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Workshop #5

Blinking and Counting: How to Rehabilitate the Brainkle Sprain

Speaker 1: Christopher Burcal

Speaker 2: Adam Rosen

Background & Relevance: Recent research has found discrepancies in brain and neurocognitive function in patients with ankle sprains and CAI. As a functional reorganization in the cortex occurs, altered sensorimotor feedback and processing may influence reinjury in these individuals. CAI patients rely more on visual cues for balance, and have a decreased ability to direct cortical attention to cognitive tasks while moving. We have seen a large increase in research identifying functional central nervous system deficits in CAI patients. However, how do sports medicine and orthopaedic clinicians utilize information to change their rehabilitation protocols? This session will serve to provide guidance for the clinician how to interpret and utilize this recent evidence, and provide some ways to enhance current balance protocols during rehabilitation. Solutions will range from hi-tech to low-tech, with use of stroboscopic glasses, choice reaction mats, dual-task computer programs, virtual reality headsets, blurry glasses, google cardboard VR headsets, to simple blinking!

Learning Objective 1: Attendees will be able to individually assess sensorimotor deficits such that patient- oriented decision-making may be individualized in order to maximize outcomes.

Learning Objective 2: Attendees will learn how to devise protocols which utilize visual and cognitive inputs throughout balance protocols in the management of acute and subacute ankle sprains.

Learning Objective 3: Attendees will apply their knowledge through the practice and performance of balance exercises which manipulate visual and cognitive inputs.