Concussions - 5 Reasons for Persistent Dizziness
Concussions - 5 Reasons for Persistent Dizziness
This course includes
The instructors
Overview
As a busy clinician do you find that treating concussions can be a challenge at times, especially if dizziness is involved?
If so, you are not alone.
Research has found that dizziness after a concussion is the second most common symptom, after headaches, and is often associated with prolonged recovery.
Should we, therefore, conclude that a prolonged recovery is the natural history of a concussion which includes dizziness and set our expectations accordingly? Or are there factors that we can impact?
In this course, we will cover 5 common reasons why patients, including athletes, have persistent dizziness after a concussion and strategies that we can use to improve our outcomes.
Let’s make sure all of our patients are provided with the best environment to recover in.
Learning Objectives
By the end of this course with Kregg Ochitwa, you will be able to:
- Recognize the common reasons why someone may experience persistent dizziness after a concussion.
- Explain to your patient/athlete the reason for their persistent dizziness.
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Develop a framework to facilitate the best outcomes when treating persistent dizziness related to a concussion.
Audience
This course is appropriate for all physiotherapists (physical therapists) and any rehabilitation professional who works with people who suffer from dizziness, or who have experienced a concussion or other head trauma.
The instructors
BScPT, CWCE, CredMDT
Kregg has been a registered physical therapist since 1995. Over the years, his caseload has evolved from exclusively orthopedic care to a blend of orthopedic and vestibular rehabilitation. With this background, he has established a strong reputation in concussion management, having treated athletes in the NFL, CFL, collegiate ranks, WHL, high school athletics, and the dedicated weekend warrior.
In 1998, he completed his first course in vestibular rehabilitation. In 2008, he fulfilled all requirements of the Vestibular Rehabilitation: A Competency-Based Course at Emory University in Atlanta, Georgia. Since then, he has pursued extensive continuing education throughout North America in orthopedics, traumatic brain injury, and vestibular therapy. In 2025, he earned the designation of Advanced Vestibular Physical Therapist (AVPT) through the University of Pittsburgh.
Given his commitment to ongoing education and evidence-based practice, Kregg has been invited to teach weekend courses and present at conferences throughout North America and Europe. He looks forward to sharing what he has learned over the years to help other clinicians achieve better outcomes in less time.
In 2010, Kregg founded North 49 Physical Therapy and the North 49 Balance & Dizziness Centre in his hometown of Saskatoon, Saskatchewan. What began as a single-clinician practice has grown to a team of six physical therapists, with more than half of the clinic’s caseload consisting of patients with dizziness and balance disorders. The clinic collaborates closely with a trusted network of consultants, including specialists in otolaryngology, neurology, neuro-ophthalmology, audiology, occupational therapy, psychology, and neuropsychology.
Too many people live with dizziness unnecessarily, and Kregg’s goal is to help change that.
Material included in this course
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Welcome and Resources
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Welcome!
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Slides
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Cheat Sheet: Vestibular Chart
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Concussions - 5 Reasons for Persistent Dizziness
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Concussion Definition
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Case Study
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Causes of Persistent Dizziness
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Vestibular
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BPPV Exam
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BPPV Treatment
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What is a Perilymphatic Fistula?
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What is Endolymphatic Hydrops
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Motion Sensitivity
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Joint Position Error Test
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Ocular Exam (Strabismus)
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Mental Health
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Lifestyle and Circumstance
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So Where Do We Start?
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Questions
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Congrats and what's next!
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Feedback
What other courses does Kregg Ochitwa teach?
Kregg Ochitwa has several other online courses available on Embodia. You can find all of his courses by visiting this page on Embodia Academy.
Note: Some of Kregg's courses have been approved for CEUs/CPDs for PTs in the US and South Africa. If a course has been approved, there will be a FAQ on the page that provides further information.
Is a certificate of completion included with this course?
Once you have completed the course, a certificate of completion (including learning hours and course information) will be generated. You can download this certificate at any time. To learn more about course certificates on Embodia please visit this guide.
This can be used for continuing education credits, depending on your professional college or association. If this course has been approved for CEUs in specific jurisdictions, it will be noted on the course page and CEU information may be added to your course certificate. Please read this guide for more information.