University Hospitals SPORTS MEDICINE PLAYBOOK

Transcription

1 University Hospitals SPORTS MEDICINE PLAYBOOK University Hospitals Sports Medicine is a leader locally and nationally on the care of the athlete. Our sports medicine program has been developed to change the way we care for athletes to prevent injury and improve performance. James E. Voos, MD, Head Physician, Cleveland Browns Wherever you are, we are. Play on, CLE. Fall 2018

2 Table of Contents Welcome... 4 Spotlight: Michael J. Salata, MD... 5 Spotlight: James E. Voos, MD... 6 Athletic Trainers... 8 Orthopedic Sports Medicine... 9 Sports Medicine Expertise Close to Home Orthopedic Sports Medicine Providers Primary Care Sports Medicine Primary Care Sports Medicine Providers Concussion Management Concussion Protocol Concussion Management Providers Sports Neuropsychology Sports Psychology Sports Medicine Rehabilitation Services Sports Medicine Rehabilitation Services Locations Nutrition Services Sports Medicine Research Program Event Medicine Radiology Radiology Locations University Hospitals Urgent Care Locations University Hospitals Locations...38 Sports Medicine Resources University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 3

3 WELCOME At University Hospitals Sports Medicine, we pride ourselves on providing patients of all ages with quality care, delivered by specialists and subspecialists who are fellowship-trained in sports medicine. With UH Sports Medicine as the official health care provider of your school or organization, your student-athlete will benefit from the following: Multifaceted sports medicine approach. In this playbook, you will find a comprehensive list of the sports medicine services that are available to your student-athlete. Our multifaceted approach, along with the expertise of leading-edge sports medicine specialists, ensures that your student-athlete will receive the most appropriate and responsive treatment. Direct access. Your student-athlete has access to the same sports medicine team that provides care to the Cleveland Browns. Our team works hand-in-hand with your school s athletic trainer to ensure that your athlete receives prompt and exceptional care. If a physician appointment is needed, your student-athlete will be seen within 24 hours. Convenient locations. The UH Sports Medicine program is located throughout our 12-hospital system with multiple outpatient primary care clinics and physical therapy centers. You can also download the UH Now app or call PLAY to find the UH location nearest to you if you are competing on the road. We sincerely value the opportunity to work with you and wish you a safe and successful season. James E. Voos, MD Chairmen, Department of Orthopaedic Surgery Jack and Mary Herrick Distinguished Chair in Orthopaedics and Sports Medicine Department of Orthopedic Surgery Head Team Physician, Cleveland Browns SPOTLIGHT: Michael J. Salata, MD Michael Salata, MD, is entering his fifth season as Team Physician for the Cleveland Browns. Dr. Salata is the Director of the Sports Medicine Institute and the Joint Preservation and Cartilage Restoration Center at University Hospitals Cleveland Medical Center and Associate Professor, Department of Orthopedic Surgery at Case Western Reserve University School of Medicine. Dr. Salata s clinical focus is on cartilage restoration, meniscus surgery and the arthroscopic treatment of orthopedic pathology affecting the hip, knee, shoulder and elbow. After graduating from the Case Western Reserve University School of Medicine, Dr. Salata performed his orthopedic surgery residency at the prestigious University of Michigan Hospitals System where he was selected to act as the Chief Resident and was selected to be a part of the American Orthopaedic Association Emerging Leaders Conference. Dr. Salata served as an assistant team physician for the Division I University of Michigan football and hockey teams while in Ann Arbor. He also assisted with the coverage of Division I Eastern Michigan University football and basketball. He completed his sports medicine fellowship training at the world-renowned Rush University Medical Center in Chicago, under the guidance of Drs. Bach, Cole, Romeo, Bush-Joseph, Verma and Nicholson. As a sports medicine fellow at Rush, Dr. Salata served as the assistant team physician for the Chicago White Sox, Chicago Bulls, Chicago Steel and Chicago Public High Schools, gaining experience treating athletes at all levels of competition. After the completion of his sports and shoulder fellowship at Rush, Dr. Salata pursued additional specialized training in the field of hip arthroscopy under the direction of Dr. Shane Nho in Chicago and he has been instrumental in the creation of the young adult hip program here at University Hospitals. He was recently selected to participate in multicenter research on hip arthroscopy outcomes with the ANCHOR group. As a clinician-scientist, Dr. Salata is an active contributor to the orthopedic surgery literature, publishing numerous journal articles and book chapters to help advance the field of sports medicine. His research interests include cartilage repair and restoration, meniscus repair and transplantation, ligament reconstruction techniques and hip arthroscopy. Dr. Salata is a recipient of the esteemed Arthroscopy Association of North America (AANA) Research Award, is a member of ISHA (International Society for Hip Arthroscopy), International Cartilage Repair Society, American Academy of Orthopaedic Surgeons, the American Orthopaedic Society for Sports Medicine. Dr. Salata has trained five hip fellows and spearheaded the ACGME accreditation of the UHSMI Orthopaedic Sports Medicine Fellowship and serves in the role of fellowship director. Michael J. Salata, MD Director, Sports Medicine Institute Director, Joint Preservation and Cartilage Restoration Center Associate Team Physician, Cleveland Browns 4 University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 5

