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RUSK CONCUSSION REHABILITATION SYMPOSIUM:AN INTERPROFESSIONAL &EVIDENCE-BASED APPROACHFOR THERAPISTS & NURSESOctober 22 23, 2016NYU Langone Medical Center550 First Ave, NY, NY 10016Sponsored by Rusk Rehabilitation at NYU Langone Medical Center

TARGET AUDIENCERUSK CONCUSSION REHABILITATION SYMPOSIUM:AN INTERPROFESSIONAL &EVIDENCE-BASED APPROACHFOR THERAPISTS & NURSESOctober 22 23, 2016NYU Langone Medical Center550 First Ave, NY, NY 10016OVERVIEWResearch has shown that approximately80-85% of concussions resolve completely within 7-10 days in the adult population, with an increased time to recoveryin the pediatric population. For the 1520% of patients with a protracted recovery, a patient-centered multidisciplinaryapproach to care is essential to effectiverecovery. Understanding the composition of the team and the role of each teammember is critical to successful rehabilitation for patients with persisting symptoms. This 1 ½ day conference offers aunique opportunity for all rehabilitationprofessionals to attend the same talks onday one and to then meet by discipline,for workshops on day two. The topics ofvision, vestibular, cervical, cognitive, andspeech deficits will be described and theevidence behind the current practiceswithin each discipline. The challengesof working with families and returningchildren to school will be discussed. Therole of the social worker and vocationaltherapist will be presented as some patients with persisting symptoms requirethe intervention of these professionals.The conference will address sports andnon-sports related concussions, as manyconcussions occur due to falls, motorvehicle accidents, and assaults. Day twowill allow for individual disciplines to at-tend workshops to delve deeper into theevaluation and treatment tools for eachrespective discipline. The workshopswill expand upon the didactics and offerinteractive hands-on experience for theevaluation and treatment tools to beused in the clinic so attendees may applywhat is learned when returning to theirpractices. The workshops will be in theareas of physical therapy (exertion, vestibular and cervical), occupational therapy ( vision rehabilitation), psychology,and nursing. This entry level course willprovide a strong foundation from whichto build your practice in workingwith patients with concussion. Content will bepresented via didacticlectures, case presentations, Q&A sessionsand hands on experience. Therapists mayopt to attend only dayone or day one andtwo. Nurses mayopt to attend Dayone and two oronly day two.This activity is targeted to nurses, occupational therapists, occupational therapist assistants, physical therapists, physical therapist assistants, psychologists,and speech language pathologists.LEARNING OBJECTIVESAt the completion of Day One of thiscourse, the participant should be able to:1. Understand the epidemiology ofconcussion.2. Understand the definition of concussion.3. Review the evidence about concussion as it relates to each of the disciplines presented including: cervicaldysfunction, exertion therapy, neuropsychology, nursing, social work,vestibular therapy, vision rehabilitation, and vocational therapy.4. Understand and describe the rolesof each team member on the rehabilitation team and how to applybest practice to course participants’treatment setting.5. Describe the unique pediatric consider-ations for PT, OT, psychology, SLP.6. Understand the role of family dynamics in recovery in the pediatricpopulation.7. Understand the various school accommodations including an Individualize Education Program(IEP) or504 plan8. Understand the manual treatment ofheadaches.9. Understand the Return to Learn,Return to Work and Return to PlayprocessDay Two learning objectives are specific to the individual workshop anddiscipline and are outlined below.At the completion of the Physical Therapy workshop as it applies to the adultand pediatric population, the participant should be able to:1. Perform exertion testing with theBuffalo Treadmill Protocol to determine appropriate exercise intensityin patients who are symptomaticwith exertion.2. Perform exertion testing with theRusk Bike Protocol to determineappropriate exercise intensity in patients who have concurrent dizzinesswith exertion.3. Apply decision making to chooseappropriate exercise type and intensityduring the rehabilitation process4. Apply principles of exertion trainingto functional tasks and sports training to facilitate return to work andreturn to play.5. Be able to identify red flags withexertion training, and know whenit is appropriate to initiate exertiontraining.6. Understand the components of theconcussion vestibular evaluation inadult and pediatric population.7. Understand how to determine aperipheral versus central deficit andappropriate referrals.

