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Concussion Clinical Application: Migraine, Vestibular, Cervical

Presented by Mary Ann Roelke

Concussion Clinical Application: Migraine, Vestibular, Cervical

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Post-traumatic 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 post-concussion issues.

Learning Objectives
  • Analyze the impact of post-traumatic 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

A smiling woman with shoulder-length brown hair and glasses wears a red blazer before a white background, associated with medbridge.

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…

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Chapters & learning objectives

Migraine

1. Migraine

Migraine Headache after concussion(s) can be similar to migraine or tension-type headache. However, patients’ reports and neuroimaging demonstrate that they are different. This chapter will review evaluation and intervention strategies for someone experiencing migraines after concussion(s).

Vestibular

2. Vestibular

This chapter will review screening questions, evaluation, and intervention strategies for someone experiencing vestibular difficulty after concussion(s).

Cervical

3. Cervical

After concussion(s), 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.