Functional Neurology Management of Concussion (FN-MOC)
Presented by: Dr. Matthew Antonucci
Featured Video - What are Concussion Phenotypes?
THIS PROJECT HAS BEEN YEARS IN THE MAKING. ARE YOU READY TO LEARN HOW TO DELIVER UNPRECEDENTED CONCUSSION OUTCOMES? IT'S TIME!
Functional Neurology Management of Concussion presented by Dr. Matthew Antonucci.
Over the past 40 years, the brilliance and leadership of Prof. Frederick R. Carrick has established Carrick Institute the undisputed leader of education in functional neurology. Carrick Institute has proudly produced the educational curricula that has enabled more than 18,000 functional neurology providers to deliver their patients unprecedented results. Our mission is unwavering and focus is explicit. We deliver the highest quality training in an effort to help produce the world’s best clinicians. The purpose of FN-MOC is just another example of that. We plan to make you an authority in concussion management, from diagnosis to rehabilitation, with true-to-style content breadth, depth, and clinical applications.
This meticulously-crafted and masterfully-delivered two-level program serves as epitome of our educational offerings. We are ready to take your career to the next level. Are YOU?
OLD CONTENT Carrick Institute is proud to bring you its most advanced specialty program in the field of concussion and mTBI – Functional Neurology Management of Concussion presented by Dr. Matthew Antonucci.
With the leadership of Prof. Frederick R. Carrick, the Carrick Institute pioneered the concept of an individualized clinical neuroscience approach in healthcare known as the paradigm of functional neurology. For over 40 years the concepts of Functional Neurology taught in our curriculums have served patients at the highest levels. Carrick Institute’s mission remains the same. It strives to offer the highest quality training in an effort to help produce the world’s best clinicians.
This two-level program serves as the pinnacle of our educational offerings. We are ready. Are YOU ready to take your career to the next level?
A Two-Level Approach to Concussion Management Education
The Functional Neurology Management of Concussion (FN-MOC) has been meticulously crafted for all healthcare providers with a passion for helping patients with concussions, regardless of their educational background.
Level 1 is 70 hours of education focused specifically on critically evaluating consensus statements and current publications, to guide in the development of a contemporary, comprehensive approach to concussion/mTBI. We discuss risk factors that may predict concussion. We examine factors that make individuals more vulnerable to sustaining a concussion. The pathophysiological story of an mTBI is reviewed, from the mitochondria through the abstract concept of neural networks and graph theory. We discuss the time of impact management, and urgent care, including hospital protocols, imaging algorithms, and acute care. Utilizing the decades of research that exists on concussion symptoms and clinically-evaluated dysfunction, we lay the pedagogical foundation of this course on the 7 concussion phenotypes. Special attention is given to ensure the development of competency in the entrusbable professional activities of assessing each phenotype empirically, with minimal technology, and unprecedented confidence.
Level 2 is for the dedicated practitioner that wants to be the go-to concussion solution provider in their area. It is a 280-hour mastery program designed by Dr. Antonucci in collaboration with our robust medical advisory board, to cultivate expertise in concussion and mTBI rehabilitation on the foundational concepts taught in Level 1, with a depth of information that can not be found anywhere in post-graduate education. Level 2 Scholars will learn the essential and nuanced details about human sensory processing and motor control systems that are disrupted by concussion and mTBI, and the therapeutic modalities designed to restore their integrity.
* Please note that one must attend and complete Level 1 before attending Level 2, as Level 2 will assume proficiency in Level 1 theory, assessment, and EPAs.
Program Structure
This 2-level program utilizes a specific pedagogy to ensure the best learning experience for attending clinicians, while also making it available to clinicians worldwide.
Flipped Classroom – A flipped classroom is a style of blended learning that introduces crucial foundational concepts before the main lectures and applications are taught. This allows all scholars to enter the main program on the same level and encourages deeper learning on more advanced topics during the main lectures.
Interactive Asynchronous Learning – Interactive asynchronous learning allows you to learn on your own schedule. The main lectures are pre-recorded and will be available 24/7 on your online learning portal. Our online learning features interaction through knowledge-check questions embedded throughout the lectures, quizzing, and submission of open-ended written competency evaluations. The material will remain on your learning portal as long as one maintains an active Carrick Institute account. We encourage scholars to review the material several times for the best learning experience.
Onsite-Learning – To achieve certification status, one must attend the onsite portion for each level. The onsite learning will carefully instruct clinicians on the hands-on skills they need to know for proficiency in the management and rehabilitation of concussions.
Level 1 & Level 2 both have an onsite module that is required to attend to receive certification status.
- Level 1 – Chapter 4 (Creating and Performing a Baseline Assessment): 3 days onsite (25 neurology hours)
- Level 2 – Chapter 8 (Therapeutic Procedures Workshop): 3 days onsite (25 neurology hours)
Those who complete Level 1 & Level 2 of Functional Neurology Management of Concussion will be eligible to sit for the FABBIR board examination from the ACFN.
Level 1 Objectives
Chapter 1 – Consensus Guidelines and Recommendations [Concussion Primer Flipped Classroom (via online self-paced learning)]
- Definitions and Causes of mTBI / Concussion
- Pathophysiology of mTBI / Concussion
- Epidemiology of mTBI / Concussion
- The Acute Management and Urgent Care of mTBI / Concussion
- Treatments for Acute of mTBI / Concussion
Chapter 2 – Evaluation of the Intangible Effects of Concussion (via online self-paced learning)
- The Importance of Obtaining Baseline Brain Health Measurements
- Measuring Consciousness
- Pathophysiology of Cortical and Subcortical Structures in mTBI
- Phenotyping Concussions
- Collecting Data and Creating Predictions/Prognosis
- Creating a Concussion Intake Form
- The Relationship Between Sensory Seeking Behaviors and Mental Toughness and Concussion
- Tools for Assessing the Symptom Burden of mTBI
- Outcome Assessment Tools for Concussion, and Health-Related Quality of Life (HRQoL)
- The Screening of Affect for Non-Psychologists
- Screening for Sleep Disturbances in Concussion
- Screening for Autonomic Dysfunction in mTBI
- Supporting Literature Reviews on All Previously Listed Topics
- Library of Outcome Assessment Tools and Patient Reported Outcome Measures
Chapter 3 – Quantifying Concussion-Related Brain Function at the Bedside (via online self-paced learning)
- Analysis and Comparison of Contemporary Concussion Evaluation Tools (Screening, Confirmatory, Objective)
- The Embryological Development of Sensory Processing and Motor Control and Its Application to mTBI and Concussion
- The Role of the Physical Examination in mTBI and Concussion
- The Interpretation and Correlation of Vital Signs in Relationship to mTBI
- The Bedside Evaluation of Autonomic Function in Concussion
- Evaluating Cognitive Performance
- Optometric and Orthoptic Functional Evaluation
- Assessing Somatesthesia and Motor Control
- The Bedside Evaluation of Assessment of Graviception, Linear and Angular Movement
- Evaluating the Effects of Sensory Error on Autonomic Function
Chapter 4 – Creating and Performing an Evidence-Based Baseline/Concussion Examination (On-site Training – 3 days)
- This is a 3-day, hands-on, skill-development course. You will be the doctor and the patient. You will leave with certifiable proficiency in performing the examination procedures detailed in Chapter 3, and the results of your personal brain health baseline assessment. Please wear loose fitting clothing and bring the tools introduced in Chapter 3
- This course consists of more than 50 EPAs or Entrustable Professional Activities that will be taught and perfected throughout the weekend. Scholars will need to attend, be assessed for proficiency, and must pass to achieve FN-MOC certification status.
