Getting Back to Normal - Successful Post-Whiplash/Post-Concussion Care

GETTING BACK TO NORMAL: Successful Post-whiplash/Post-concussion Care with Mike Powell, DC, DACNB

Sponsored by NCMIC

This course is for any health care provider who serves patients that have suffered a concussion, but weeks, months or even years later are still experiencing its effects. We will unlock the key  factors in achieving full recovery.

Introduction and Objectives

• How the brain works
  • Overview of gross structure, Functional regions, Neurons
• Motor Systems
  • Excitation, Inhibition
• Neurodegeneration
  • Factors that contribute, Microglia, Blood Brain Barrier, Autophagy, apoptosis & necrosis
• What happens during and after a concussion
  • Video Case: 15 y/o female soccer player; head pain, light/sound sensitive, dizziness, personality changes remain 10 months after concussion – HISTORY
    • a. Neural damage, Blood brain barrier damage, Immune response, Endocrine response, Determinants of which circuitry will be affected
  • Starting the search for “What is perpetuating all these issues?”
    • Brief review of the conditions needed for the brain to thrive, Overview of finding which of these conditions are not being met, History and Measurement tools, Key questions, Useful forms
  • Video Case: 15 y/o female soccer player; head pain, light/sound sensitive, dizziness, personality changes remain 10 months after concussion – EXAM
• Focused examination
  • Overview of vestibular and eye movement systems, Understanding the usefulness of these in diagnostics, treatment planning and post testing, Overview of autonomic systems, Understanding the usefulness of these in diagnostics, treatment planning and post testing
• Developing a plan
  • Additional tests?
  • Forming a working diagnosis that determines the plan
  • Categories of issues to address
  • Order of issues to address
• List of findings in video case study

Small groups develop plans and progression for case study
Video Case: 15 y/o female soccer player; head pain, light/sound sensitive, dizziness, personality changes remain 10 months after concussion – TREATMENT & OUTCOME

• Treatment strategies
  • Breathing
  • Sleep
  • Diet
  • Supplementation
  • Exercise
  • ADL do’s and don’ts
  • Adjusting
  • Rehab
• Chronic Traumatic Encephelopathy
• Insights on how to navigate complex cases

Video Case Clips – patients demonstrating concussion symptoms and exam findings, treatment and outcomes. 28 y/o female MVA, 50 y/o male farming injury, 32 y/o male MVA, 18 y/o female basketball

• Review of the keys to recovery