Case Study - Rehabilitation of Post Concussion Syndrome
Introduction[edit | edit source]
Client Characteristics[edit | edit source]
Examination Findings[edit | edit source]
Clinical Hypothesis/Impression[edit | edit source]
Intervention[edit | edit source]
TREATMENT FOR BALANCE & VISUAL PROCESSING
A component of the treatment plan will include interventions to address the limitations in balance, postural control and dizziness/associated visual tracking limitations, following a similar protocol to the Fowler-Kennedy guidelines (HYPERLINK)
The balance limitations will be addressed first working on basic balance exercises as follows:
1) 2 feet to one foot,
2) changing the surface (firm to foam surfaces),
3) eyes opened and closed
These exercises will address the basic systems contributing to balance.
We can progress these basic exercises as follows:
- Inclination of the surface may be changed,
- Add internal perturbations such as moving other limbs, changing BOS – i.e tandem stance,
- Add a dual task component (adding cognitive tasks while maintaining balance).
The visual tracking/dizziness limitations will be addresses through vestibulo-ocular reflex (VOR) exercises which may include the following:
1) Substitution exercises – move eyes to a target and then head
2) VOR exercises: keep focused on target while shaking head back and forth - do it by moving head side to side, up and down.
Once these factors have been addressed they can actually be combined in order to challenge VOR and balance. For example, standing on a bosu-ball (challenging balance and vestibular system) while keep focused on a target with head movements.