4 SPOTLIGHT: James E. Voos, MD James E. Voos, MD, is entering his fifth season as head team physician for the Cleveland Browns. Dr. Voos is the Interim Chairman for the Department of Orthopedic Surgery, Jack and Mary Herrick Distinguished Chair in Orthopaedics and Sports Medicine at University Hospitals Cleveland Medical Center and Associate Professor, Department of Orthopedic Surgery at Case Western Reserve University School of Medicine. Originally from Kansas City, Dr. Voos earned his medical degree from the University of Kansas. He performed his orthopedic surgery residency and sports medicine fellowship at the U.S. News & World Report s No. 1 ranked Hospital for Special Surgery in New York, where he was an assistant team physician for the New York Giants and WNBA New York Liberty. Dr. Voos previously served as a team physician for the Kansas City Chiefs and as head physician for the Kansas City Ballet. He currently volunteers as a team physician for local collegiate, high school and youth sports. Dr. Voos also serves as Medical Co-Director for the Cleveland Marathon and Cleveland Triathlon. Dr. Voos has published more than 50 scientific publications and book chapters. His areas of expertise include wearable performance technology, surgical treatment of ACL and multi-ligament knee injuries, shoulder instability, hip FAI and elbow Tommy John injuries. He was recently selected as a committee member for the American Orthopedic Society for Sports Medicine (AOSSM) STOP Sports Injuries initiative. Dr. Voos wife, Kristin, is a neonatologist at UH Rainbow Babies & Children s Hospital. They have three children, Kalli, K.C. and Klara. University Hospitals is thought to be a leader in Northeast Ohio, indeed in the whole country, on sports medicine, says Dr. Voos. The sports medicine program we re developing changes the way we care for athletes. Complete care doesn t mean only treating injured athletes, Dr. Voos emphasizes, but also must include injury prevention and viewing the athlete as a whole. We ve always done a great job of caring for athletes after they re injured, treating them efficiently, safely and getting them back to play in a timely manner, he says. Sports medicine s new mission is to coordinate efforts among different medical specialties, such as injury prevention, physical therapy, nutrition, sleep, cardio-fitness and concussion care Things that fall outside of the typical musculoskeletal injuries, Dr. Voos says. We want to be a resource for the entire athlete. Come to University Hospitals for any sports-related health problem, and we ll help you optimize your performance and your overall well-being. Dr. James E. Voos attending to an injured Cleveland Browns player. 6 University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 7

5 ORTHOPEDIC SPORTS MEDICINE The orthopedics program at University As a group, as well as on an individual Surgeons at UH Sports Medicine use Hospitals is recognized as one of level, these widely published physicians a minimally invasive approach to the best in the country and takes a are advancing the field of sports treatment whenever possible. Many collaborative approach to the diagnosis medicine. Through our robust research surgical techniques today are less and treatment of orthopedic conditions. program, the team explores innovative invasive, and the procedures result in With new leadership and a new NFL and leading-edge techniques with a less pain, less bleeding and shorter partnership, UH is revolutionizing the focus on implementing their research recovery time, allowing athletes to get ATHLETIC TRAINERS UH provides sports medicine services via direct athletic trainer and team physician coverage to 33 high schools in the seven-county Northeast Ohio region. UH also provides sports medicine services as team physicians to an additional 18 high schools and seven colleges. Our athletic trainers are health care professionals who The following services and benefits are included with having a UH certified athletic trainer at your school: Expedited appointments and direct access to the team physician when needed Access to the Healthy Roster injury tracking program, including the ability for secure communication among the athletic trainer, coaches and parents way sports medicine care is delivered. The multifaceted sports medicine program offers comprehensive specialty and subspecialty care. Our highly trained orthopedic physicians received their education from prestigious national and international institutions, and they work across multiple disciplines to determine the best possible course of action throughout the entire diagnosis, treatment and rehabilitation process. outcomes to ultimately enhance player performance, prevent future injury and optimize overall health for athletes at all levels of play. From elite professionals to school-aged youth athletes, and the middle-aged weekend warriors in between, our athletes receive total care that allows them to regain movement and see performance improvements. back in the game faster. UH prides itself on ensuring patients receive the most appropriate, responsive treatment, and all of our sports medicine services are available at multiple outpatient primary care clinics and physical therapy centers. collaborate with the team physicians to optimize athletes ability to participate in their sports. On-site medical care for home and away interscholastic practices, events An athletic trainer is schooled in the prevention, examination and diagnosis, treatment, and rehabilitation of injuries and and competitions Assistance with the development of emergency action plans to maintain the safety of athletes certain medical conditions in order to minimize Sport-related educational offerings re-injury and to facilitate the safe return to for athletes, coaches and parents athletics. Athletic trainers also participate in UH-sponsored return-to-play and performance enhancement programs along with research opportunities to establish evidence to justify such programs to maximize an athlete s performance. Consultation with coaches on pre-season, in-season and off-season conditioning programs and performance training Concussion management in collaboration with concussion-trained physicians Lisa Piazza RN BSN MBA Operations Director, Sports Medicine Institute If you are interested in discussing the placement of an athletic trainer in your school or securing athletic trainers for your sporting events, please contact the UH Sports Medicine department administrator: Lisa Piazza at University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 9

