Concussion CPG

Question 1

What 4 domains should be examined for patients following a concussive event?

Answer 1

1. Cervical musculoskeletal Function
2. Vestibulo-oculomotor Function
3. Autonomic Dysfunction/Exertional Tolerance
4. Motor Function

Question 2

What should the sequence of examination be based on level of irritability?

Answer 2

1. Neck Pain
2. Dizziness
3. Headache
4. Autonomic/Exertional Tolearnce

Question 3

If BPPV is suspected physical therapists should do what to assess? Treat?

Answer 3

A

Dix-Hallpike Test

Cantalith Repositioning

Question 4

How should orthostatic hypotension and autonomic dysfunction be assesses?

Answer 4

B

-Evaluate heart rate and blood pressure in supine, sitting, and standing positions

Question 5

Who should complete a graded exertional tolerance test?

Answer 5

B

Those that have experienced a concussive event AND report exertional intolerance, dizziness, headaches, and/or desire to return to high-level exertional activities

Question 6

If vestibulo-oculomotor or cervical spine impairments or symptoms are present what kind of exertional testing should be performed?

Answer 6

STATIONARY BIKE

Question 7

What type of motor function impairments should be assessed for in this that experienced a concussive event?

Answer 7

B

Static Balance
Dynamic Balance
Motor Coordination & Control
Dual/Multitasking

Question 8

A Glasgow Coma Scale score of what indicates need for immediate medical evaluation?

Answer 8

Less than 13