Geriatric Concussion: What Do We Know? What Do We Need To Know?
Section: Academy of Geriatric PT
Co-Section: Academy of Neurologic PT
Session Code: GR-2C-4502
Date: Friday, January 25, 2019
Time: 3:00 PM - 5:00 PM
Location: Marriott Marquis
Room: Independence Salon C

Speaker(s):   Karen McCulloch, PT, PhD, MS, Board-Certified Clinical Specialist in Neurologic Physical Therapy
  Mary Beth Osborne, PT, DPT, Board-Certified Clinical Specialist in Neurologic Physical Therapy

Session Type: Educational Sessions
Session Level: Intermediate

The focus of concussion in the popular press has been primarily on sports related concussion, including linking the history of traumatic brain injury (TBI) to possible degenerative neurologic conditions such as dementia and Parkinson disease. However, the incidence of TBI during older age is increasing, most commonly as a result of falls. Mild TBI or concussion accounts for the majority of brain injuries across the lifespan, but geriatric concussion is not well studied. This session will review the available evidence regarding mild TBI in those 65 and older related to risk factors, common presentations, factors that influence outcomes, and best practices in examination and intervention. A clinical specialist will share case examples to illustrate application of the evidence to patients with a range of presenting complaints and functional levels. Small group discussion will allow attendees to consider application of the session information to their practice settings. Knowledge gaps for management of geriatric concussion will be identified.

Learning Objectives: Upon completion of this course, you will be able to:

1.Summarize what is known about the incidence of mild TBI in older adults, including risk factors, confounding factors that may make diagnosis of injury challenging, and unique factors related to the geriatric population.

2. Identify factors that influence postconcussion outcomes in older adults.

3. Describe methods to screen for possible concussion in older adults, and summarize strategies to address possible concussive impairments through intervention.

4. Discuss modifications to current return-to-activity standards that may be necessary for the older adult population, while acknowledging the knowledge gaps in our understanding of this condition.

CEU: 0.2

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