6 SPORTS MEDICINE EXPERTISE CLOSE TO HOME SPORTS MEDICINE EXPERTISE CLOSE TO HOME UH Rainbow Babies & Children s Hospital 2101 Adelbert Road 3999 Richmond Road UH Conneaut Medical Center 158 West Main Road Conneaut, Ohio UH Elyria Medical Center 630 East River Street Elyria, Ohio UH Fairlawn 3800 Embassy Parkway, Suite 250 Fairlawn, Ohio UH Geauga Medical Center Ravenna Road Chardon, Ohio UH Geneva Medical Center 870 West Main Street Geneva, Ohio UH Independence Medical Center 6150 Oak Tree Boulevard, Suite 150A Independence, Ohio UH Parma Medical Center 7007 Powers Boulevard Cleveland, Ohio UH Portage Medical Center 6847 North Chestnut Street Ravenna, Ohio UH Richmond Medical Center, A campus of UH Regional Hospitals Chardon Road Richmond Heights, Ohio UH St. John Medical Center Center Ridge Road UH Samaritan Medical Center 1025 Center Street Ashland, Ohio BONE (2663) UH Avon 1997 Healthway Drive, 2nd Floor, Suite 203 Avon, Ohio UH Mayfield Village 730 SOM Center Road Mayfield Village, Ohio UH Medina 4001 Carrick Drive Medina, Ohio UH Mentor 9000 Mentor Avenue Mentor, Ohio UH North Ridgeville Lorain Road North Ridgeville, Ohio UH Sheffield Center for Orthopedics 5001 Transportation Drive Sheffield Village, Ohio UH Streetsboro 9318 State Route 14 2nd Floor Streetsboro, Ohio Solon Road UH Twinsburg 8819 Commons Boulevard Twinsburg, Ohio UH University Suburban 1611 South Green Road UH Westlake 960 Clague Road Suite 3110 Center of Orthopedic Surgery 1 Infinity Corporate Centre Drive, Suite 160 Garfield Heights, Ohio University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 11