Chapter 5 – Management of Concussion Sequela (via online self-paced learning)
- Tools and Technology for Clinical Efficiency
- Crafting a World-Class Report of Findings
- Evidence Supported Palliative and Therapeutic Modalities for Concussion and mTBI
- Including generalized approaches to:
- Cardiovascular/Metabolic
- Vestibular
- Musculoskeletal
- Visual/Oculomotor
- Cognitive/Affective
- Return to Activities and Return to Play Protocols
- Putting It All Together: Your Community and Your Practice
- Introduction to Moderate and Severe Brain Injuries
- Discussion on Chronic Traumatic Encephalopathy or “CTE”
- Chapter 4 must have been completed on-site and proficiency confirmed by the course instructor.
- All 5 chapters must be complete at the time of application.
- At the time of examination, applicants must present 15 de-identified, but verifiable, direct-contact experiences with an individual or individuals with concussion or mTBI.
- Applicant must receive a passing score on the examination:
- 100 Multiple-Choice Questions
- Must score 80% or higher
- 5 essay questions, 20 points each (grading rubric will be furnished at the time of examination)
- Must score 80% or higher
- 100 Multiple-Choice Questions
Included in Your Tuition for Level 1
- 70 hours of training (consists of online learning plus a 3-day onsite training for Module 4 – Creating and Performing a Baseline Assessment)
- All-access to the digital recording of the class.
- Any future updates to the course videos or other materials.
- Re-attendance*
- 70 Neurology Hours towards the ACFN (American College of Functional Neurology) & ACNB (American Chiropractic Neurology Board)
- Access to the flipped classroom with all-access updates.
- 3 months of unlimited access to Medline upon completion of the module
*Scholars will receive CEU & neurology hours upon their first completion of the module. Any re-attendance is considered an audit. Scholars must maintain an active account to receive benefits.
Level 2 Objectives
Each chapter of Level 2 will dive into the deepest depths of its content, with a consistent theme of “assess to treat”. In Level 2 we are not concerned with a diagnosis. Every assessment that is performed should provide meaningful therapeutic implications for solving the complex puzzle of protracted and persisting symptoms.
Chapter 1: Understanding Persisting Concussion Symptoms (“Post-Concussion Syndrome”) (via online self-paced learning)
- To solve persisting concussion symptoms, scholars must understand why they are persisting, to begin with. The mechanisms of PCS are related-to but are different than the mechanisms of acute concussion. Therefore, they need to be managed differently. Scholars will find these answers and more in this carefully curated flipped classroom assignment.
Chapter 2: Concussion-Related Metabolic, Autonomic, and Sleep Pathophysiology (via online self-paced learning)
- After weeks, months, and sometimes years of neuroplastic remodeling, the brain and its environment is often in a downward spiral. Chronic inflammation, hormonal disruption, autonomic dysfunction, insomnia, and other challenges perpetuate pain, suffering, injury, and poor quality of life. In this chapter, we will discuss common metabolic, autonomic and sleep disturbances caused by hypothalamic and pituitary dysfunction, as well as remodeled central autonomic networks.
Chapter 3: Vestibular Dysfunction and Central Syndromes (via online self-paced learning)
- In Level 1, we learned that vestibular processing is the most precocious sensory modality, upon which all other senses are tangentially built. In this chapter, we discuss the advanced vestibular testing, interpretation, and multi-sensory training that can augment central and peripheral vestibular processing.
Chapter 4: Cervical and Somatic Dysfunction and Treatment Strategies (via online self-paced learning)
Chapter 5: Oculomotor and Visual Assessment and Rehabilitation (via online self-paced learning)
Chapter 6: Assessing and Rehabilitating Changes in Cognition and Affect (via online self-paced learning)
Chapter 7: Clinical Workflows, Patient Management, and Treatment Plan Creation (via online self-paced learning)
Chapter 8: Therapeutic Procedures Workshop (3 days of on-site training)
Tuition for Level 2
Included in Your Tuition for Level 2
- Approxiately 280 hours of training (consists of online learning plus a 3-day onsite training for chapter 8 – Therapeutic Procedures Workshop)
- All-access to the digital recording of the class.
- Any future updates to the course videos or other materials.
- Re-attendance*
- Approximately 280 Neurology Hours towards the ACFN (American College of Functional Neurology), ABBIR (American Board of Brain Injury and Rehabilitation) & ACNB (American Chiropractic Neurology Board)
- Access to the flipped classroom with all-access updates.
- 3 months of unlimited access to Medline upon completion of the program
*Scholars will receive CEU & neurology hours upon their first completion of the program. Any re-attendance is considered an audit. Scholars must maintain an active account to receive benefits.
FAQ Videos
2023 Course Dates
Level 1 Chapter 4 – Oslo, Norway – April 21-23, 2023
Level 1 Chapter 4 – Cape Canaveral, FL – May 19-21, 2023
Level 1 Chapter 4 – Calgary, Canada – September 29 – October 1, 2023
Level 2 Chapter 8 dates to be released in Spring 2023.
Level 1 Release Dates By Chapter
2024 Course Dates
Level 1 Chapter 4 – Colorado – February 23-25, 2024
Chapter 1
Available Now! You can access chapter 1 via online, self-paced learning in your online portal.
Chapter 2
Available Now! You can access Chapter 2 via online, self-paced learning in your online portal.
Chapter 3
Available Now! Chapter 3 will be available in September via online, self-paced learning in your online portal.
Chapter 4
Chapter 4 is intended to be taken in person. Please review the locations above and send an email to admissions@carrickinstitute.com if you have not selected your live location yet!
We will be recording the live event and making it available for online self-paced learning.
* To achieve certification status, you must attend the onsite portion.
Chapter 5
Chapter 5 will be available in November via online, self-paced learning in your online portal.
Re-attendance policy: Scholars who have registered and completed a course after December 2019 have the ability to re-attend the course with no additional fee. When re-attending a course, the scholar will not receive continuing education credits and will receive an audit. Carrick Institute is not responsible for providing new materials for class audits, including but not limited to manuals, shirts, equipment, etc. If manuals have been updated since the original attendance date, the updated materials will be available via PDF on the scholar’s online portal. If the scholar would like to purchase a new paper manual, they may do so before the course start date.
Re-attendance will be open 2 weeks before the course. Please email admissions@carrickinstitute.com to be added.
To view full Terms & Conditions, click here.
For more information on CE/CME eligibility, visit https://carrickinstitute.com/ceinfo/
Dr. Antonucci is an experienced chiropractic neurologist, functional neurology practitioner, researcher, and international lecturer. He trained extensively under Professor Ted Carrick and has provided breakthrough forms of neurorehabilitation and performance training to thousands of patients. He consults with several NFL and NHL franchises on performance training and neurotrauma, and his work has been featured on ESPN, Sports Illustrated, Fox News, and more. He has delivered more than 11,000 hours of presentations, both nationally and internationally, as Carrick Institute faculty. Most importantly, he is a loving husband and the father of five amazing boys, whom he hopes to inspire to follow in his footsteps.
We are very excited to have Dr. Antonucci be your guide on this clinical education journey.
Registration Options
-
Functional Neurology Management of Concussion – Level 1
$2,995.00 Select options This product has multiple variants. The options may be chosen on the product page
Functional Neurology Management of Concussion (FN-MOC)
Functional Neurology Management of Concussion presented by Dr. Matthew Antonucci.
September Savings
Save $500 off the Level 1 in the
Functional Neurology Management of Concussion (FN-MOC) Program
Use Code: “Concussion23” to save!
12 DAYS OF NEURO SAVINGS
Day 10 - Functional Neurology Management of Concussion (FN-MOC)
As a 12-days of Neuro BONUS, receive the Concussion Bootcamp Included with your FNMOC tuition. ($699 Value)
Concussion BootCamp is an intensive 2-day, 15-hour course specifically curated for healthcare providers, offering both a foundational introduction and advanced updates on concussion care and management.
