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    10 Courses

Anne Mucha

DPT, MS, NCS

Anne Mucha is the coordinator of vestibular rehabilitation for the University of Pittsburgh Medical Center Sports Medicine Concussion Program and Centers for Rehab Services. She is a board-certified clinical specialist in neurologic physical therapy with advanced certification in vestibular rehabilitation. With more than 20 years of experience treating individuals with neurologic conditions, she is also actively involved in clinical research related to the evaluation and management of patients following concussion.

Dr. Mucha was recently appointed a member of the CDC panel of experts to develop clinical guidelines for diagnosis and management of mild traumatic brain injury among children and adolescents. She received her bachelor's and advanced master's degrees in physical therapy from the University of Pittsburgh and her Doctor of Physical Therapy degree from Temple University. Dr. Mucha is a frequent national lecturer on topics related to concussion and serves as an adjunct faculty member in the School of Health and Rehabilitation Sciences at the University of Pittsburgh.

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Management of Nonsport Injuries: Concussion Across the Life Span

Presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Management of Nonsport Injuries: Concussion Across the Life Span

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Video Runtime: 63 Minutes, Learning Assessments: 27 Minutes

While there is much published information surrounding athletes and concussion, relatively little is known about how to treat other populations who sustain mild head injury/concussion. Many individuals require therapist management of concussions caused by falls, motor vehicle collisions, work accidents, and other nonsport causes. Physical and occupational therapists who treat patients with nonsport concussions will be exposed to management considerations across the life span, including in older adults. In addition, considerations for return to school, work, and general activity will be discussed. This course is appropriate for any physical or occupational therapist who treats patients with concussion or TBI.

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Persisting Symptoms After Concussion: Managing Chronic Cases

Presented by Anne Mucha, DPT, MS, NCS

Persisting Symptoms After Concussion: Managing Chronic Cases

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Video Runtime: 89 Minutes, Learning Assessments: 36 Minutes

Management of individuals with chronic disability following mild TBI is particularly challenging. Currently, there is minimal guidance available to therapists on how to treat patients with persisting symptoms after a concussion. This course will help therapists treating individuals with chronic disability to achieve better outcomes using a biopsychosocial model. We discuss in detail how chronic concussion cases may benefit from different management strategies than those for acute and subacute injury. We conclude this course by interviewing a woman with persisting symptoms post concussion and discussing her perspective on key components of care that led to her successful treatment. This course is designed for professionals who treat persons with concussion/mild TBI across all healthcare settings.

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Concussion Treatment for Vestibular and Oculomotor Profiles

Presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Concussion Treatment for Vestibular and Oculomotor Profiles

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Video Runtime: 68 Minutes, Learning Assessments: 36 Minutes

There is scant up-to-date information available for clinicians on how to treat individuals with concussion. This work is a significant expansion of what we have done previously, using the most up-to-date evidence for intervention according to clinical profiles. Clinicians will be exposed to management of vestibular and ocular profiles following mild head injury. The course provides many illustrations and video demonstrations of treatment ideas for persons who fit the vestibular and/or oculomotor profiles. Several cases are utilized to illustrate the exercises that are often prescribed and when exercises should be provided during patient management. This course is appropriate for physical and occupational therapists who treat persons post concussion/mild brain injury in all settings.

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Treating Mood, Migraine, and Sleep-Related Problems After Concussion

Presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Treating Mood, Migraine, and Sleep-Related Problems After Concussion

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Video Runtime: 58 Minutes, Learning Assessments: 27 Minutes

Mood and migraine are among the most common profiles experienced following a concussion and are frequently encountered by therapists. Additionally, sleep, as a modifying factor of concussion, contributes specifically to the persistence of migraine and mood profiles. Through case studies and evidence, practical ideas of how to deal with individuals who have mood, migraine, and sleep impairment are illustrated. The most up-to-date evidence is provided for the chosen interventions to give you a better understanding of how to treat people post concussion who have mood complications, migraine, or sleep disorders that are affecting their recovery. This course is applicable to physical and occupational therapists in any setting who treat persons with concussion/mild traumatic brain injury.

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Concussion Treatment: Medical Management and Cognitive Profiles

Presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Concussion Treatment: Medical Management and Cognitive Profiles

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Video Runtime: 82 Minutes, Learning Assessments: 30 Minutes

Knowledge of medical and alternative interventions can enhance outcomes of individuals following concussion. Learners will be exposed to the latest evidence related to medications and alternative treatments that have been suggested for concussion treatment. In addition, specific examples of how physical and occupational therapists can approach their role in concussion management are detailed. Finally, learners will be introduced to management of cognitive profiles after concussion with a case discussion that illustrates decision-making. The applicable audience includes physical and occupational therapists in any setting who treat persons with concussion/mild traumatic brain injury.