7 ORTHOPEDIC SPORTS MEDICINE PROVIDERS JAMES E. VOOS, MD 1000 Auburn Drive Kathy Risman Pavilion, Suite 210 MICHAEL SALATA, MD 1000 Auburn Drive Kathy Risman Pavilion, Suite 210 ROBERT GILLESPIE, MD 1000 Auburn Drive Kathy Risman Pavilion, Suite 210 MARTIN LELAND, MD UH Geauga Medical Center Specialty Clinic Ravenna Road Chardon, Ohio SHANA MISKOVSKY, MD Bolwell Floor 5, Suite 5100 BRIAN VICTOROFF, MD Bolwell Floor 5, Suite 5100 UH Westlake 960 Clague Road, Suite 3110 UH Medina 4001 Carrick Drive, Suite 160 Medina, Ohio UH Twinsburg 8819 Commons Boulevard, Suite 202 Twinsburg, Ohio UH University Suburban 1611 South Green Road, Suite 027 UH Westlake 960 Clague Road, Suite Solon Road, Suite 204 UH Twinsburg 8819 Commons Boulevard, Suite 100 Twinsburg, Ohio UH Streetsboro 9318 State Route 142 Streetsboro, Ohio Auburn Drive Kathy Risman Pavilion, Suite 210 UH Mentor 9000 Mentor Avenue, Suite 209 Mentor, Ohio UH Westlake 960 Clague Road, Suite Auburn Drive Kathy Risman Pavilion, Suite Solon Road, Suite 200 ALLISON GILMORE, MD Bolwell Floor 5, Suite Auburn Drive Kathy Risman Pavilion, Suite 210 UH University Suburban 1611 South Green Road, Suite 027 DONALD GOODFELLOW, MD 1000 Auburn Drive Kathy Risman Pavilion, Suite 210 UH University Suburban 1611 South Green Road, Suite 027 MICHAEL KARNS, MD UH Concord 7500 Auburn Road Concord, Ohio UH Mentor 9000 Mentor Avenue Mentor, Ohio DAVID GODFREY, MD UH Samaritan 2212 Mifflin Avenue, Suite 220 Ashland, Ohio DAVE MARSH, MD UH Sheffield Center for Orthopedics 5001 Transportation Drive Sheffield Village, Ohio JEFFREY B. SHROYER, MD UH Independence 6150 Oak Tree Boulevard, Suite 150A Independence, Ohio University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 13

8 PRIMARY CARE SPORTS MEDICINE The UH Primary Care Sports Medicine physician group comprises experienced physicians trained in the prevention and care of musculoskeletal issues, concussions and other health problems linked to sports injuries. Their nonsurgical treatment approach addresses sports or activity-related injuries and illnesses as well as focuses on holistic care for the athlete. Understanding that many sports injuries can be effectively treated without surgery, our expert physicians strive to utilize minimally invasive treatment techniques to ensure a quicker recovery and return to activity. Starting with the proper medical diagnosis, our highly trained specialists establish individualized treatment plans and personalized goals for safely returning athletes to normal function. Armed with a battery of effective medical treatments, our primary care physicians and physical therapists use advanced therapeutic and rehabilitative JARED LEVIN, MD The Center of Orthopedic Surgery Inc Ridge Road, Suite 100 Parma, Ohio The Center of Orthopedic Surgery Inc. 1 Infinity Corporate Center Drive, Suite 160 Garfield Heights, Ohio CHARLES LOPRESTI, MD The Center of Orthopedic Surgery Inc Ridge Road, Suite 100 Parma, Ohio The Center of Orthopedic Surgery Inc. 1 Infinity Corporate Center Drive, Suite 160 Garfield Heights, Ohio MICHAEL LOPRESTI, MD 1000 Auburn Drive Kathy Risman Pavilion, Suite 210 UH University Suburban 1611 South Green Road, Suite 027 techniques to provide athlete-specific care. UH is committed to covering community sports. Team coverage is a unique engagement with the community that allows our physicians to provide comprehensive care to athletes during pre-participation evaluations, in the training room, on the sidelines of the games and during recovery. UH Primary Care Sports Medicine sponsors several athletic organizations, including: ALAN PANTEK, MD The Center of Orthopedic Surgery Inc. 1 Infinity Corporate Center Drive, Suite 160 Garfield Heights, Ohio DANIEL ZANOTTI, MD UH Sheffield Center for Orthopedics 5001 Transportation Drive Sheffield Village, Ohio ROBERT ZANOTTI, MD UH Sheffield Center for Orthopedics 5001 Transportation Drive Sheffield Village, Ohio The Center of Orthopedic Surgery Inc Ridge Road, Suite 100 Parma, Ohio While functioning as a cohesive team, our physicians, surgeons, therapists, trainers and psychologists work with patients, families, coaches and athletic trainers to provide a complete range of sports medicine services for athletes of all ages. In the following pages, you will find more information on some of these specific collaborative programs and how University Hospitals tailors care to each athlete. 14 University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 15