Level 1 is 70 hours of education focused specifically on critically evaluating consensus statements and current publications, to guide in the development of a contemporary, comprehensive approach to concussion/mTBI. We discuss risk factors that may predict concussion. We examine factors that make individuals more vulnerable to sustaining a concussion.
The Functional Neurology approach to concussion is the way! Learn why athletes and patients around the world seek Carrick-trained clinicians for their concussion care.
LEARN HOW TO DELIVER UNPRECEDENTED CONCUSSION OUTCOMES
Over the past 40 years, the brilliance and leadership of Prof. Frederick R. Carrick has established Carrick Institute the undisputed leader of education in functional neurology. Carrick Institute has proudly produced the educational curricula that has enabled more than 18,000 functional neurology providers to deliver their patients unprecedented results. Our mission is unwavering and focus is explicit. We deliver the highest quality training in an effort to help produce the world’s best clinicians. The purpose of FN-MOC is just another example of that. We plan to make you an authority in concussion management, from diagnosis to rehabilitation, with true-to-style content breadth, depth, and clinical applications.
This meticulously-crafted and masterfully-delivered, two-level program, serves as the epitome of our educational offerings. We are ready to take your career to the next level. Are YOU?
Who is this class for?
The Functional Neurology Management of Concussion (FN-MOC) has been meticulously crafted for all healthcare providers with a passion for helping patients with concussions, regardless of their educational background.
THIS PROJECT HAS BEEN YEARS IN THE MAKING. ARE YOU READY TO LEARN HOW TO DELIVER UNPRECEDENTED CONCUSSION OUTCOMES? IT’S TIME!
A Two-Level Approach to Concussion Management Education
Level 1 is 70 hours of education focused specifically on critically evaluating consensus statements and current publications, to guide in the development of a contemporary, comprehensive approach to concussion/mTBI. We discuss risk factors that may predict concussion. We examine factors that make individuals more vulnerable to sustaining a concussion. The pathophysiological story of an mTBI is reviewed, from the mitochondria through the abstract concept of neural networks and graph theory. We discuss the time of impact management, and urgent care, including hospital protocols, imaging algorithms, and acute care. Utilizing the decades of research that exists on concussion symptoms and clinically-evaluated dysfunction, we lay the pedagogical foundation of this course on the 7 concussion phenotypes. Special attention is given to ensure the development of competency in the entrusbable professional activities of assessing each phenotype empirically, with minimal technology, and unprecedented confidence.
Level 2 is for the dedicated practitioner that wants to be the go-to concussion solution provider in their area. It is a 280-hour mastery program designed by Dr. Antonucci in collaboration with our robust medical advisory board, to cultivate expertise in concussion and mTBI rehabilitation on the foundational concepts taught in Level 1, with a depth of information that can not be found anywhere in post-graduate education. Level 2 Scholars will learn the essential and nuanced details about human sensory processing and motor control systems that are disrupted by concussion and mTBI, and the therapeutic modalities designed to restore their integrity.
* Please note that one must attend and complete Level 1 before attending Level 2, as Level 2 will assume proficiency in Level 1 theory, assessment, and EPAs.
Level 1 Objectives
Chapter 1
Consensus Guidelines and Recommendations [Concussion Primer Flipped Classroom (via online self-paced learning)]
- Definitions and Causes of mTBI / Concussion
- Pathophysiology of mTBI / Concussion
- Epidemiology of mTBI / Concussion
- The Acute Management and Urgent Care of mTBI / Concussion
- Treatments for Acute of mTBI / Concussion
Chapter 2
Evaluation of the Intangible Effects of Concussion (via online self-paced learning)
- The Importance of Obtaining Baseline Brain Health Measurements
- Measuring Consciousness
- Pathophysiology of Cortical and Subcortical Structures in mTBI
- Phenotyping Concussions
- Collecting Data and Creating Predictions/Prognosis
- Creating a Concussion Intake Form
- The Relationship Between Sensory Seeking Behaviors and Mental Toughness and Concussion
- Tools for Assessing the Symptom Burden of mTBI
- Outcome Assessment Tools for Concussion, and Health-Related Quality of Life (HRQoL)
- The Screening of Affect for Non-Psychologists
- Screening for Sleep Disturbances in Concussion
- Screening for Autonomic Dysfunction in mTBI
- Supporting Literature Reviews on All Previously Listed Topics
- Library of Outcome Assessment Tools and Patient Reported Outcome Measures
Chapter 3
Quantifying Concussion-Related Brain Function at the Bedside (via online self-paced learning)
- Analysis and Comparison of Contemporary Concussion Evaluation Tools (Screening, Confirmatory, Objective)
- The Embryological Development of Sensory Processing and Motor Control and Its Application to mTBI and Concussion
- The Role of the Physical Examination in mTBI and Concussion
- The Interpretation and Correlation of Vital Signs in Relationship to mTBI
- The Bedside Evaluation of Autonomic Function in Concussion
- Evaluating Cognitive Performance
- Optometric and Orthoptic Functional Evaluation
- Assessing Somatesthesia and Motor Control
- The Bedside Evaluation of Assessment of Graviception, Linear and Angular Movement
- Evaluating the Effects of Sensory Error on Autonomic Function
Chapter 4
Creating and Performing an Evidence-Based Baseline/Concussion Examination (On-site Training – 3 days)
- This is a 3-day, hands-on, skill-development course. You will be the doctor and the patient. You will leave with certifiable proficiency in performing the examination procedures detailed in Chapter 3, and the results of your personal brain health baseline assessment. Please wear loose fitting clothing and bring the tools introduced in Chapter 3
- This course consists of more than 50 EPAs or Entrustable Professional Activities that will be taught and perfected throughout the weekend. Scholars will need to attend, be assessed for proficiency, and must pass to achieve FN-MOC certification status.
Chapter 5
Management of Concussion Sequela (via online self-paced learning)
- Addressing Pathophysiology: Ketones
- Addressing Pathophysiology: Hyperbaric Oxygen Therapy
- Addressing Pathophysiology: Molecular Hydrogen
- Addressing Pathophysiology: Transcutaneous Vagal Nerve Stimulation
- Addressing Pathophysiology: Photobiomodulation
- Dietary Supplementation
- Return to Activities/Play, and Medical Clearance
- Graded Aerobic Exercise
- Managing Cervical Syndromes
- Managing Vestibular Syndromes
- Managing Visual/Oculomotor Syndromes
- FN-MOC Evidence Guided Return To Life (RTA/RTP)
FN-MOC Certification
- Chapter 4 must have been completed on-site and proficiency confirmed by the course instructor.
- All 5 chapters must be complete at the time of application.
- At the time of examination, applicants must present 15 de-identified, but verifiable, direct-contact experiences with an individual or individuals with concussion or mTBI.
- Applicant must receive a passing score on the examination:
- 100 Multiple-Choice Questions
- Must score 80% or higher
- 5 essay questions, 20 points each (grading rubric will be furnished at the time of examination)
- Must score 80% or higher
- 100 Multiple-Choice Questions
Level 2 Objectives
2.0 OBJECTIVES BEFORE CHANGES ON 7/16/2024
Level 1 of the Carrick Institute’s Functional Neurology Management of Concussion was dedicated to understanding, identifying, and managing the acute phase of concussion. Level 2 picks up where Level 1 leaves off and builds a comprehensive understanding of concussion’s sub-acute and persisting phases. Under the guidance and leadership of our lead instructor, Dr. Matthew Antonucci, our medical advisory board of expert multidiscipline providers has developed a curriculum including over 500 Entrustable Professional Activities (EPAs) in 10 chapters necessary to understand, disentangle and correct the complex neurological remodeling that occurs with persisting concussion dysfunction.
