This session will discuss current evidence-informed trends in concussion as they relate to the cervical spine and vestibular system as well as exertional and activity tolerance. The speakers will review the anatomy and physiology of concussion, as well as the dynamic and individualized aspect of prognostic modifiers for concussion. They also will discuss the evaluation of the cervical spine and vestibular system, and the development of appropriate treatment strategies.
Meet our Speakers
Scott Euype, PT, DPT, MHS is the education director for Cleveland Clinic Rehabilitation Sports Therapy. He is also an adjunct and holds graduate faculty status at the Doctor of Physical Therapy Program at Cleveland State University, and coordinates and performs physical therapy pro bono services at the Free Medical Clinic of Greater Cleveland and at the city’s Care Alliance Medical Center. He obtained a BS in biology from Grove City College in 1982 and a certificate in physical therapy from Cleveland State University in 1987. He received a master of health science degree from the University of Indianapolis Krannert School of Physical Therapy in 1996 and completed his DPT through Marymount University in 2008. Euype is a board-certified orthopaedic clinical specialist. He currently is director I and chair of the Awards Committee for the Ohio Physical Therapy Association and is an Ohio delegate to the APTA House of Delegates. He served on the APTA Vision Task Force, which developed the new APTA Vision in 2013. He also is clinical co-chair of the APTA Education Clinical Education SIG and was a member of the Steering Committee for the 2014 Clinical Education Summit.
Kay Cherian, PT, DPT practices physical therapy at the Cleveland Clinic, where she has been a member of the IMATCH team, Tinnitus Management Clinic, Concussion Center, and the Brain and Body multidisciplinary teams. She graduated from Nova Southeastern University in 1998 with a master’s in physical therapy degree, and from the University of St Augustine in 2014 with her DPT. She was certified in vestibular rehabilitation in 2000 and in mechanical diagnosis and therapy in 2005. Her clinical interests include the management of vestibular, concussion, cervical spine, headache, tinnitus, and temporomandibular disorders.
Chuck Di Santo, PT, DPT is a clinical specialist within the Cleveland Clinic’s International Operations Division. He obtained his BA in psychology and BS in health sciences, with a certificate in physical therapy from Cleveland State University in 1997. He completed his DPT from the University of Montana. DiSanto is a board-certified clinical specialist in orthopaedic physical therapy through the American Board of Physical Therapy Specialties, with advanced certification in vestibular rehabilitation. He also is a certified hand therapist and a certified orthopaedic manual therapist through Maitland-Australian Physiotherapy Seminars, for which he now serves as a faculty member. He has served as chair for the Cleveland Clinic Concussion Special Interest Group and is a national lecturer on topics related to concussion, vestibular rehabilitation, and orthopedics.
Neil Cherian, MD is a staff physician in the Neurological Institute and is a member of the Neurological Center for Pain at Cleveland Clinic. He received his medical degree from the State University of New York Health Science Center at Brooklyn and completed an otoneurology fellowship at Cleveland Clinic. His postdoctoral training also included time at the Massachusetts Eye and Ear Infirmary at Harvard Medical School, where he specialized in the neurology of tinnitus. Board-certified in adult neurology, Cherian maintains an active clinical practice and conducts research related to dizziness, tinnitus, and complex brain and brainstem disorders. He is frequently invited to speak at professional conferences and has authored numerous journal articles and posters focusing on vestibular dysfunction, tinnitus, dizziness, and multidisciplinary approaches to vestibular disorders. He regularly contributes his expertise to the media and serves on a variety of hospital committees such as World Class Care Committee in the Department of Neurology at Cleveland Clinic. He is an ad hoc reviewer of Neurology, the journal of the American Academy of Neurology.
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- Describe the elements of the cervical spine, vestibular system, and brain as they pertain to symptomatic patients with concussion.
- Perform a thorough evaluation on the cervical spine and vestibular system with a focus on the symptomatic patient with concussion.
- Apply specific, evidence-based therapeutic interventions for the cervical spine and vestibular system that will aid with the rehabilitation of individuals with concussion.
- Complete and apply exertional testing results when returning the patient to play and daily activities.
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