9 PRIMARY CARE SPORTS MEDICINE PROVIDERS BENJAMIN BOSWELL, DO Bolwell Suite Richmond Road Risman Pavilion, Suite 200 UH Mayfield Village 730 SOM Center Road, Suite 130 Mayfield Village, Ohio UH Twinsburg 8819 Commons Boulevard, Suite 202 Twinsburg, Ohio SEAN CUPP, MD 1000 Auburn Drive Kathy Risman Pavilion, Suite 210 UH University Suburban 1611 South Green Road, Suite 027 UH Westlake 960 Clague Road, Suite 3110 AMANDA WEISS-KELLY, MD Solon Road, Suite 202 UH University Suburban 1611 South Green Road, Suite 027 UH Westlake 960 Clague Road, Building A Suite 1600 SUSANNAH BRISKIN, MD University Premier Pediatricians UH Mentor 9000 Mentor Avenue, Suite 100 Mentor, Ohio Pediatric Sports Medicine Solon Road, Suite 202 Solon Rainbow Physicians and Surgeons Solon Road, Suite 200 UH University Suburban 1611 South Green Road, Suite 027 LAURA GOLDBERG, MD UH Avon 1997 Healthway Drive Avon, Ohio ROBERT FLANNERY, MD UH Avon 1997 Healthway Drive Avon, Ohio UH Mayfield Village 730 SOM Center Road, Suite 130 Mayfield Village, Ohio UH Westlake 960 Clague Road, Suite 3110 MARY SOLOMON, MD UH Fairlawn 3800 Embassy Parkway, Suite 250 Fairlawn, Ohio UH Medina 4001 Carrick Drive, Suite 220 Medina, Ohio Pediatric Sports Medicine Solon Road, Suite 202 CHRISTOPHER TANGEN, DO UH Richmond Medical Center Chardon Road, Suite 120 Richmond Heights, Ohio Warrensville Outpatient and Neuro Rehab 4480 Richmond Road Warrensville Heights, Ohio UH Twinsburg 8819 Commons Boulevard, Suite 202 Twinsburg, Ohio UH University Suburban 1611 South Green Road, Suite 027 CHRISTOPHER BOYD, MD UH Medical Associates of Mid-Ohio 2109 Claremont Avenue Ashland, Ohio TODD ZIEGER, MD UH Sharon Family Physicians UH Sharon 5133 Ridge Road, Suite 1 Wadsworth, Ohio University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 17

10 CONCUSSION MANAGEMENT The Concussion Management Program at University Hospitals is a collaborative effort that includes expert care from specialists at UH Neurological Institute, UH Primary Care Institute, UH Rainbow Babies & Children s Hospital, UH Rehabilitation Services and UH Sports Medicine, as well as other adult and pediatric specialty providers. We are committed to evaluating and assisting athletes with concussions to help them return to the game safely. As a health care partner for professional athletes, University Hospitals has neuropsychologists and sports medicine physicians who provide concussion care to these elite professional athletes. In addition to this care, our team provides a wide range of services for all levels of athletic skill including college, high school and youth teams, and individuals within the community. University Hospitals sports medicine physicians and neuropsychologists are specially trained and have years of experience managing concussions at all levels of sport. The Concussion Management Program consists of an integrated, multidisciplinary network of concussion specialists who manage all levels of care, including cognitive evaluation, physical rehabilitation, headache management and other common areas impacted by concussion. After a head injury, our concussion care begins with a comprehensive evaluation by a primary care sports medicine specialist, followed by further care from a team of specialists, as needed. University Hospitals providers are involved during all phases of care for comprehensive post-head injury evaluation, including: Sports medicine specialists Primary care physicians Dentists ENT specialists Neurologists Neuropsychologists Neurosurgeons Physical therapists Psychologists Speech therapists Athletic trainers These expert providers optimize patients compliance with care, follow-up evaluation and treatment, which is critical for safe return to work and play. To schedule an appointment with one of our concussion experts, please call PLAY. 18 University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 19