Chapter 1: The Entanglement of Neurological Hubs and Edges after Concussion
Dr. Antonucci masterfully sets the stage for this next Level of the Functional Neurology Managment of Concussion by exploring the unique and complex ways our brains react to these injuries. Taking a contraversial detour from the popular localization theory of neurological rehabilaition, he creates a compelling case for the rehabilitation of functional-networks, by deconstructing how the brain processes information. He delves into the nuanced interplay between neurological networks, sensory inputs, and individual physiological differences. This chapter is the foundational underpinnig for the creation of a case-specific concusison rehabilitaiton program. Whether you are an aspring concussion expert with Level 1 under your belt, or a seasoned healthcare professional, buckle in and prepare to jump in the deep end of concussion managment.
- Recapitulation and expansion on the dynamics of the pathophysiology, feedback loops, and persistence of concussion symptoms, with correlation to patient presentations and complaints
- Individual Variability – “N of 1” Concept
- Sex Differences in Brain Anatomy
- Genetic Factors in Concussion Recovery
- Applying the Lashley’s principle of equipotentiality and sensory reorganization to understanding the protraction of concussion signs and symptoms
- Identifying and understanding cortical processing networks and their relationship to concussion
- Sensory Circuits and Thalamocortical Function
- Understanding the cyclical influences of sensory-cognitive-motor processing and neural plasticity
- Sensory Circuits and Thalamocortical Function
- Diaschisis and Transneuronal Degeneration
- Fundamentals of functional imaging and entry-level interpretation
- Resting State fMRI Analysis
- Topographical vs Functional Organizations in the Brain
- Properties of Sensory Receptors and Their Implications
- The Thalamus as a Functional Hub in Concussion Rehab
- Graph Theory in Neurology
- Central Vertices and Functional Decompensation
- Kleim’s 10 Principles of Experience-Dependent Neuroplasticity and Brain Injury
- Applying Kleim’s Principles in Concussion Rehabilitation
- Review literature surrounding neuromodulation technologies and their appropriateness for the treatment of concussion
- Discuss the research on uni-modal vs. multi-modal rehabilitation programs
- Applying concepts in neuro-ontology in the creation of concussion treatment programs
- The transition from concussion screening and examination to special testing.
Chapter 2: Autonomic/Physiologic Dysfunction After Concussion
Research supports that more than 85% of all concussions have varying degrees of autonomic dysfunction. Autonomic function may be primary or secondary to other sensory processing abnormalities. Understanding how to critically evaluate autonomic function and compare outcomes to other sensory aberrancies allows a clinician to be more effective and efficient. This chapter delves into the intricate workings of the autonomic nervous system (ANS), how it works, breaks down, and its critical role in concussion management and rehabilitation. To craft case-specific rehabiltiation programs, a provider must understand the historical evolution, physiological nuances, and the latest research findings in the field of autonomic neuroscience. This compendium of research and clincial experience is perfect for the healthcare professional looking for a blend of theoretical knowledge and practical insights, equipping you with the tools to enhance patient care and contribute to ongoing research in neuroscience.
- Introduction to the Autonomic Nervous System (ANS)
- The Autonomic Outflow
- A Schematic of the ANS from 1918
- Deeper Understanding of ANS Origins
- Dysautonomia and Related Conditions
- Testing Autonomic Function
- The Primitive ANS
- The Central Autonomic System
- Explaining the Autonomic Network
- Modulating the Output of the ANS
- Common Clinical Symptoms/Signs of ANS Dysfunction
- Direct Central Autonomic Network
- Chemical Influences on Dysautonomia
- Hypothalamic-Pituitary Interaction
- Cerebral and Somatic Blood Flow
- Postural Dysautonomia Syndromes
- Pupillometry and the Pupil
- Cervical Spine and Dysautonomia
Chapter 3: The Cognitive Neuroscience of Concussion
Explore the complex world of cognitive function and its vulnerability to concussion in this expnasive chapter of the Functional Neurology Management of Concucssion. After reviewing the medical literature for topic relavence, and foundation, we begin a dive deep into the brain’s intricate workings that summate to the cognitive experience. Dr. Antonucci introduces and expands on his 5-level heiarchy of cognitive processing, including concussion’s effects, the effects of commonly prescribed medications, domain assessments, technology, and the clinical relevance of each level.
Embark on a journey through cutting-edge research and clinical findings, unraveling the subtle ways in which concussions can reshape cognitive processes. This course is not just a learning experience; it’s an invitation to join the frontline of cognitive neuroscience, empowering you with knowledge that can make a real difference in the lives of those impacted by concussions.
- Concussion and Cognition
- The Role of Intelligence in Cognitive Function
- Cognitive Domains as Components of Intelligence
- IQ and Cognitive Function Post-Concussion:
- Cognitive Domains Affected by Concussion:
- Neuropsychological Impact of Sports-Related Concussion:
- Self-Reported Symptoms vs. Objective Neurocognitive Testing
- Assessment Tools in Concussion Management
- Network Connectivity and Cognitive Function Post-Concussion
- The Hierarchical Organization of Cognitive Functions and Their Interplay
- Perception, Motor Skills, and Sensory Processing
- Attention and Executive Function Post-Concussion
- Language and Communication After Concussion
- Memory and Learning Post-Concussion
- Emotional Intelligence and Social Cognition
- Introduction to Therapeutic and Rehabilitation Strategies
- Clinical Implications of Congitive Neuroscience and Patient Care
Chapter 4: Implications of Peripheral and Central Vestibular Dysfunction in Concussion
This chapter provides a comprehensive exploration of the vestibular system, delving into its anatomy and physiology from the peripheral components to the central processing areas. It emphasizes the significance of understanding common vestibular conditions and pathologies, particularly those that often coexist with or result from concussions. The chapter thoroughly examines various vestibular reflexes, detailing both their normal functioning and the manifestations of their dysfunction. It also highlights the critical role of diagnostic procedures in pinpointing vestibular decompensation, covering techniques such as Computerized Posturography, Rotary Chair Testing, Video Head Impulse Testing, Videonystagmography (VNG), and Caloric Irrigation. Furthermore, the chapter addresses the intricate relationship between the vestibular system and different subtypes of concussion, along with associated conditions, underscoring the complex interplay that affects patient management.
- Explore the anatomy and physiology of the vestibular system from peripheral to central, including more common vestibular presentations/pathologies that are connected to or comorbid with a concussion
- Review and comprehend all vestibular reflexes, their normal and abnormal presentations
- Implications of common and special diagnostic procedures and their results on localization of vestibular decompensation:
- Computerized Posturography
- Rotary Chair Testing
- Video Head Impulse Testing
- Videonystagmography (VNG)
- Caloric Irrigation
- Understanding the interplay between the vestibular system and the concussion subtypes and associated conditions
Chapter 5: Quantifying Visual and Oculomotor Dysfunction in Concussion
Chapter 5 of “Functional Neurology Management of Concussion” (FN-MOC)” focuses on the quantification of visual and oculomotor dysfunctions commonly associated with concussions. Acknowledging the human visual system as the most dominant sense, the chapter emphasizes that about 80% of the brain’s environmental information is derived from visual input. It explores the complex coordination of intra-ocular, extra-ocular, facial, and neck muscles that the brain employs to control this visual input.
The chapter provides a detailed look at the anatomy and physiology of the visual and oculomotor systems, mapping their journey from peripheral mechanisms to central processing. It covers the basics of visual refraction and delves into special testing methods for the visual system, including color processing, stereopsis, accommodative range, ocular alignment, VEPs (Visual Evoked Potentials), ERGs (Electroretinograph), and more.
Significantly, the chapter examines various oculomotor functions and pathologies such as accommodation, ocular alignment, ocular reflexes, gaze maintenance, saccades, pursuits, and vergence. Each aspect is explored in the context of their impact on human functioning and their alteration following a concussion.
