Megyn Robertson is a physiotherapy clinician with extensive experience with both professional and amateur sporting bodies. She runs her own private practice, lectures post-graduate OMT physiotherapists and presents at various local congresses. Megyn has a special interest in Concussion and has developed a protocol for physiotherapists to assess and treat concussion.
Displaying 7 courses.
Concussion is emerging as an exciting new field in many healthcare professions. It affects a myriad of different systems in the human body. Concussion is diagnosed clinically, based on the patient’s symptoms and findings of a comprehensive clinical assessment. In this course, Megyn Robertson will guide you through how to perform an assessment on someone who has had a concussion. You will learn about the prognostic factors for a prolonged recovery time as well as various objective measures to assess for cognitive, vestibular and somatosensory fallout.
Concussion results in a constellation of physical, cognitive, visual, emotional, and sleep-related disturbances. In order for us to assess and treat concussion, we need to understand the mechanism of injury, and what happens to the brain at a macroscopic and microscopic level. We also need to understand the anatomy and function of the peripheral and central vestibular systems, and the different systems affecting postural control. This programme of courses addresses these needs and how they relate to the subjective and objective examination and the physiotherapy management of concussion.
A concussion is a functional brain injury with complex and heterogeneous symptom presentation. It should be managed based on the individual presentation. Most concussions resolve on their own in about two weeks. International guidelines recommend an initial period of physical and cognitive rest (48 hours) to allow the individual’s symptoms time to resolve before initiating treatment. If symptoms persist more than a few days, then a referral for comprehensive evaluation and management is suggested, especially if symptoms persist greater than four to six weeks. In this course, you will learn how to apply various treatment approaches with which we can treat a concussion to address the unique cluster of symptoms experienced by an individual patient.
Postural control is derived from the co-ordination between the visual, vestibular and somatosensory systems. These 3 systems have very close neurophysiological interactions. If they are not coordinated there may be changes in the bodies postural control system. Problems such as headaches, dizziness, blurry vision, frontal headaches, eye strain and balance problems can occur as a result of this. In this course, you will learn about the 3 postural control systems and how they work together to provide static and dynamic balance.
The vestibular system is a sophisticated human postural control system and can be divided into a central and peripheral system. The vestibular system employs complicated strategies to maintain blood pressure when moving from supine to upright, it helps maintain good head and body orientation in relation to our environment. In short, an ineffective vestibular system can have devastating outcomes on the performance of activities of daily living and have a significant negative impact on quality of life, if not restored.
Concussions can directly impair vestibular and oculomotor function. Impairments in the vestibulo-ocular system commonly manifest as symptoms of dizziness and visual instability including blurred vision, diplopia, impaired eye movements, difficulty in reading and poor visual-based concentration. The Vestibular and Oculomotor Screening Assessment is a tool that can be used to evaluate symptoms post-concussion. This course will introduce you to this tool and provide insight into how to assess the various components of the vestibular and oculomotor systems.