11 CONCUSSION PROTOCOL BE PREPARED Parents, coaches and referees should all understand what a concussion is, how to identify it in athletes, and what to do if you suspect a concussion in an athlete. What is a concussion? It is a complex process where a blow to the head or body results in forces on the brain that move it inside the skull. This leads to physical symptoms (e.g., headache or dizziness), cognitive symptoms (e.g., memory loss or confusion) or emotional symptoms (e.g., being unusually tearful). CONCUSSIONS USUALLY DO NOT SHOW UP ON CT/MRI. See the following for more information on concussion. cdc.gov/concussion/headsup aan.com/practice/sports-concussion-toolkit If 12 or older, obtain a baseline concussion test before the sports season. This can be obtained through: School athletic trainer/physician Sports med/concussion specialist AT THE TIME OF INJURY Which symptoms after a blow to the head or body are suspicious for concussion? Headache Dizziness Nausea Change in vision Light or noise sensitivity Change in behavior Confusion about basic information (day of the week, opponent, plays, recent events, etc.) If a concussion is suspected, does the child have any of the following? Breathing problems Unconscious one minute or longer Neck pain or numbness/tingling Seizure Worsening headache Worsening confusion Persistent balance or walking abnormality >1 episode of vomiting YES URGENT TRANSPORT TO HOSPITAL FOR EVALUATION Ohio Youth Concussion Law: Any person removed from practice or play because of a suspected concussion may not return that day and needs written clearance by an appropriate medical provider before return to play. NO Remove from play Encourage rest and restrict physical/cognitive activity Limit exposure to loud noises/bright lights Monitor for change in symptoms Team coach and parents establish plan for physician evaluation IF ATHLETE WAS TRANSPORTED TO EMERGENCY DEPARTMENT ED should not make return-to-play decision. MAKE AN APPOINTMENT WITH DOCTOR IMMEDIATELY! Within 72 hours, follow up with physician (e.g., pediatrician, primary care or sports medicine) for reassessment, recovery plan, possible school restriction and/or additional medical referrals Symptoms can worsen in the initial days after a concussion If athlete has severe/worsening headache, vomiting two or more times, increasing confusion/irritability, seizure or weakness/numbness at any time following concussion, rapid physician referral or transport to emergency department RECOVERY AND RETURN TO PLAY Encourage brain rest and avoid additional injury: No activities that could cause other concussions (e.g., sports, bike riding, etc.) No exercise unless cleared by a doctor If symptoms worsen during or after an activity, stop and wait 48 hours before trying again Get a good night s sleep; no late nights or sleepovers You do not need to wake the athlete every hour Avoid loud noises, bright lights and overly stimulating activity: Limit TV time, cell phone use/ texting, video games, computer time, etc. No loud music, including concerts and dances No sporting event attendance Limit homework/reading or any activity that requires extended periods of concentration to minute blocks Stop activity if symptoms worsen For some athletes, changes in school may be needed. Possible changes include: A break from school and homework A progressive return to school (half days, regular breaks in a quiet space during the school day, etc.) Avoiding classes with loud noises (choir/band), bright lights (computers) or physical activity (PE) Temporary changes in schoolwork may be needed (no or reduced tests/homework, extra time on work, etc.) WHEN TO SEEK A REFERRAL FOR A SPECIALIST: If symptoms persist for three to four weeks or more If symptoms are worsening or interfering with school If two or more concussions If history of ADHD/learning disorder, neurological disorder, depression/anxiety or other medical problem that can interfere with recovery YES Refer to physician/neuropsychologist who specializes in concussion NO 12 OR YOUNGER: Symptom-free at rest, youth concussion testing (if available) is read as normal by a specialist, and physician recommends return to play 13 OR OLDER: Symptom-free at rest, concussion testing (if available) is read as normal by a specialist, and physician recommends return to play NO YES Complete progressive return to sport under the supervision of a physician, athletic trainer, physical therapist or other qualified member of your sports concussion management team. OHIO LAW REQUIRES WRITTEN CLEARANCE BEFORE RETURN TO PLAY ONE SIZE FITS ALL DOES NOT APPLY TO CONCUSSIONS. A concussion treatment plan should be targeted to a specific athlete and his/her specific symptoms. Not all of these recommendations may apply for a given athlete. Also, additional recommendations may be needed. Consult your doctor for the best recovery plan. Symptoms usually resolve in the initial weeks after injury. 20 University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 21

12 CONCUSSION MANAGEMENT PROVIDERS CONCUSSION MANAGEMENT PROVIDERS EDWARD CRAFT, DO UH Ohio Medical Group Cook Road Olmsted Falls, Ohio WILLIAM ERVINE, MD UH Evans Middlefield East High Street Middlefield, Ohio BRAD HILLARD, MD UH Twinsburg Family Medicine UH Twinsburg 8819 Commons Boulevard Suite 100 Twinsburg, Ohio Helen Hayes, 2018 Co-UH Athletic Trainer of the Year Sarah Royan, 2018 Co-UH Athletic Trainer of the Year AMANDA WEISS-KELLY, MD Solon Road, Suite 202 UH University Suburban 1611 South Green Road, Suite 027 UH Westlake 960 Clague Road, Building A Suite 1600 SUSANNAH BRISKIN, MD UH Mentor 9000 Mentor Avenue, Suite 100 Mentor, Ohio Solon Road, Suite 202 UH University Suburban 1611 South Green Road, Suite 027 LAUREN BURNS, MD UH Copley Medical Group UH Fairlawn 3800 Embassy Parkway, Suite 230 Fairlawn, Ohio SEAN D. HOYNES, MD UH Sharon Family Physicians UH Sharon 5133 Ridge Road, Suite 1 Wadsworth, Ohio MARY SOLOMON, MD UH Fairlawn 3800 Embassy Parkway, Suite 250 Fairlawn, Ohio UH Medina 4001 Carrick Drive, Suite 220 Medina, Ohio Pediatric Sports Medicine Solon Road, Suite University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 23