Finally, the chapter addresses rehabilitation strategies for visual and oculomotor pathologies that are commonly associated with concussions. These strategies are crucial for restoring and improving visual and oculomotor functions, which are essential for daily activities and overall quality of life. This chapter aims to provide a comprehensive understanding of the visual and oculomotor systems in relation to concussion, enabling effective assessment and treatment.
- The anatomy and physiology of the visual and oculomotor system from peripheral to central
- Basics of visual refraction
- Special testing of the visual system
- Visual Evoked Potentials
- Electroretinography
- Utilizing a Phoropter to Measure Orthoptic Dysfunction
- Oculomotor Functions and Pathologies:
- Binocular Vision
- Depth Perception
- Accommodation
- Ocular alignment
- Ocular reflexes
- Gaze Maintenance
- Saccades
- Pursuits
- Vergence
NeuroSkill Laboratory 2.6 : Developing and Performing a Comprehensive Concussion Evaluation:
This three-day on-site course designed for the implementation of all diagnostic testing taught in Chapters 1-5 offers an intensive, hands-on learning experience for healthcare practitioners. This course is meticulously structured to cover the comprehensive range of diagnostic tests and procedures outlined in the first five chapters of the curriculum, providing a practical, real-world application of theoretical knowledge. Each day is dedicated to in-depth sessions focusing on different sets of diagnostics, ensuring a thorough understanding and hands-on experience in each area. Participants will have the opportunity to work with state-of-the-art diagnostic equipment and tools, under the guidance of expert instructors who provide personalized feedback and instruction. This interactive environment is ideal for reinforcing learning, allowing practitioners to refine their diagnostic skills through practice and direct application. The course is especially beneficial for those looking to enhance their proficiency in a wide array of diagnostic techniques, from basic assessments to more complex procedures, ensuring they are well-equipped to apply these skills in their clinical practice.
Chapter 7: Alterations in Sensory-Motor Processing in Concussion: (3 Days of Onsite Training):
Chapter 7 in “Functional Neurology for Manual Therapies (FN-MOC)” provides a profound insight into proprioception, a key sensory system that is the second to develop during fetal growth and fundamental to human biomechanics and embodiment. It begins by exploring the anatomy of proprioception, tracing its intricate pathways from peripheral receptors to central nervous system processing. This foundation allows for a detailed discussion on various assessments of proprioception, with an emphasis on interpreting these evaluations in a clinical setting, particularly in relation to concussion.
The chapter then addresses the critical integration of proprioception with vestibuloception, highlighting the synergy between these systems in maintaining spatial awareness and balance. It delves into common proprioceptive deficits observed following concussions, examining how these impairments can disrupt muscle coordination, tactile processing, and the individual’s interaction with the external world. These deficits are connected to broader somatic syndromes commonly associated with concussions.
In addition to proprioception, the chapter expands its scope to discuss the role and impact of olfaction and gustation, senses that are often overlooked but can be significantly altered in the event of a concussion. Furthermore, it explores auditory processing in concussion, emphasizing the potential changes in auditory perception and processing that can occur.
Overall, this chapter aims to equip scholars with a comprehensive understanding of the neurology of proprioception and its critical relationship with concussion, emphasizing its role in balance, spatial awareness, and the overall sense of self. It underscores the multidimensional effects of concussions on sensory systems and the importance of a holistic approach in concussion management.
- The anatomy of proprioception from peripheral to central
- Assessments of proprioception and their interpretation
- The integration between proprioception and vestibuloception
- Common proprioceptive deficits in concussion
- Somatic syndromes associated with concussion
- The contribution to proprioception to balance and spatial awareness
- Olfaction and Gustation in Concussion
- Auditory Processing in Concussion
Chapter 8: Incorporating Autonomic and Vestibular Rehabilitation:
This chapter offers a comprehensive and practical approach to understanding and treating concussion-related vestibular issues. It provides a blend of theoretical knowledge and practical training, focusing on the autonomic and vestibular systems’ roles in concussion. Attendees learn applications to treat dysfunctions in these systems, which are often impacted by concussive injuries. The chapter offers a blend of scientific theory and evidence-based practices, ensuring participants come away with a thorough understanding of how to effectively manage and rehabilitate concussions with a focus on autonomic and vestibular dysfunctions.
Chapter 9: Sensory Integrative Therapies, Orthoptic Exercises, and Layering Cognitive Function Therapies:
In Chapter 9, learners will explore the nuances of sensory integration therapy, understanding how to address sensory processing issues that often arise post-concussion. The course also delves into orthoptic exercises, teaching participants how to implement these eye exercises to improve vision problems and eye coordination affected by concussive injuries.
Additionally, the course covers the layering of cognitive function therapies, a crucial aspect of concussion rehabilitation. Participants will learn strategies to enhance cognitive recovery, including memory, attention, and executive function exercises, tailored to the needs of individuals recovering from concussion.
NeuroSkills Laboratory 2.10: Therapeutic Procedures, Clinical Workflows, Patient Management, and Treatment Plan Creation Workshop(3 Days of Onsite Training)
This intensive workshop for professionals who have completed Chapters 1-9, studied the theoretical aspects in these chapters, and are now eager to translate this knowledge into practical skills. Throughout the three days, attendees engage in a series of workshops and exercises that focus on the core rehabilitation strategies, principles, and techniques outlined in the chapters. The course structure allows for proficiency and hands-on practice under the guidance of experienced instructors. Participants will work in small groups to ensure personalized attention and an opportunity to practice and refine their skills. This course is particularly beneficial for those looking to apply complex concepts in a real-world setting, as it bridges the gap between theoretical learning and practical application. By the end of the workshop, attendees will have gained not only a deeper understanding of the material from Chapters 8 and 9 but also the confidence to implement these strategies in their professional practices.Dr. Antonucci masterfully sets the stage for this next Level of the Functional Neurology Managment of Concussion by exploring the unique and complex ways our brains react to these injuries. Taking a contraversial detour from the popular localization theory of neurological rehabilaition, he creates a compelling case for the rehabilitation of functional-networks, by deconstructing how the brain processes information. He delves into the nuanced interplay between neurological networks, sensory inputs, and individual physiological differences. This chapter is the foundational underpinnig for the creation of a case-specific concusison rehabilitaiton program. Whether you are an aspring concussion expert with Level 1 under your belt, or a seasoned healthcare professional, buckle in and prepare to jump in the deep end of concussion managment.
Level 1 of the Carrick Institute’s Functional Neurology Management of Concussion was dedicated to understanding, identifying, and managing the acute phase of concussion. Level 2 picks up where Level 1 leaves off and builds a comprehensive understanding of concussion’s sub-acute and persisting phases. Under the guidance and leadership of our lead instructor, Dr. Matthew Antonucci, our medical advisory board of expert multidiscipline providers has developed a curriculum including over 500 Entrustable Professional Activities (EPAs) in 10 chapters necessary to understand, disentangle and correct the complex neurological remodeling that occurs with persisting concussion dysfunction.
Chapter 1: The Entanglement of Neurological Hubs and Edges after Concussion
Dr. Antonucci masterfully sets the stage for this next Level of the Functional Neurology Management of Concussion by exploring the unique and complex ways our brains react to these injuries. Taking a controversial detour from the popular localization theory of neurological rehabilitation, he creates a compelling case for the rehabilitation of functional-networks, by deconstructing how the brain processes information. He delves into the nuanced interplay between neurological networks, sensory inputs, and individual physiological differences. This chapter is the foundational underpinning for the creation of a case-specific concussion rehabilitation program. Whether you are an aspiring concussion expert with Level 1 under your belt, or a seasoned healthcare professional, buckle in and prepare to jump in the deep end of concussion management.
