Concussion
Concussion / Dr Chris Levi
Profiles
Mood = 28%
Risk Factor - Personal or family history of anxiety
Migraine = 26%
Personal of family history of migraine
Vestibular = 20%
Personal or family history of motion sensitivity
Ocular = 14%
History of strabismus, nystagmus or amblyopia
Cognitive = 12%
ADHD
Treatment
Migraine profile
Behavioural regulation
No naps
Strict sleep schedule
Exercise
Reduced Stress
Regulated Diet / Hydration
Exertion therapy
If vestibular component then vestibular rehabilation
Medicaitons
Abortive and / or preventative
Amitryptilline
Cognitive Profile
Structred breaks during day
Regulated exercise
Regular sleep
cognitive Rehab
Device enabled cognitive traiming
Stimulant medications if chronic e.g. modafanil
Vestibular Profile
Vestibular Therapy
Retraining and rehabituation
Target VOR / VMS-focus therapies
Usually a central vestibular process
Environment exposures
Device enabled habituation
Targetted exertion therapy
Medication only if chronic and strong anxiety overlay
Anixety Profile
Exertion therapy
Behavioural regulation
Social and environmental exposures
CBT
Amitryptilline or low dose Sertraline
Oculo-motor profile
Oculo-motor exercises
Vision therapy and behavioural optometry
Device enabled habituation