13 ANN MARIE STUART, MD UH Medina Family and Internal Medicine/Pediatrics UH Medina 4001 Carrick Drive, Suite 150 Medina, Ohio CHRISTOPHER TANGEN, DO UH Richmond Medical Center Chardon Road, Suite 120 Richmond Heights, Ohio BRIAN ZELIS, MD UH Family Medicine Center Southwest General Strongsville Medical Center Pearl Road, Suite A104 Strongsville, Ohio SPORTS NEUROPSYCHOLOGY University Hospitals Sports Medicine takes a three-part approach to concussion management through focusing on prevention, recognition and treatment of these injuries. Athletes are encouraged to undergo baseline testing prior to the season, and if they sustain a concussion, testing is repeated to identify when symptoms have returned to normal and an athlete is ready for a return to sport, school and other activities. Should complications occur in recovery, expert neuropsychologists who specialize in concussion evaluation and testing will evaluate the patient, which can assist with treatment plan development, school recovery plans and evaluating responses to treatments. Our neuropsychologists are specially trained in sports concussion and have years of experience managing concussions at all levels of sport, including the use of tools such as Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT Concussion Testing). Further evaluation into memory changes, concentration problems and other thinking/behavioral changes associated with concussion can be made through more comprehensive evaluation by neuropsychologists. This comprehensive evaluation helps to guide treatment recommendations, monitors an athlete s response to treatments, can provide a fuller understanding of whether an athlete with a concussion has fully recovered, and can assist with detailed recommendations for return to school and other activities. CHRIS PARNELL, DO Warrensville Outpatient and Neuro Rehab 4480 Richmond Road Warrensville Heights, Ohio HARKEET SANDU, MD UH Sheffield Center for Orthopedics 5001 Transportation Drive Sheffield Village, Ohio ERIN BABBIT, PsyD UH Rainbow Babies & Children s Hospital Euclid Avenue, Suite 3150 CHRISTOPHER BAILEY, PhD PHILIP STEPHEN FASTENAU, PhD UH Westlake 960 Clague Road, Suite 3120 UH Chagrin Highlands 3909 Orange Place, Suite 2300 Orange Village, Ohio UH Westlake 960 Clague Road, Suite University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 25

14 SPORTS PSYCHOLOGY SPORTS MEDICINE REHABILITATION SERVICES The Center for Rehabilitation Services at University Hospitals provides outpatient rehabilitation for patients who need to regain function after surgery, illness or injury. Whether you are a professional athlete, weekend warrior or little leaguer, our rehabilitation team will help you get back in the game. Sports injury, orthopedic and post-operative rehabilitation ACL injury prevention Overhead athlete injury prevention Manual therapy Many children and adolescents have emotional difficulties, and regrettably, many of them never get the help they need. Our team at the UH Rainbow Babies & Children s Division of Child and Adolescent Psychiatry provides a full scope of psychiatric evaluation and treatment services, either directly or through referral to affiliated staff and programs. Our division offers an environment on the leading edge of treatment, research and education, with a clear focus on children and adolescents. Individual evaluation determines the best treatment for each child, and the first step we take is always getting to know your child. Unlike standard medical illnesses such as colds or earaches, emotional problems don t always present clear-cut symptoms. However, you may become aware of behavioral or emotional inconsistencies that may be a cause of concern, including sudden anger or outburst, reduced level of communication, unexplained drop in school performance or disinterest in formerly enjoyed activities. VINCENT CARINGI, MD Department of Psychiatry Child/Adolescent Euclid Avenue The rehabilitation staff at UH is fully certified and highly skilled. Our therapists work one on one with patients to optimize your rehab for the quickest recovery possible and communicate directly with the sports medicine physicians to provide the best possible care and progress to rehab appropriately. Additionally, we work with athletes to decrease pain and swelling, restore range of motion and increase strength following a sports injury or surgery. In addition, multiple services are offered for sports performance that increase speed, explosive power and jumping ability. Leading-edge services such as dry needling, blood flow restriction rehabilitation, instrument-assisted soft tissue mobilization, Alter G treadmill training and sport-specific video analysis are additional resources to help athletes reach their fullest potential on the field of play. We offer comprehensive treatment options for both routine and more complex conditions and are able to specialize plans based on unique needs, including these targeted therapies: Comprehensive exercise prescription Concussion rehabilitation and management Aquatic therapy Hand therapy Running gait video analysis Alter G treadmill training Blood flow restriction rehabilitation Dry needling Joint mobilization and manipulation Cupping Kinesiotaping Instrument-assisted soft tissue mobilization Return-to-play Sport-specific video analysis You know your child better than anybody else does, so use the above to help determine if a call to the doctor is necessary. Remember that many emotional conditions begin with these types of symptoms and can grow more serious if left untreated. Based on the needs of your child, treatment options could include individual, group and family psychotherapy; individualized behavior therapy; psychopharmacotherapy; or a combination of these. We can help most difficulties by treating your child on an outpatient basis. If a higher level of care should be needed, we can help your child through affiliated programs. 26 University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 27

