Concussion Clinical Application: Cognitive and Fatigue
Presented by Mary Ann Roelke
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Learning Objectives
- Apply an evidence-based evaluation framework, including clinical guidelines, symptom monitoring tools, and functional assessments, to assess individuals with a primary concussion symptom profile of cognitive/fatigue
- Examine intervention strategies, including task-specific training, executive function supports, and energy management techniques, through a case study example
- Analyze case study findings in relation to clinical practice guidelines and expert opinion to enhance clinical reasoning for treatment progression
- Determine priorities for treatment planning, documentation, and interdisciplinary collaboration to facilitate a return to meaningful occupations
- Plan structured interventions using the Cognitive Orientation to Occupational Performance (CO-OP) approach to promote self-management, symptom pacing, and return-to-work/school strategies
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. Concept Review and Evaluation
This chapter reviews concussion-related cognitive fatigue, assessment tools like the CP-Screen and COPM, and the functional impact on daily life. Participants will learn to prioritize patient goals and identify areas for intervention.
2. Intervention Strategies
This chapter introduces evidence-based strategies for managing cognitive fatigue, including pacing techniques, symptom education, task-specific training, and graded return-to-activity. It also covers interdisciplinary collaboration with speech and physical therapy.
3. Outcomes and Case Study Review
Through a case study, this chapter demonstrates clinical decision-making, intervention effectiveness, and treatment progression. Participants will review patient outcomes, documentation strategies, and best practices for rehabilitation planning.
