Concussion Clinical Application: Migraine, Vestibular, and Cervical
Presented by Mary Ann Roelke
Posttraumatic migraines, vestibular dysfunction, and cervical impairments are common after concussion and can significantly impact daily life. This course explores evaluation and intervention strategies for these symptom profiles, including headache management, dizziness, balance deficits, and neck pain. Participants will learn evidence-based assessments, symptom management techniques, and interdisciplinary treatment approaches. This course provides practical tools for addressing these complex postconcussion issues.
Learning Objectives
- Analyze the impact of posttraumatic migraine, vestibular dysfunction, and cervical impairments on occupational performance, including reading, mobility, and work-related tasks
- Determine appropriate clinical assessments to evaluate vestibular, migraine, and cervical symptom profiles in adults with a history of concussion
- Implement evidence-based intervention strategies to address visual, balance, and cervicogenic symptoms following concussion
- Examine interdisciplinary collaboration and referral considerations for optimizing outcomes in concussion rehabilitation
- Plan an occupation-based treatment approach that integrates visual-vestibular rehabilitation and cervical interventions to support return to daily activities and life roles
Meet your instructor
Mary Ann Roelke
Dr. Mary Ann Roelke is a distinguished expert in adult neurologic rehabilitation at UnityPoint Health–Meriter Hospital in Madison, Wisconsin. After earning her postprofessional doctoral degree from Creighton University, she made significant contributions to the field by publishing qualitative research on concussion…
Chapters & learning objectives
1. Posttraumatic Migraine
Migraine headache after concussion can be similar to migraine or tension-type headache. However, patient reports and neuroimaging demonstrate that they are different. This chapter will review evaluation and intervention strategies for someone experiencing migraines after concussion.
2. Vestibular
This chapter will review screening questions, evaluation, and intervention strategies for someone experiencing vestibular difficulty after concussion.
3. Cervical
After concussion, patients may experience neck pain and/or cervicogenic dizziness. This chapter will review recommendations from the Sport Concussion Office Assessment Tool 6 (SCOAT6) for occupational therapists less familiar with treating the spine.
More courses in this series
Concussion Clinical Application: Current Concepts
Mary Ann Roelke
Concussion Clinical Application: Therapy Framework
Mary Ann Roelke
Concussion Clinical Application: Anxiety and Mood
Mary Ann Roelke
Concussion Clinical Application: Cognitive and Fatigue
Mary Ann Roelke
Concussion Clinical Application: Sleep
Mary Ann Roelke
Concussion Clinical Application: Ocular
Mary Ann Roelke
Concussion Clinical Application: Migraine, Vestibular, and Cervical
Mary Ann Roelke
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