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Manual Therapy for Post-Concussion Headache

CE Hours 2

About this course

In this webinar, we will address the significant impact of concussions and Mild Traumatic Brain Injury (mTBI) on individuals, with an estimated 1.5 to 3.8 million affected in the US, according to the CDC. After a mTBI, common symptoms include Post-Traumatic Headache (PTH) and Whiplash Associated Disorders (WAD). These conditions can lead to chronic pain, cognitive difficulties, and physiological symptoms that persist for months or even years after the injury. The debilitating effects of mTBI can include relentless pain, brain fog, hypersensitivity, muscle spasms, stiffness, dizziness, visual impairments, motor disorders, and even nausea or vomiting. Such symptoms can disrupt sleep and contribute to anxiety, irritability, and depression. Research highlights the significant role of craniocervical myofascial tension and trigger points (TPs) in PTH symptoms. Manual therapy plays a crucial role in the multifaceted rehabilitation management of mTBI, targeting abnormal fascial tension and TPs. Techniques such as massage, soft tissue mobilization/myofascial therapy, positional release, and craniosacral therapy can effectively address the neuromusculoskeletal irritation and mobility impairments characteristic of PTH. By discovering gentle methods of soft tissue release, therapists can immediately apply these techniques in their practice. Furthermore, this webinar will discuss the evidence-based rationale for integrating manual therapy into a comprehensive care plan, empowering therapists to help individuals with PTH lead healthier and more productive lives.

Learning Objectives

  • Define post-concussion syndrome and its relationship to post-traumatic headaches (PTH).
  • Discuss objective measures to document the effect of PTH on quality of life, function and mobility in people who have endured a concussion.
  • Demonstrate 6 manual therapy interventions to manage PTH.
  • Discuss the evidence for the effectiveness of manual therapy interventions for improving outcomes for people with PTH.

Learning Levels

  • All Levels

Target Audience

This self-paced course is intended for Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants, Nurses, Athletic Trainers, Chiropractors, and Massage Therapists. (PT, PTA, OT, COTA, LMT)

Course Instructor(s)

  • Theresa A. Schmidt, PT,DPT,MS,OCS,LMT,CEAS

    Dr. Theresa Schmidt PT,DPT,OCS,LMT,CEAS of Educise.com is an Orthopedic Certified Specialist PT, Expert Consultant, educator, massage therapist, hypnotherapist and author in private practice at Educise PC Health & Wellness in NH. She received her DPT at UNE., served as faculty in PT and massage programs and presented for International Fascia Research Congress, APTA, AMTA, AOTA, NASA, Johns Hopkins, and Cleveland Clinics. She focuses on hands-on natural solutions to pain and mobility problems integrating manual therapy, precision exercise, functional training and alternative medicine approaches. Her engaging seminars inspire clinicians with practical tools they can apply immediately for measurable results clients rave about.

Disclosure

DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS CE Learning Systems adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity ― including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity. The following relevant financial relationships have been disclosed by this activity’s planners, faculty, and the reviewer: PLANNERS AND REVIEWER The planners of this activity have reported that they have no relevant financial relationships. FACULTY The faculty of this activity have reported that they have no relevant financial relationships.

References

  • Clearfield, D. A. (2019, October). OMT for the Patient with Concussion. American Osteopathic Association. Retrieved from https://osteopathic.org/life-career/osteopathic-research/aoa-research-track
  • Kratz, S. V., & Kratz, D. J. (2021, July). Effects of CranioSacral Therapy upon Symptoms of Post-Acute Concussion and Post-Concussion Syndrome: A Pilot Study. Journal of Bodywork and Movement Therapies, 7, 667-675. https://doi.org/10.1016/j.jbmt.2021.05.010
  • Kratz, S. V. (2021, January). Case report: Manual therapies promote resolution of persistent post-concussion symptoms in a 24-year-old athlete. SAGE Open Medical Case Reports. doi:10.1177/2050313X20952224
  • Patel, K. G., & Sabini, R. C. (2018). Safety of Osteopathic Cranial Manipulative Medicine as an Adjunct to Conventional Postconcussion Symptom Management: A Pilot Study. The Journal of the American Osteopathic Association, 118(6), 403-409. doi:10.7556/jaoa.2018.061
  • Schurr, A., & Yaso, S. C. (n.d.). Sports Medicine/Emergency Medicine: Concussion. Retrieved from https://comapp.nyit.edu/omm/assets/clinical-applications-documents/msk-disorders---concussion.pdf
  • Schwartzberg, L., Aslanyan, L., Angelo, N., et al. (2020). Cranial Strain Patterns Associated With Concussions. Journal of the American Osteopathic Association, 120(9), 601-606. doi:10.7556/jaoa.2020.098
  • Warren, C., Keys, J., & Pierce-Talsma, S. (2018). Osteopathic Cranial Manipulative Medicine in the Setting of Concussion. Journal of the American Osteopathic Association, 118(6), e41. doi:10.7556/jaoa.2018.088
  • Wetzler, G., Roland, M., Fryer-Dietz, S., & Dettmann-Ahern, D. (2017). CranioSacral Therapy and Visceral Manipulation: A New Treatment Intervention for Concussion Recovery. Medical Acupuncture, 29(4), 239-248. doi:10.1089/acu.2017.1222
  • Centers for Disease Control and Prevention. (2019, March 29). Traumatic Brain Injury & Concussion. Retrieved from https://www.cdc.gov/traumaticbraininjury/data/tbi-edhd.html
  • Yao, S. C., Zwibel, H., Angelo, N., Leder, A., & Mancini, J. (2020). Effectiveness of Osteopathic Manipulative Medicine vs Concussion Education in Treating Student Athletes with Acute Concussion Symptoms. Journal of the American Osteopathic Association, 120(9), 607-614. doi:10.7556/jaoa.2020.099
  • Zwibel, H., Leder, A., Yao, S., & Finn, C. (2018). Concussion Evaluation and Management: An Osteopathic Perspective. The Journal of the American Osteopathic Association, 118(10), 655-661. doi:10.7556/jaoa.2018.144
  • Art, K., et al. (2023). The Effectiveness of Physical Therapy Interventions for Athletes Post-Concussion: A Systematic Review. International Journal of Sports Physical Therapy, 18(1), 26–38. doi:10.26603/001c.68071
  • Hammerle, M. H., Lu, L. H., Thomas, L. C., et al. (2023). Possible autonomic or cranial nerve symptoms triggered during sustained neck rotation in persistent headache post-concussion: a retrospective observational cross-sectional study. Journal of Manual & Manipulative Therapy, 31(2), 113-123. doi:10.1080/10669817.2022.2085850
  • Li Ladak, J. R., Karges-Brown, B. M., Ness, W. E., & Schweinle, R. A. (2023). US physical therapist practice patterns evaluating concussion and clinical practice guideline adherence. Physical Therapy in Sport, 59, 17-24. doi:10.1016/j.ptsp.2022.09.005
  • Valaas, L. J. V., Soberg, H. L., Rasmussen, M. S., et al. (2023). Sub-symptom threshold aerobic exercise for patients with persisting post-concussion symptoms and exercise intolerance after mild traumatic brain injury – a study protocol with a nested feasibility study for a randomized controlled trial. BMC Neurology, 23(179). doi:10.1186/s12883-023-03221-7