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Cervical and Exertion Assessment in Concussion

Presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Cervical and Exertion Assessment in Concussion

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Video Runtime: 96 Minutes, Learning Assessments: 36 Minutes

One of the roles of physical and occupational therapists in concussion management is to return individuals back to their preconcussion activities. For asymptomatic athletes, progressive exertion is an important component of return-to-play assessments. In addition, exertion therapy is being implemented more frequently to facilitate recovery for individuals who are symptomatic after a concussion. While the evidence regarding exertion therapy is continuing to evolve, the latest information related to who can benefit from exertion, possible exercise paradigms, and appropriate timing for exertion are discussed.

Neck pain may be an associated feature of concussion, requiring management by therapists. Dizziness, a common symptom attributed to concussion, may also be due to impairments in the cervical spine. Key cervical examination elements will be demonstrated via video, and ideas for management in the acute, subacute, and chronic phases will be discussed.

The course will conclude with information related to serious negative consequences that have been associated with concussion. Facts about second-impact syndrome (SIS) and chronic traumatic encephalopathy (CTE) will be discussed to assist therapists in providing the latest evidence-based information to their patients and families who are concerned about these issues.

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Assessment of Headache and Psychiatric Issues in Concussion

Presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Assessment of Headache and Psychiatric Issues in Concussion

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Video Runtime: 66 Minutes, Learning Assessments: 24 Minutes

Headache is the most common complaint after concussion, affecting up to 85% of individuals. Post-traumatic headaches have various etiologies and may be due to medication overuse or cervicogenic, psychiatric, ocular, and migraine influences. Physical and occupational therapists who manage patients after concussion will benefit from understanding how to differentiate the various types of postconcussive headaches and the management that can be applied.

Mood and psychiatric conditions are also known to affect recovery in persons post concussion. Psychiatric issues occur frequently after a concussion, and therapists must manage these concerns in the course of treatment. The most common mood and psychiatric disorders will be discussed, as well as the role of sleep in recovery after a concussion. We will provide you with tools that can be utilized to assess mood, and intervention ideas for persons with mood or psychiatric comorbidities.

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Fundamentals of Concussion

Presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Fundamentals of Concussion

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Video Runtime: 78 Minutes, Learning Assessments: 36 Minutes

As many as 3.8 million concussions occur each year in the US due to sports and recreational activity. If one considers concussions from falls and motor vehicle accidents, the numbers are much higher. In this course designed for physical and occupational therapists working with patients following a concussion, the epidemiology, biomechanics, and pathophysiology of the injury are described. Acute management of concussion and indications for imaging are explained with emphasis on sport concussion. The current recommendations regarding return to sports and high-risk activity are discussed. Factors that contribute to a poor prognosis are reviewed to assist you in assessing prognosis and developing a realistic treatment plan. In addition, highlights from the most recent consensus document about concussion in sport and two clinical practice guidelines are provided to update clinicians on the most recent evidence about the care of persons following concussion.

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Concussion Assessment: An Overview

Presented by Anne Mucha, DPT, MS, NCS and Susan Whitney, DPT, PhD, NCS, ATC, FAPTA

Concussion Assessment: An Overview

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Video Runtime: 82 Minutes, Learning Assessments: 39 Minutes

Concussions are not all the same. Physical and occupational therapists are frequently involved in evaluating and managing the various symptoms and impairments experienced after a concussion. However, this management should be customized based on one's individual clinical presentation and comorbid factors that affect outcome. Classifying clinical presentations following a concussion has gained increasing acceptance and is valuable in determining optimal interventions in an injury that presents diversely. Understanding neurocognitive abilities can assist in your management of individuals after a concussion and help you determine when the person is ready for return to work and play. Another important role for therapists who work with patients after a concussion is in the screening and recognition of common vestibular and oculomotor impairments that occur after the injury. This course will give PTs and OTs exposure to the most important components of the postconcussion examination.

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Oculomotor Assessment in Concussion

Presented by Anne Mucha, DPT, MS, NCS

Oculomotor Assessment in Concussion

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Video Runtime: 84 Minutes, Learning Assessments: 36 Minutes

After a concussion, oculomotor system dysfunction is common and may cause headaches, blurred vision, and functional difficulty with activities such as reading and computer work. Physical therapists and occupational therapists who treat patients with concussions need to be able to screen and evaluate for oculomotor impairment. The Vestibular/Ocular Motor Screening (VOMS) is one tool that can assist clinicians in identifying important vestibular and oculomotor system deficits after a concussion. In this course, Dr. Mucha will review the VOMS and how to interpret findings. Additionally, she will discuss other important aspects of the oculomotor examination beyond the VOMS, including pursuits, saccades, vergence, accommodation, and ocular alignment testing. A review of abnormal findings, as well as when referral to another provider is needed, will be discussed. Finally, Dr. Mucha will perform a demonstration of the VOMS and other aspects of the clinical oculomotor examination.

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