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