CE Process Info

Content

  • Materials
    2 parts
    • Presentation Slides
    • Webinar Recording

CE Approvals

  • New York State Education Department's State Board for Physical Therapy (NYSEDPT)

    CE Learning Systems dba Make an Impact, CE-Credit.com & AddictionCounselorCE.com is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of continuing education for Physical Therapists and Physical Therapist Assistants.

  • Texas Physical Therapy Association (TPTA)

    This activity has been approved by the Texas Board of Physical Therapy Examiners for 2 CCUs for PTs and PTAs. Approval Number 77591TX

  • Florida Board of Occupational Therapy (FBOT)

    CE Learning Systems, LLC is approved by the Florida Board of Occupational Therapy to sponsor continuing education for Occupational Therapists and Occupational Therapist Assistants. CE Learning Systems maintains responsibility for this program and its content. CE Broker Provider Number 50-315

  • Ohio Physical Therapy Association (OPTA)

    This course is approved by the Ohio Physical Therapy Association for PTs and PTAs. OPTA approval number 23S1862

  • Michigan Board of Physical Therapy (MIBPT)

    The Michigan Board of Physical Therapy accepts continuing education programs if approved by another state board of physical therapy. This continuing education activity is approved for the Michigan Board of Physical Therapy based on the approval by the New York State Board of Physical Therapy Approval.

  • Michigan Board of Occupational Therapy (MIBOT)

    The Michigan Board of Occupational Therapy accepts continuing education programs if approved by another state board of occupational therapy. This continuing education activity is approved for the Michigan Board of Occupational Therapy based on the approval by the Florida Board of Occupational Therapy (#50-315).

  • New York State Education Department's State Board for Occupational Therapy (NYSEDOT)

    CE Learning Systems dba Make an Impact, CE-Credit.com & AddictionCounselorCE.com is recognized by the New York State Education Department's State Board for Occupational Therapy as an approved provider of continuing education for Occupational Therapists and Occupational Therapy Assistants.

  • Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board (OTPAT)

    This course is approved for 2 contact hours by the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board. Approval 230211

  • New Jersey Board of Physical Therapy Examiners (NJTPTE)

    This activity has been approved by the New Jersey Board of Physical Therapy Examiners for 2 credit hours for PTs and PTAs. Approval Number 2306-03

  • Arkansas State Board of Physical Therapy (ARBPT)

    CE Learning Systems, LLC is approved by the Arkansas State Board of Physical Therapy to sponsor continuing education for physical therapy professionals. CE Learning Systems maintains responsibility for this program and its content. CE Broker Provider Number 50-315

  • Oregon Board of Physical Therapy (ORBPT)

    The Oregon Board of Physical Therapy accepts continuing education programs if approved by another state board of physical therapy. This continuing education activity is approved for the Oregon Board of Physical Therapy based on the approval by the New York Board of Physical Therapy.

FAQs

  • Course Completion
    To complete the course, review the course objectives, then review the material, and then pass the exam with a score of 70% or greater and lastly complete an evaluation. Your certificate will be available to download immediately when you pass the course exam and complete the evaluation.
  • CELS Grievance
    If a grievance arises pertaining to continuing education activities or processes, please contact Tyler Gibson via confidential email to tyler@celearningsystems.com as soon as possible, so that the nature of the concern may be addressed in a timely fashion.
  • Disability Accomodations
    ADA accommodations will be made in accordance with the law; please indicate your special needs prior to registering for the course by sending an email to support@ce-go.com or by calling us at 888 498 5578.
Manual Therapy for Post-Concussion Headache
You Have Completed This course
$47
You are enrolled
  • CE Hours
    2
  • Type
    Self-Paced
  • Publication Date
    Mar 5th, 2024

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