.
DANA Test Administration & Interpretation
Evidence & Psychometric Properties
Module 7:Assessment of Acute Concussions
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This 4-hour module provides a comprehensive and evidence-based approach to assessing and diagnosing acute concussion. Chiropractors will be taken through the process step-by-step and will gain an understanding of how to assess symptoms, rule out red-flags, make an initial diagnosis, and provide initial management that utilizes the latest evidence to optimize patient recovery both on the sidelines as well as in the office.
The module will also address management strategies and when to defer exercise/activity in cases of concussion. It is designed to provide medical practitioners with the necessary clinical knowledge, plus practical assessment tools, to be utilized when assessing and diagnosing acute concussion.
On-Field & Sideline Evaluation
First Response Field Management & Red-Flags
Immediate Management and Monitoring
Canadian C-Spine Rules
Canadian CT Head Rule
Upper & Lower Limb Neuro
Vestibular & Oculomotor Screening
Concussion Biomarkers and Special Imaging
Red-Flags & When to Refer Out
Concussion Education & Prognosis
Module 8:Management of Acute Concussions
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Returning patients back to their everyday lives is an important, yet delicate process. During the process of returning back to school, work, or sport following a concussion, chiropractors should ensure that a gradual, prescribed progression of activities is implemented, easing the patient back into normal activities, while monitoring their progress to avoid any further injury.
Lastly, any home or school modifications, as well as physical or occupational therapy referrals should be considered, if deemed necessary. This enclosed module strives for both the medical safety of all patients and provides proper means of achieving an appropriate, successful recovery.
Return to Learn & Work
In-Depth Explanation of Stages 1 -5
Applying appropriate Academic Accommodations
Returning to Sedentary vs. Physical Occupations
Helping Complex Patients
Return to Driving
Evidence & Graduated Protocol
Return to Play
Applying Metabolic Recovery Principles to Step-wise recovery
In-depth explanation of Stages 1-6
Buffalo Concussion Treadmill Testing for Acute Patients
Buffalo Concussion Bike Test
Returning to Non-Contact Activity
The Chicago Blackhawks Test
Discharge Instructions & Considerations
Subsequent Concussion Risk
Risk of Musculoskeletal Injury
When to initiate treatment if symptoms continue
When to consider retirement
Module 9:Pathophysiology of Post-Concussion Syndrome
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The Pathophysiology of Post-Concussion Syndrome (or Persistent Concussion Symptoms) is a 3.5-hour module within our CCMI training course that provides an overview of the physiological, neurological, and psychological changes that occur after a traumatic brain injury. It discusses the etiological causes of post-concussion syndrome, how the symptoms evolve over time, and the implications for long-term treatment and management.
Chiropractors will be exposed to the current medical literature and research to gain a comprehensive understanding of the condition and its management strategies. This will provide them with the necessary background to discuss this condition with patients and other medical professionals.
Persistent Concussion Symptoms are driven by 5 main dysfunctions and the correct application of treatment is contingent upon the correct determination of which of the 5 areas need the most attention. Treatment differs, depending on the needs of the individual, and commonly includes an educational component, cognitive, emotional, and executive functioning interventions, cognitive rehabilitation, physical and occupational therapy, vestibular & oculomotor rehabilitation, manual therapy directed at the cervical spine, diet & supplement support, subsymptom threshold exercise protocols, and more.
The goal is to reduce symptoms, improve functioning in areas of deficiencies, reduce stress on the body and mind, and ultimately improve the patient’s quality of life. This 8-hour module will enable chiropractors to develop expertise in the assessment, treatment, and rehabilitation of patients with complex concussion presentations.
Buffalo Concussion Treadmill (And Bike) Testing for PCS patients
Exercise Prescription & Progression
Remote Testing & Management for Exercise Intolerance
POTS & Dysautonomia – Assessment & Management
Vestibular & Oculomotor Assessment & Management
Vestibular Oculomotor Screening
Initial Rehabilitation for Visual & Vestibular Disorders
In-Depth Visual Assessment & Management
In-Depth Vestibular Assessment & Management/Rehab
Cervical Spine Assessment & Treatment
Proprioceptive Rehab program
Assessment & Treatment of Cervicogenic Headaches
Assessment & Treatment of Cervicogenic Dizziness
Ongoing Care & Considerations
Education & Reassurance
Re-evaluation and re-testing frequency
When to refer
Sleep Issues and Recommendations
Pituitary Dysfunction & Hormones
Module 11:Chronic Traumatic Encephalopathy
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Chronic traumatic encephalopathy (CTE) is a degenerative condition, commonly found inathletes, that is widely suspected to be due to repetitive head trauma. It is thought to lead to a range of symptoms over time, including poor decision-making, heightened aggression, and difficulty concentrating; the challenge however is the subjective nature of these symptoms. CTE is characterized on post-mortem evaluation by a buildup of hyperphosphorylated tauproteins in specific regions of the brain.
In this module we explore the existing literature in this area and discuss the controversy surrounding this condition. It is important to recognize that CTE is an important medical concern that may be the result of repetitive head trauma, and may have lasting negative effects on an individual’s health. However, with little evidence to support all these statements, how can medical professionals know how to best manage their patients. This 4-hour module helps you put it all together.
What is CTE
Signs and Symptoms In Vivo
Accelerated Decline Hypothesis
Levels of Evidence
Associations with Other Neurodegenerative Conditions
Module 12:Impacting Your Community and Your Practice
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This is a 1-hour module designed to help chiropractors increase their impact on their communities and their practice. Through this module, they will gain the knowledge, skills, and motivation to actively engage in activities to ensure the success of their concussion management program.
The module discusses topics such as civic engagement, professional networks, community outreach, and resource development. Medical professionals will practice the skills they develop within the module to build relationships, enhance their practice, and improve concussion awareness within their community.
Reframing the Concussion Problem
Translating Knowledge into Practice at Your Clinic
Starting a Concussion Program at Your Facility
Whether you are looking to deepen your general knowledge about how to treat simple or complex concussion cases or specific topics which will enable you to provide better concussion care to your patients, the Complete Concussions Training Course has it all.
As concussion management is an ongoing and ever-evolving field, it is important for medical professionals to stay up to date on best practices. The assistance of an experienced mentor and specialized courses from Complete Concussions makes sure healthcare professionals are equipped to handle just about any situation. For more information on concussion courses for medical and healthcare professionals, visit Complete Concussions today and get started with the CCMI course.
Complete Concussions specializes in collaborative, evidence-based concussion care. Our evidence-based training programs and integrated healthcare technologies empower multidisciplinary teams to implement standardized care for those impacted by concussions.
Our network and patient database enables large-scale research to advance concussion management, and ultimately, the long-term health and well-being of concussion patients and also teach them some concussion care at home.
We analyze leading research to develop best-in-class approaches to concussion care.