- Recapitulation and expansion on the dynamics of the pathophysiology, feedback loops, and persistence of concussion symptoms, with correlation to patient presentations and complaints
- Individual Variability – “N of 1” Concept
- Sex Differences in Brain Anatomy
- Genetic Factors in Concussion Recovery
- Applying the Lashley’s principle of equipotentiality and sensory reorganization to understanding the protraction of concussion signs and symptoms
- Identifying and understanding cortical processing networks and their relationship to concussion
- Sensory Circuits and Thalamocortical Function
- Understanding the cyclical influences of sensory-cognitive-motor processing and neural plasticity
- Sensory Circuits and Thalamocortical Function
- Diaschisis and Transneuronal Degeneration
- Fundamentals of functional imaging and entry-level interpretation
- Resting State fMRI Analysis
- Topographical vs Functional Organizations in the Brain
- Properties of Sensory Receptors and Their Implications
- The Thalamus as a Functional Hub in Concussion Rehab
- Graph Theory in Neurology
- Central Vertices and Functional Decompensation
- Kleim’s 10 Principles of Experience-Dependent Neuroplasticity and Brain Injury
- Applying Kleim’s Principles in Concussion Rehabilitation
- Review literature surrounding neuromodulation technologies and their appropriateness for the treatment of concussion
- Discuss the research on uni-modal vs. multi-modal rehabilitation programs
- Applying concepts in neuro-ontology in the creation of concussion treatment programs
- The transition from concussion screening and examination to special testing.
Chapter 2: Autonomic/Physiologic Dysfunction After Concussion
Research supports that more than 85% of all concussions have varying degrees of autonomic dysfunction. Autonomic function may be primary or secondary to other sensory processing abnormalities. Understanding how to critically evaluate autonomic function and compare outcomes to other sensory aberrancies allows a clinician to be more effective and efficient. This chapter delves into the intricate workings of the autonomic nervous system (ANS), how it works, breaks down, and its critical role in concussion management and rehabilitation. To craft case-specific rehabilitation programs, a provider must understand the historical evolution, physiological nuances, and the latest research findings in the field of autonomic neuroscience. This compendium of research and clinical experience is perfect for the healthcare professional looking for a blend of theoretical knowledge and practical insights, equipping you with the tools to enhance patient care and contribute to ongoing research in neuroscience.
- Introduction to the Autonomic Nervous System (ANS)
- The Autonomic Outflow
- A Schematic of the ANS from 1918
- Deeper Understanding of ANS Origins
- Dysautonomia and Related Conditions
- Testing Autonomic Function
- The Primitive ANS
- The Central Autonomic System
- Explaining the Autonomic Network
- Modulating the Output of the ANS
- Common Clinical Symptoms/Signs of ANS Dysfunction
- Direct Central Autonomic Network
- Chemical Influences on Dysautonomia
- Hypothalamic-Pituitary Interaction
- Cerebral and Somatic Blood Flow
- Postural Dysautonomia Syndromes
- Pupillometry and the Pupil
- Cervical Spine and Dysautonomia
Chapter 3: The Cognitive Neuroscience of Concussion
Explore the complex world of cognitive function and its vulnerability to concussion in this expansive chapter of the Functional Neurology Management of Concussion. After reviewing the medical literature for topic relevance, and foundation, we begin a dive deep into the brain’s intricate workings that summate to the cognitive experience. Dr. Antonucci introduces and expands on his 5-level hierarchy of cognitive processing, including concussion’s effects, the effects of commonly prescribed medications, domain assessments, technology, and the clinical relevance of each level.
Embark on a journey through cutting-edge research and clinical findings, unraveling the subtle ways in which concussions can reshape cognitive processes. This course is not just a learning experience; it’s an invitation to join the frontline of cognitive neuroscience, empowering you with knowledge that can make a real difference in the lives of those impacted by concussions.
- Concussion and Cognition
- The Role of Intelligence in Cognitive Function
- Cognitive Domains as Components of Intelligence
- IQ and Cognitive Function Post-Concussion:
- Cognitive Domains Affected by Concussion:
- Neuropsychological Impact of Sports-Related Concussion:
- Self-Reported Symptoms vs. Objective Neurocognitive Testing
- Assessment Tools in Concussion Management
- Network Connectivity and Cognitive Function Post-Concussion
- The Hierarchical Organization of Cognitive Functions and Their Interplay
- Perception, Motor Skills, and Sensory Processing
- Attention and Executive Function Post-Concussion
- Language and Communication After Concussion
- Memory and Learning Post-Concussion
- Emotional Intelligence and Social Cognition
- Introduction to Therapeutic and Rehabilitation Strategies
- Clinical Implications of Congitive Neuroscience and Patient Care
Chapter 4: Implications of Peripheral and Central Vestibular Dysfunction in Concussion
This chapter provides a comprehensive exploration of the vestibular system, delving into its anatomy and physiology from the peripheral components to the central processing areas. It emphasizes the significance of understanding common vestibular conditions and pathologies, particularly those that often coexist with or result from concussions. The chapter thoroughly examines various vestibular reflexes, detailing both their normal functioning and the manifestations of their dysfunction. It also highlights the critical role of diagnostic procedures in pinpointing vestibular decompensation, covering techniques such as Computerized Posturography, Rotary Chair Testing, Video Head Impulse Testing, Videonystagmography (VNG), and Caloric Irrigation. Furthermore, the chapter addresses the intricate relationship between the vestibular system and different subtypes of concussion, along with associated conditions, underscoring the complex interplay that affects patient management.
- Explore the anatomy and physiology of the vestibular system from peripheral to central, including more common vestibular presentations/pathologies that are connected to or comorbid with a concussion
- Review and comprehend all vestibular reflexes, their normal and abnormal presentations
- Implications of common and special diagnostic procedures and their results on localization of vestibular decompensation:
- Computerized Posturography
- Rotary Chair Testing
- Video Head Impulse Testing
- Videonystagmography (VNG)
- Caloric Irrigation
- Understanding the interplay between the vestibular system and the concussion subtypes and associated conditions
Chapter 5: Alterations in Sensory-Motor Processing in Concussion:
Chapter 5 in “Functional Neurology for Manual Therapies (FN-MOC)” provides a profound insight into proprioception, a key sensory system that is the second to develop during fetal growth and fundamental to human biomechanics and embodiment. It begins by exploring the anatomy of proprioception, tracing its intricate pathways from peripheral receptors to central nervous system processing. This foundation allows for a detailed discussion on various assessments of proprioception, with an emphasis on interpreting these evaluations in a clinical setting, particularly in relation to concussion.
The chapter then addresses the critical integration of proprioception with vestibuloception, highlighting the synergy between these systems in maintaining spatial awareness and balance. It delves into common proprioceptive deficits observed following concussions, examining how these impairments can disrupt muscle coordination, tactile processing, and the individual’s interaction with the external world. These deficits are connected to broader somatic syndromes commonly associated with concussions.
In addition to proprioception, the chapter expands its scope to discuss the role and impact of olfaction and gustation, senses that are often overlooked but can be significantly altered in the event of a concussion. Furthermore, it explores auditory processing in concussion, emphasizing the potential changes in auditory perception and processing that can occur.
Overall, this chapter aims to equip scholars with a comprehensive understanding of the neurology of proprioception and its critical relationship with concussion, emphasizing its role in balance, spatial awareness, and the overall sense of self. It underscores the multidimensional effects of concussions on sensory systems and the importance of a holistic approach in concussion management.
- The anatomy of proprioception from peripheral to central
- Assessments of proprioception and their interpretation
- The integration between proprioception and vestibuloception
- Common proprioceptive deficits in concussion
- Somatic syndromes associated with concussion
- The contribution to proprioception to balance and spatial awareness
- Olfaction and Gustation in Concussion
- Auditory Processing in Concussion
Chapter 6: Quantifying Visual and Oculomotor Dysfunction in Concussion
Chapter 6 of “Functional Neurology Management of Concussion” (FN-MOC)” focuses on the quantification of visual and oculomotor dysfunctions commonly associated with concussions. Acknowledging the human visual system as the most dominant sense, the chapter emphasizes that about 80% of the brain’s environmental information is derived from visual input. It explores the complex coordination of intra-ocular, extra-ocular, facial, and neck muscles that the brain employs to control this visual input.
