usasoc neurocognitive testing program training workshop.pdf · concussion • largest body of...
TRANSCRIPT
![Page 1: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/1.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
USASOC
USASOC Neurocognitive Testing Program
Training Workshop
![Page 2: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/2.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Goals
• Overview of Concussion/mTBI – Neurocognitive Testing and the ImPACT Exam
• Recovery from Concussion/mTBI • Treatment/Rehabilitation • Clinical Interpretation • Document Review • Test Mechanics
![Page 3: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/3.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Use of the Sports Medicine Model
• Clinical course o f blast and blunt combat related trauma may be similar to sports concussion
• Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of
concussion – Large numbers, controlled environment, baseline
testing, easy tracking • Validated assessment tools
![Page 4: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/4.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
USASOC
Concussion 101
![Page 5: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/5.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Defining the Injury
• Concussion and mTBI used interchangeably • Defined as physiologic changes in brain
functioning resulting from trauma to the head or body without radiographic evidence of structural damage
![Page 6: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/6.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Grading Systems
• 19 scales published • Not scientifically based • Loss of Consciousness emphasized • No useful prognostic information • No accounting for risk factors and individual
variability
![Page 7: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/7.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 8: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/8.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 9: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/9.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 10: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/10.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
BLUF – Concussion Management
• Acute Management (field) – Evaluate for signs/symptoms of life-threatening
injury
• Post-Injury Management (FOB) – Evaluate for mTBI (history, PE, NCAT) – Protect from further injury
• Second Impact Syndrome, Post-Concussion Syndrome
– Rehabilitate and Educate – RTD
![Page 11: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/11.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 12: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/12.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
USASOC
History
![Page 13: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/13.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 14: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/14.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 15: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/15.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Physical Exam • Ruptured tympanic membranes • Trauma to the head/neck (penetrating and non-penetrating) • Cranial nerve deficits • Sensory deficits • Motor deficits • Inability to do rapid alternating movements • Visual field deficits • Abnormal Mini mental status evaluation • Abnormal Vestibular Screening Exam:
– Inability to maintain balance – Persistent nystagmus – Tracking/convergence problems with extraocular movements
![Page 16: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/16.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Protection from Further Injury
• Second Impact Syndrome – Less biomechanical force leading to injury in
susceptible individuals
• Post-Concussion Syndrome
![Page 17: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/17.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 18: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/18.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 19: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/19.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
USASOC
Neurocognitive Testing and the ImPACT Exam
Immediate Post-concussion Assessment and Cognitive Testing
![Page 20: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/20.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
ImPACT Evaluation
• Demographics • History • Symptom Scale • Neurocognitive Testing
– 8 measures – 4 “summary scores”
• Clinical Report
![Page 21: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/21.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 22: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/22.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 23: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/23.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 24: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/24.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 25: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/25.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 26: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/26.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 27: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/27.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 28: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/28.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 29: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/29.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 30: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/30.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 31: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/31.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 32: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/32.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 33: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/33.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 34: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/34.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 35: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/35.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 36: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/36.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 37: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/37.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
USASOC
Treatment/Rehabilitation
![Page 38: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/38.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Treatment/Rehabilitation Goals
• Educate! • Protect from Harm
– Limit exertion (mental and physical) – Controlled environment (no contact activities,
minimize exposure potential to combat trauma) • Treat Symptoms
– Headache • Graded Return of Cognitive and Physical
Exertion
![Page 39: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/39.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Rehabilitation Protocol Rehabilitation Stage Physical Therapy Program Recommended Exercises Stage 1 Target Heart Rate: 30-40% of maximum exertion Recommendations: exercise in quiet area; no impact activities; balance and vestibular exercises as needed; limit head movement/position changes; limit concentration activities; 10-15 minutes light cardio
- Very light aerobic conditioning - Sub-max isometric strengthening - ROM/Stretching - Low-level balance activities
Stationary Bike; seated elliptical; treadmill walking (10-15 minutes) Quad sets; Ham sets; light hand weights; resistive band rowing; SLR’s; resistive bands ankle strengthening Cervical ROM exercise; trap/LS stretching, pec stretch; hamstring stretching, quad stretching, calf stretching Romberg exercises, single leg balance
Stage 2 Target Heart Rate: 40-60% of maximum exertion Recommendations: exercise in gym areas; use various exercise equipment; allow some positional changes in head movement; low level concentration activities; 20-30 minutes of cardio
- Light to moderate aerobic conditioning - Light weight - Active stretching - Moderate balance activities; initiate
