Therapeutic Interventions for Workers With Mild Traumatic Head Injury
Presented by Lauren Koth
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This course will address the specific interventions for injured workers presenting with concussion symptoms following mild traumatic head injury. Injured workers have varying perceptions of their injuries, recovery, and eventual return to work. This course will review concepts of the biopsychosocial model of care, the importance of patient education, and how to encourage patients to be active partners in their own rehabilitation. We will review concussion interventions that address impairment of vestibular, oculomotor, BPPV, and balance and motor control. This course will help therapists progress patients through the phases of rehabilitation by addressing their aerobic, exercise, and functional tolerance while appropriately progressing them toward return to work.
Meet your instructor
Lauren Koth
Dr. Lauren Koth graduated from the University of Wisconsin–Madison in 2013 with her Doctorate of Physical Therapy. She has been practicing in the outpatient neurological and orthopedic settings since graduating. She has taken several continuing educational courses in orthopedics and in vestibular and postconcussion syndrome.…
Chapters & learning objectives
1. Patient Education and Self-Care
This chapter will introduce the role of patient education to address any negative perceptions and promote patient engagement in aerobic exercise. Understanding patient perceptions and fear avoidance behaviors will create an opportunity for therapists to address patient-centered care with graded exercise that will assist in return to function. Additionally, we will review appropriate exercise prescription to address patient impairments and symptomology.
2. Vestibular and Concussion Interventions
In this chapter, we will review interventions and rehabilitation strategies for managing injured workers with concussion-related impairments. Interventions should address patient impairments specific to oculomotor exercises, vestibulo-ocular reflex integration, canalith repositioning maneuvers, balance reintegration, and endurance training.
3. Graduated Activity Integration
This chapter will introduce concepts of exertion therapy and creating an individualized therapy program to progress the patient toward return-to-work goals. We will address patient progression through each phase of rehabilitation and provide insight into aerobic, exercise, and functional components. Finally, we will provide an understanding of how a patient should be progressed safely through the phases based on presentation and gains in functional activity tolerance.