The chapter provides a detailed look at the anatomy and physiology of the visual and oculomotor systems, mapping their journey from peripheral mechanisms to central processing. It covers the basics of visual refraction and delves into special testing methods for the visual system, including color processing, stereopsis, accommodative range, ocular alignment, VEPs (Visual Evoked Potentials), ERGs (Electroretinograph), and more.
Significantly, the chapter examines various oculomotor functions and pathologies such as accommodation, ocular alignment, ocular reflexes, gaze maintenance, saccades, pursuits, and vergence. Each aspect is explored in the context of their impact on human functioning and their alteration following a concussion.
Finally, the chapter addresses rehabilitation strategies for visual and oculomotor pathologies that are commonly associated with concussions. These strategies are crucial for restoring and improving visual and oculomotor functions, which are essential for daily activities and overall quality of life. This chapter aims to provide a comprehensive understanding of the visual and oculomotor systems in relation to concussion, enabling effective assessment and treatment.
- The anatomy and physiology of the visual and oculomotor system from peripheral to central
- Basics of visual refraction
- Special testing of the visual system
- Visual Evoked Potentials
- Electroretinography
- Utilizing a Phoropter to Measure Orthoptic Dysfunction
- Oculomotor Functions and Pathologies:
- Binocular Vision
- Depth Perception
- Accommodation
- Ocular alignment
- Ocular reflexes
- Gaze Maintenance
- Saccades
- Pursuits
- Vergence
Neuro-Skill Laboratory 2.7: Developing and Performing a Comprehensive Concussion Evaluation:(3 Days of Onsite Training)
This three-day on-site course designed for the implementation of all diagnostic testing taught in Chapters 1-5 offers an intensive, hands-on learning experience for healthcare practitioners. This course is meticulously structured to cover the comprehensive range of diagnostic tests and procedures outlined in the first five chapters of the curriculum, providing a practical, real-world application of theoretical knowledge. Each day is dedicated to in-depth sessions focusing on different sets of diagnostics, ensuring a thorough understanding and hands-on experience in each area. Participants will have the opportunity to work with state-of-the-art diagnostic equipment and tools, under the guidance of expert instructors who provide personalized feedback and instruction. This interactive environment is ideal for reinforcing learning, allowing practitioners to refine their diagnostic skills through practice and direct application. The course is especially beneficial for those looking to enhance their proficiency in a wide array of diagnostic techniques, from basic assessments to more complex procedures, ensuring they are well-equipped to apply these skills in their clinical practice.
Chapter 8: Incorporating Autonomic and Vestibular Rehabilitation:
This chapter offers a comprehensive and practical approach to understanding and treating concussion-related vestibular issues. It provides a blend of theoretical knowledge and practical training, focusing on the autonomic and vestibular systems’ roles in concussion. Attendees learn applications to treat dysfunctions in these systems, which are often impacted by concussive injuries. The chapter offers a blend of scientific theory and evidence-based practices, ensuring participants come away with a thorough understanding of how to effectively manage and rehabilitate concussions with a focus on autonomic and vestibular dysfunctions.
Chapter 9: Sensory Integrative Therapies, Orthoptic Exercises, and Layering Cognitive Function Therapies:
In Chapter 9, learners will explore the nuances of sensory integration therapy, understanding how to address sensory processing issues that often arise post-concussion. The course also delves into orthoptic exercises, teaching participants how to implement these eye exercises to improve vision problems and eye coordination affected by concussive injuries.
Additionally, the course covers the layering of cognitive function therapies, a crucial aspect of concussion rehabilitation. Participants will learn strategies to enhance cognitive recovery, including memory, attention, and executive function exercises, tailored to the needs of individuals recovering from concussion.
NeuroSkills Laboratory 2.10: Therapeutic Procedures, Clinical Workflows, Patient Management, and Treatment Plan Creation Workshop (3 Days of Onsite Training)
This intensive workshop for professionals who have completed Chapters 1-9, studied the theoretical aspects in these chapters, and are now eager to translate this knowledge into practical skills. Throughout the three days, attendees engage in a series of workshops and exercises that focus on the core rehabilitation strategies, principles, and techniques outlined in the chapters. The course structure allows for proficiency and hands-on practice under the guidance of experienced instructors. Participants will work in small groups to ensure personalized attention and an opportunity to practice and refine their skills. This course is particularly beneficial for those looking to apply complex concepts in a real-world setting, as it bridges the gap between theoretical learning and practical application. By the end of the workshop, attendees will have gained not only a deeper understanding of the material from Chapters 8 and 9 but also the confidence to implement these strategies in their professional practices.Dr. Antonucci masterfully sets the stage for this next Level of the Functional Neurology Management of Concussion by exploring the unique and complex ways our brains react to these injuries. Taking a controversial detour from the popular localization theory of neurological rehabilitation, he creates a compelling case for the rehabilitation of functional-networks, by deconstructing how the brain processes information. He delves into the nuanced interplay between neurological networks, sensory inputs, and individual physiological differences. This chapter is the foundational underpinning for the creation of a case-specific concussion rehabilitation program. Whether you are an aspiring concussion expert with Level 1 under your belt, or a seasoned healthcare professional, buckle in and prepare to jump in the deep end of concussion management.
For a full list of level 2 topics - click here
ORIGIAL LIST OF TOPICS
ORIGINAL LIST OF CHAPTER 2 TOPICS
Each chapter of Level 2 will dive into the deepest depths of its content, with a consistent theme of “assess to treat”. In Level 2 we are not concerned with a diagnosis. Every assessment that is performed should provide meaningful therapeutic implications for solving the complex puzzle of protracted and persisting symptoms.
Chapter 1: Understanding Persisting Concussion Symptoms (“Post-Concussion Syndrome”) (via online self-paced learning)
- To solve persisting concussion symptoms, scholars must understand why they are persisting, to begin with. The mechanisms of PCS are related-to but are different than the mechanisms of acute concussion. Therefore, they need to be managed differently. Scholars will find these answers and more in this carefully curated flipped classroom assignment.
Chapter 2: Concussion-Related Metabolic, Autonomic, and Sleep Pathophysiology (via online self-paced learning)
- After weeks, months, and sometimes years of neuroplastic remodeling, the brain and its environment is often in a downward spiral. Chronic inflammation, hormonal disruption, autonomic dysfunction, insomnia, and other challenges perpetuate pain, suffering, injury, and poor quality of life. In this chapter, we will discuss common metabolic, autonomic and sleep disturbances caused by hypothalamic and pituitary dysfunction, as well as remodeled central autonomic networks.
Chapter 3: Vestibular Dysfunction and Central Syndromes (via online self-paced learning)
- In Level 1, we learned that vestibular processing is the most precocious sensory modality, upon which all other senses are tangentially built. In this chapter, we discuss the advanced vestibular testing, interpretation, and multi-sensory training that can augment central and peripheral vestibular processing.
Chapter 4: Cervical and Somatic Dysfunction and Treatment Strategies (via online self-paced learning)
Chapter 5: Oculomotor and Visual Assessment and Rehabilitation (via online self-paced learning)
Chapter 6: Assessing and Rehabilitating Changes in Cognition and Affect (via online self-paced learning)
Chapter 7: Clinical Workflows, Patient Management, and Treatment Plan Creation (via online self-paced learning)
Chapter 8: Therapeutic Procedures Workshop (3 days of on-site training)
Program Structure
This 2-level program utilizes a specific pedagogy to ensure the best learning experience for attending clinicians, while also making it available to clinicians worldwide.
