Evaluation and Treatment of Persons with
Post-Concussion Syndrome

This course is now on a waiting list only.  Please register to be placed on the waiting list.

Audience: PT, PTA, OT, COTA, ATC
Course level: Intermediate
Date: Sept. 15, 2012
Check-in time: 7:30 - 8 a.m.
Class time: 8 - 5:00 p.m.
Location: Fairview Southdale Hospital 
International Rooms A & B
6401 France Ave. S., Edina, MN 55435

Course Fee: $225.00

Contact Hours: 7.5

Register for this course

Amy Garrigues, PT, DPT, OCS, FAAOMPT
Dr. Amy Garrigues has been working with patients following concussion as a physical therapist since 2009.  She has worked with high school, collegiate and professional athletes, as well as geriatric and patients following motor vehicle accidents.  She has evaluated and provided immediate treatment to skiers and snowboarders acutely as both a professional and volunteer ski patroller since 1997.

Recently, Dr. Garrigues has lectured on concussion for the Minnesota Brain Injury Association and Minnesota APTA, and instructed a full-day course at the Annual Conference of the American Academy of Orthopaedic and Manual Physical Therapists. 

Dr. Garrigues graduated from Simmons College, Boston, MA in 2004, completed a clinical specialty in Orthopaedics (OCS) in 2007, and completed a Fellowship in Orthopaedics and Manual Physical Therapy through Regis University in 2009.  She currently works for Multi Center Physical Therapy at the Roseville location.

Course description
This eight-hour course will include a morning lecture and afternoon lab.  The morning classroom will discuss theory and evidence for evaluation and management of patients following concussion and include psychophysiology, recent legislation regarding concussion, case discussion and return to play decision making.  The afternoon lab will be hands-on demonstration and practice of evaluation and treatment of the patients in the sub-acute and chronic stages following concussion.  The content will focus on incorporating evidence-based manual therapy and sensorimotor rehabilitation into the management of patients following concussion, particularly those with post-concussive syndrome.  The afternoon session will also provide discussion and practice of exercise prescription targeted toward impairments and reinforcement of clinical treatment.  Clinicians completing both sessions will develop a clinical framework providing for the immediate integration into clinical practice. 


  • Participants will be able to define concussion and recognize the cluster of symptoms that defines post-concussive disorder as well as recognize the importance of multidisciplinary collaboration.
  • Participants will understand acute, subacute, and chronic management of patients following concussion.
  • Participants will understand the guidelines of return to play/work assessment in order to make appropriate decisions regarding athletes and other patients following concussion.
  • Participants will have a basic understanding of sensorimotor control of posture, head, and eye movement and how it relates to concussion and post-concussive syndrome.
  • Lab Participants will learn and practice evaluation and treatment of patients with post-concussive syndrome including sensorimotor and manual techniques.
7:30-8 a.m.               Check in/Registration
8-9 a.m.                     Introduction/Overview

                                    A. Objectives
                                    B. Population Characteristics/Demographics
                                    C. Operational Definitions
                                    D. Legislation
                                    E. Mechanism of Injury
                                    F. Case Introduction
9-10 a.m.                 Pathophysiology/Neurophysiology
                                    A. Review of Anatomical Systems
                                         a. Proprioceptive System/Cervical Spine
                                         b. Vestibular System
                                         c. Visual System
                                   B. Pathophysiology of Concussion
                                   C. Pathophysiology of Whiplash
                                   D. Pathophysiology of Oculomotor/Sensorimotor Systems
                                   E. Pathophysiology of Post-Concussion Syndrome
10-10:30 a.m.         BREAK
10:30-11:30 a.m.   Management
                                   A. Acute Medical Management
                                       a. Signs and Symptoms
                                       b. On Field Assessment
                                       c. ED Assessment
                                       d. Imaging
                                       e. Neuropsychological Assessment
                                       f. Acute Treatment
                                           I. Rest
                                          II. Medication
                                         III. Education
                                   B. Sub-Acute Concussion/Mild TBI Evaluation/Medical Management
                                        a. Neuropsychological Testing
                                        b. Imaging
                                   C. Chronic Treatment Overview
                                   D. Return to Play Decisions
11:30-12:30 p.m.    Case Review
12:30-1:30  p.m.      LUNCH
1:30-5 p.m.             AFTERNOON LABORATORY
                                   Physical Therapy Evaluation
                                   A. History
                                   B. Outcome Measures
                                        I. DHI
                                       II. NDI
                                      III. Rivermead
                                   C. Physical Exam
                                        I. Upper Quarter Screen
                                       II. Postural Stability
                                      III. ROM
                                      IV. Special Tests
                                       V. Cervical Joint Position Sense
                                      VI. Oculomotor Assessment
                                   Physical Therapy Treatment
                                   A. Theory
                                   B. Exercise Prescription and Progression
                                       a. Oculomotor Exercise
                                       b. Balance Exercise
                                       c. Cognitive Challenges
                                   C. Manual Therapy
                                       a. OA MET
                                       b. TMJ mobilization
                                       c. C2 distraction manipulation
                                       d. Cervical Mobilization
                                       e. CT junction manipulation
                                       f. Thoracic mobilization/manipulation
                                   D. Case Review with Laboratory Practice

The course is approved by the Minnesota Board of Physical Therapy for Category I credits. Approval number: #5062

This course is eligible for American Occupational Therapy Association (AOTA) Approved Provider credit. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA.


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