AOCPMR 2024 Mid-Year Meeting-Getting in the Right Headspace

Video Transcription

Video Summary

Dr. Lee’s talk on concussion management integrates physical medicine/rehabilitation insights with functional approaches, emphasizing a multi-modal strategy. The presentation covers concussion basics—brain depolarization, disrupted neurovascular-glial units, cerebrovascular reactivity, and symptoms like headache, brain fog, and emotional changes. Recovery in healthy young individuals typically occurs within 7-14 days, aided significantly by early, sub-threshold aerobic exercise. Pharmaceutical options such as NSAIDs, tricyclics, gabapentin, topiramate, and valproic acid show mixed efficacy and require individualized use. Novel supplements like melatonin and branched-chain amino acids have emerging benefits, particularly improving sleep. Dr. Lee highlights the importance of manual therapies (OMM, muscle energy, counterstrain) targeting neck muscles and venous outflow to support recovery. Venous drainage, especially via the internal jugular vein and vertebral venous plexus, plays a complex role linked to posture and muscle tone. The session underscores the need for integrated care combining pharmaceuticals, physical therapies, aerobic activity, and individualized patient management to optimize concussion recovery.

Keywords

cervical dystonia

movement disorder

involuntary muscle contractions

botulinum toxin

Botox treatment

electromyography (EMG)

dysphagia

anticholinergics

physical therapy

concussion management

physical medicine

aerobic exercise

manual therapies

pharmaceutical treatments

venous drainage