Flipped Classroom
A flipped classroom is a style of blended learning that introduces crucial foundational concepts before the main lectures and applications are taught. This allows all scholars to enter the main program on the same level and encourages deeper learning on more advanced topics during the main lectures.
Interactive Asynchronous Learning
Interactive asynchronous learning allows you to learn on your own schedule. The main lectures are pre-recorded and will be available 24/7 on your online learning portal. Our online learning features interaction through knowledge-check questions embedded throughout the lectures, quizzing, and submission of open-ended written competency evaluations. The material will remain on your learning portal as long as one maintains an active Carrick Institute account. We encourage scholars to review the material several times for the best learning experience.
Onsite-Learning
To achieve certification status, one must attend the onsite portion for each level. The onsite learning will carefully instruct clinicians on the hands-on skills they need to know for proficiency in the management and rehabilitation of concussions.
Level 1 – Chapter 4 (Creating and Performing a Baseline Assessment): 3 days onsite (25 neurology hours)
Level 2 –
Chapters 1 - 10 have live course dates, you have the option to attend the recording sessions for the course live, or you will receive the course via online, self-paced learning
Level 1 & Level 2 both have an onsite module that is required to attend to receive certification status.
Chapter 6 ( Level 2 NeuroSkill Laboratory A: Diagnostic Skill Acquisition ): 3 days onsite (25 neurology hours)
Chapter 10 (Level 2 NeuroSkill Laboratory B: Therapeutic Skill Acquisition): 3 days onsite (25 Neurology Hours)
Those who complete Level 1 & Level 2 of Functional Neurology Management of Concussion will be eligible to sit for the FABBIR board examination from the ACFN.
What Sets Functional Neurology Essentials Apart from Other Programs?
Optimizing one's nervous system creates an environment for maximum healing while simultaneously maximizing the human potential.
One of the main elements that sets Functional Neurology Essentials apart from any other programs is the methodology used in its creation. While many programs are created using information solely from textbooks, we started developing Functional Neurology Essentials by doing a job analysis on some of the most successful Functional Neurology practitioners in the world.
The results allowed us to identify three critical criteria used in the writing of the program:
Type of patients Functional Neurology practitioners commonly treat.
The most common practical clinical assessments and applications utilized by these practitioners.
The academic concepts that these doctors felt contributed most to their learning of the material.
This knowledge enabled us to establish the most fundamentally effective examination procedures to help anatomically localize the area of CNS dysfunction and identify the most effective receptor-based therapy to treat it.
We then performed a literature search to construct an extensive library of evidence supporting nearly every concept and procedure taught in this program.
Functional Neurology Management of Concussion (FN-MOC) FAQ Videos
Course Information
Tuition
FNMOC Level 1 - 70 Hours
$2,995.00 ($42 per credit hour)
FNMOC Level 2 - 280 Hours
$12,980.00 ($46 per credit hour)
Level 1 Tuition Includes
70 hours of training
(consists of online learning plus a 3-day onsite training for Module 4 – Creating and Performing a Baseline Assessment)
70 CE Hours
70 Neurology Hours towards the ACFN (American College of Functional Neurology), ABBIR (American Board of Brain Injury and Rehabilitation) & ACNB (American Chiropractic Neurology Board)
Level 2 Tuition Includes
Approximately 280 hours of training
(consists of online learning plus a 3-day onsite training for chapter 8 – Therapeutic Procedures Workshop)
Approximately 280 CE Hours
Approximately 280 Neurology Hours towards the ACFN (American College of Functional Neurology), ABBIR (American Board of Brain Injury and Rehabilitation) & ACNB (American Chiropractic Neurology Board)
Included In Your Tuition for Level 1 & 2
All-Access to the digital recording of the class
All-Access to the flipped classroom material and online videos, including updates. The clinical applications will be organized and updated so you can easily find them, review them, and implement them in practice.
Re-attendance – Retake the class on-site, via Livestream, or via online, self-paced learning as many times as you’d like as an audit.*
Receive any future updates to the course videos or other materials
Hours towards the ACFN (American College of Functional Neurology), ABBIR (American Board of Brain Injury and Rehabilitation) & ACNB (American Chiropractic Neurology Board)
3 months of unlimited access to Medline
Re-attendance policy: Scholars who have registered and completed the program (including the 4-day format or the 5-module series in its entirety) have the ability to re-attend the course with no additional fee. When re-attending a course, the scholar will not receive continuing education credits and will receive an audit. Carrick Institute is not responsible for providing new materials for class audits, including but not limited to manuals, shirts, equipment, etc. If manuals have been updated since the original attendance date, the updated materials will be available via PDF on the scholar’s online portal. If the scholar would like to purchase a new paper manual, they may do so before the course start date.
The All-access and re-attendance as part of your Functional Neurology tuition are specific to the Functional Neurology program. The re-attendance is considered an audit of the course material and does not yield CE or CEU credits. It does transfer to other programs offered by the Carrick Institute.
To view full Terms & Conditions, click here.
For more information on CE/CME eligibility, visit https://carrickinstitute.com/ceinfo/
Continuing Education
Continuing education requirements to maintain certification status through a professional association are usually separate from the state board’s requirements. In order to maintain your certification status in your state please submit a State Continuing Education Application Form.
*We cannot guarantee approval for individual state CEUS. Each state has different rules and regulations. State Applications need to be submitted at least 90 days prior to the state date of your course*
Recertification / Diplomate Requirements: All Carrick Institute courses are approved by the ACFN & ACNB.
Presenting Faculty
Dr. Antonucci is an experienced chiropractic neurologist, functional neurology practitioner, researcher, and international lecturer. He trained extensively under Professor Ted Carrick and has provided breakthrough forms of neurorehabilitation and performance training to thousands of patients. He consults with several NFL and NHL franchises on performance training and neurotrauma, and his work has been featured on ESPN, Sports Illustrated, Fox News, and more. He has delivered more than 11,000 hours of presentations, both nationally and internationally, as Carrick Institute faculty. Most importantly, he is a loving husband and the father of five amazing boys, whom he hopes to inspire to follow in his footsteps.
We are very excited to have Dr. Antonucci be your guide on this clinical education journey.
Advisory Board
Under the guidance and leadership of our lead instructor, Dr. Matthew Antonucci, our medical advisory board of expert multidiscipline providers has developed a curriculum including over 500 Entrustable Professional Activities (EPAs) in 10 chapters necessary to understand, disentangle and correct the complex neurological remodeling that occurs with persisting concussion dysfunction.
Matthew Antonucci
DC, DACNB, FACFN, FABBIR, FICC
Paul Brewer
OD
Robert Cantu
MA, MD, FACS, FACSM, FAANS, FICS
Joseph clark
PhD
David Clark
DC, DACNB, FACFN, FABVR, FABBIR, FABNN
Michael Compton
MSN, FNP-C, RNFA
Eric Dinkins
PT, MSPT, DPT, OCS
Kenneth Jay
Cand. Scient., MSc., PhD
Julie Knoll
PT, NCS
John Leddy
MD, FACSM, FACP, FAMSSM
steven lopez
MD
Mike T Nelson
MSME, PhD
Srinivas Prasad
MD, FACC, FSCAI
Steven Roffers
DC, DPT, PhD
Peter Staats
MD, MBA, FIPP, ABIPP
Get Started
JOIN US ONLINE OR AT ONE OF THE LIVE LOCATIONS LISTED BELOW!
Upcoming Course Dates
HOTEL / VENUE INFORMATION
REGISTER HERE
-
Functional Neurology Management of Concussion – Level 2
$12,980.00 Select options This product has multiple variants. The options may be chosen on the product page -
Functional Neurology Management of Concussion – Level 1
$2,995.00 Select options This product has multiple variants. The options may be chosen on the product page