When is a Headache Just a Headache? Management of Vestibulopathy Visual Recovery After Concussion Exercise and its Impact on Post -Concussive Treatment Looking for Evidence

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What is Migraine
The NCAA Headache Task Force reported that 26.7% of subjects in a recent study had a history of this type of headache. (Not sinus or tension, but...)

100

What is dizziness
This common vestibular system symptom can be measured using the DHI, ABC and MSQ

100

What is sight
About half the brain's circuits are involved in this sense

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What is aerobic exercise
The American Journal of Sports Medicine reported improvements in post concussive symptoms and reaction times with this type of exercise

100

What is Cognitive Behavioral Therapy for Insomnia
This standard of treatment is offered to all patients with chronic insomnia (at least 3x/week, > 3 months) as a primary intervention.

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What is longitudinal fMRI study
This type of medical study has revealed that functional brain activation differences persistent at two months after injury in concussed athletes

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What is imbalance
This symptom of concussion may take longer to resolve than other symptoms and may be noted in conservative gait patterns / strategies

200

What are blue blocking, amber or antireflective
These newer eyeglass tints may reduce the symptoms associated with light sensitivity

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What is the Buffalo Concussion Treadmill Test
This type of exertion testing can be used for protracted concussion symptoms (>3 weeks) and includes a protocol progression but is contraindicated for people with balance, visual deficits, or orthopedic injuries

200

What is depression
This psychiatric condition mimics the symptoms of concussion in all but the following: diminished interest or pleasure, thoughts of worthlessness or guilt, recurrent thoughts of death or suicide, or suicide attempt

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What is concussion
Risk factors for prolonged post-concussive symptoms include personal or family history of mood disorders, personal or family history of migraine, delayed symptom onset and a prior history of this

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What is oculomotor
Deficits in saccades, smooth pursuit, and convergence insufficiency belong to this class of vestibular symptoms

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What is accommodation (focusing)
Migraine medicines may cause decrease in this visual skill

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What is cranio-cervical flexion test
This type of strength testing uses a pressure sensor under the neck and cervical spine retraction

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What is diffuse tensor imaging
This diagnostic tool can detect microstructural abnormalities in brain tissue by measuring diffusion of water molecules and may offer TBI biomarker

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What is mild traumatic brain injury
Assertive early treatment of headache after this type of injury may be warranted to avoid chronicity and disability

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What is convergence insufficiency
Patients with this oculomotor deficit performed poorly on assessments of verbal memory, visual motor speed, and reaction time

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What is convergence
Giving this type of vision exercise can make all concussion symptoms worse, especially too early in treatment

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What are the neck flexors
Endurance strengthening for these muscles includes chin retraction with modified starting positions depending on level of difficulty desired

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What is Berlin
The 5th International Conference on Concussion in Sport was held in this European city in October 2016

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Who was Hippocrates (450 BC)
This ancient Greek physician who lived during Greece's classical period and is traditionally regarded as the father of medicine said: "It is far more important to know what person has the disease than what disease the person has."

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What is dual task
After concussion, asymptomatic athletes still have increased medio-lateral sway and abnormal dynamic stability during this type of ambulation activity

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What is practicing optometry without a license
There is a pending case in Ohio for a physical therapist for this misdemeanor Advice from the optometrist is: (Do not tell a patient you are treating them with vision therapy or vision exercises, instead say vestibular therapy)

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What is exertion testing
A decrease in verbal memory composite scores on neuropsychological testing was noted after this type of testing

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What is The 5th International Conference on Concussion in Sport
The research teams gathered during this international conference in Berlin, Germany in 2016 found moderate evidence for targeted cervical and vestibular physiotherapy

Concussion

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