ACCREDITATION ANDCREDIT DESIGNATION8. Understand how to develop a treatment program for the patient withvestibular deficits.9. Determine who is appropriate forcervicogenic treatment.10.Perform a screen for red flags11. Demonstrate and practice assessmentof the following impairments:- Cervical mobility- Cervical strength- Joint position error12. Demonstrate and practice selectmethods for treatment of cervicalmobility impairment.13. Demonstrate and discuss treatmentof cervical strength impairments.14.Demonstrate, practice and discusscomponents of a cervical kinesthesiaprogram.At the completion of the OccupationalTherapy/Vision Workshop as it appliesto the adult and pediatric population, theparticipant should be able to:1. Understand the components of acomprehensive occupational therapyevaluation as it applies to the concussion population.2. Understand the types of objectivemeasures and screening tools usedto assess visual dysfunction in theconcussion population.3. Gain a basic understanding of the roleof the focal vs ambient visual system asit relates to evaluation and treatment ofthe concussion population.4. Perform basic screening of pursuits,saccades and functional convergence.5. Learn to apply practical, creative andindividualized treatment techniquesspecific to deficits with pursuits, saccades and functional convergence forthe pediatric and adult populations.6. Review case studies and learn towrite functional goals for patientswith the impairments reviewed.7. Gain a better understanding of thereferral process for further visionassessment (neuro-ophthalmology,optometry etc).At the completion of the Psychologyworkshop as it applies to the adult andpediatric population, the participantshould be able to:1. Apply the neuropsychological battery described in the workshop.2. Understand the typical cognitive andpsychological symptoms associatedwith concussion.3. Understand psychological vs cognitive interpretation of test data andthe impact of physical symptoms ontest data.4. Determine patients who are appropriate for group vs individual treatment.5. Understand the challenges of workingwith the patient with post-concussionsyndrome and techniques to apply tointervention.6. Provide feedback and recommendations for treatment and furtherintervention.At the completion of the Nursing workshop, the participant should be able to:1. Understand state concussion lawsincluding private vs public school rules.2. Understand the role of the school nurse.3. Understand concussion managementteam roles and responsibilities.4. Understand how to recognize concussions.5. Understand how to manage concussions in the school setting including:a. Examples of physician letters.b. What to do when you question thereturn to learn/play decision.c. How to handle concussions thatoccur outside of school.Physical TherapyNYU Langone Medical Center is a NewYork State Education Department approved provider for physical therapy andphysical therapy assistant continuingeducation. This course is approved for amaximum of 11.1 physical therapy/physical therapist assistant contact hours ifattend Day One and Two or maximum 7.1contact hours if attend only Day One. Thisactivity is pending approval in NJ. Thefollowing states require continuing education units (CEUs) with no state-specificapproval: CT, IA, ID, MO, ND, and WA.Occupational TherapyNYU Langone Medical Center is an American Occupational Therapy Association(AOTA) approved provider for occupational therapy and occupational therapy assistant continuing education. This courseis approved for a maximum of 10.0 occupational therapy/occupational therapistassistant contact hours if attend Day Oneand Two or maximum of 7.0 contact hoursif attend only Day One. This course meetsthe AOTA classification code of Occupational Therapy Process and is an IntroductoryLevel Course:: Intervention and Approaches to Intervention. The assignment ofAOTA CEUs does not imply endorsementof specific course content, products, orclinical procedures by AOTA.Applications have been submitted for additional clinical disciplines and are underreview. Please check website for updates.A minimum passing score of 70% is required on the course post-test in order toreceive PT/PTA, OT/COTA credits.Speech Language PathologyThis course is approved for a maximumof 7.0 speech-language pathology contacthours.DISCLOSURE STATEMENTIn order to resolve any identified conflicts of interest, disclosure informationis provided during the planning processto ensure resolution of any identifiedconflicts. Disclosure of faculty andcommercial relationships, as well as thediscussion of unapproved use of any,device or procedure by the faculty, willbe fully noted at the meeting.SPECIAL NEEDSRusk Rehabilitation at NYU LangoneMedical Center, in compliance with thelegal requirements of the Americanswith Disabilities Act, requests that anyparticipant of this educational activitywho is in need of accommodation, submit a written request to Julia Brandt atJulia.brandt2@nyumc.org at least onemonth prior to the course start date.