activities with head position changes
Treadmill; stationary bike; elliptical (20-30 minutes) Light weight strength exercises, resistive band exercises; wall squats; lunges; step up/downs Any stage 1 stretching; active stretching as tolerated Romberg exercises, VOR exercise (walking with eyes focused and head turns); Swiss ball exercises; single leg balance exercises
Stage 3 Target Heart Rate: 60-80% of maximum exertion Recommendations: any environment ok; integrate strength, conditioning, and balance/proprioceptive exercises; can incorporate concentration challenges; 25-30 minutes of cardio
- Moderately aggressive aerobic exercise - All forms of strength exercise - Active stretching exercise - Impact activities (running, plyometrics) - Challenging proprioceptive and dynamic
balance; challenging positional changes
Treadmill (jogging); stationary bike; elliptical (25-30 min) Resistive weight training including free weights; functional squat; dynamic strength activities Active stretching (lunge walks, side to side groin stretching, walking hamstring stretch Initiate agility drills (zig-zag runs, side shuffle), jumping on blocks Higher level balance activities: ball toss on plyo floor, balance discs, squats and lunges on BOSU ball
Stage 4 Target Heart Rate: 80% of maximum exertion Recommendations: resume aggressive training in all environments
- Non-contact physical training - Aggressive strength training - Impact activities/plyometrics - Job-specific physical training
Program to be designed by unit physical therapist Interval training Job-specific drills/training
Stage 5 Target Heart Rate: Full exertion Recommendations: Full activities and combat training
- Resume full physical training with contact - Continue aggressive strength and
conditioning exercises - Job-specific activities (shooting, CQB
training, fast-roping)
Program to be designed by unit physical therapist Train at full combat intensity
![Page 40: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/40.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 41: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/41.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 42: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/42.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 43: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/43.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 44: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/44.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 45: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/45.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 46: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/46.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 47: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/47.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 48: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/48.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 49: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/49.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Reliable Change Index (RCI)
• Accounts for the normal test/retest variation that you would see in a normal individual
• +/- different amounts for the different composite scores
• Calculated by the test software
![Page 50: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/50.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 51: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/51.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 52: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/52.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 53: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/53.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 54: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/54.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 55: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/55.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 56: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/56.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 57: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/57.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Interpretation Guidelines
• Remember this is a tool to help you – not the be-all/end-all!
• Baseline Validity • RCI’s • Percentile Ranges
![Page 58: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/58.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 59: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/59.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 60: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/60.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Review Documents
• CPG • Patient Education Sheet • Symptom Cluster Treatment • Rehabilitation Protocol
![Page 61: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/61.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Case Study
![Page 62: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/62.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 63: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/63.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 64: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/64.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Test “Mechanics”
• Testing Website • Results Website
– Clinical Report
![Page 65: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/65.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 66: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/66.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 67: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/67.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 68: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/68.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 69: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/69.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 70: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/70.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 71: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/71.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 72: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/72.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 73: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/73.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 74: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/74.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 75: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/75.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 76: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/76.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 77: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/77.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 78: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/78.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 79: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/79.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 80: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/80.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 81: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/81.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 82: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/82.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 83: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/83.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 84: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/84.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 85: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/85.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
![Page 86: USASOC Neurocognitive Testing Program Training Workshop.pdf · concussion • Largest body of knowledge and research – mTBI in sports provides “laboratory” for study of concussion](https://reader034.vdocuments.site/reader034/viewer/2022050123/5f5314398315373a973010af/html5/thumbnails/86.jpg)
USASOC POC DCSURG/COL Lutz 910-432-5408
Questions/Discussion