15 SPORTS MEDICINE REHABILITATION SERVICES LOCATIONS Bolwell Suite 4100 T: F: UH Avon UH Rehabilitation Services & Sports Medicine 1997 Healthway Drive Suite 202 Avon, Ohio T: F: UH Bedford Medical Center, a campus of UH Regional Hospitals 44 Blaine Avenue Bedford, Ohio T: F: UH Conneaut Medical Center 158 West Main Road Conneaut, Ohio T: F: UH Elyria Medical Center at North Ridgeville Center Ridge Road North Ridgeville, Ohio T: F: UH Fairlawn 3800 Embassy Parkway Suite 110 Fairlawn, Ohio T: F: UH Geauga Medical Center Rehab at UH Concord 7500 Auburn Road, Suite 1375 Concord Township, Ohio T: or F: UH Geauga Medical Center Rehab at the YMCA Bass Lake Road Chardon, Ohio T: or F: UH Geneva Medical Center 870 West Main Street Geneva, Ohio T: F: UH Hudson 5778 Darrow Road Suite 110 Hudson, Ohio T: F: UH Independence 6150 Oak Tree Boulevard Suite 150B Independence, Ohio T: F: LifeWorks of Southwest General 7390 Old Oak Boulevard Middleburg Heights, Ohio T: F: UH Mayfield Village 730 SOM Center Road, Suite 330 Mayfield Village, Ohio T: F: UH Mentor 9000 Mentor Avenue, Suite 206 Mentor, Ohio T: F: UH Parma Medical Center City of Seven Hills Recreation Center 7777 Summitview Drive Seven Hills, Ohio T: F: UH Parma Medical Center Fitworks Fitness & Sports Therapy 7723 West Ridgewood Drive Parma, Ohio T: F: UH Parma Medical Center Medical Arts Center Ridge Road, Suite 102 Parma, Ohio T: F: UH Parma Medical Center OP Rehab North Royalton YMCA State Road North Royalton, Ohio T: F: UH Portage Medical Center 6847 North Chestnut Street Suite 100 Ravenna, Ohio T: F: Rehabilitation & Sports Medicine at Mandel Jewish Community Center (JCC) South Woodland Boulevard T: F: UH Rehabilitation Services, Kent 1850 State Route 59, Suite B Kent, Ohio T: F: UH Richmond Medical Center, a campus of UH Regional Hospitals Chardon Road Richmond Heights, Ohio T: F: UH St. John Medical Center Westlake Family Health Building Detroit Road, Suite 300 T: F: UH Samaritan Rehabilitation Services 2163 Claremont Avenue Ashland, Ohio T: F: UH Sheffield 5001 Transportation Drive, 2nd Floor Sheffield Village, Ohio T: F: Southwest General Brunswick Community Recreation and Fitness Center 3637 Center Road Brunswick, Ohio T: F: Southwest General Brunswick Medical Center 4065 Center Road Brunswick, Ohio T: F: Southwest General Strongsville Medical Center Pearl Road Strongsville, Ohio T: F: UH Streetsboro 9318 State Route 14 Streetsboro, Ohio T: F: UH Twinsburg 8819 Commons Boulevard, Suite 201 Twinsburg, Ohio T: F: UH Walden 700 Walden Place Aurora, Ohio T: F: Warrensville Outpatient and Neuro Rehab Center 4480 Richmond Road Warrensville Heights, Ohio T: F: UH Wellpointe 303 East Royalton Road Broadview Heights, Ohio T: F: UH Westlake 960 Clague Road, Suite 3100 T: F: T3 Performance 1965 Recreation Lane Avon, Ohio T: F: University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 29

16 NUTRITION SERVICES Sports nutrition is the study of evidence-based practice on the role of fluids, diet, nutrients and supplements related to the performance of recreational and competitive athletes, on site and during travel. A sports dietitian is a highly trained food and nutrition expert who can help athletes and fitness-minded individuals and teams meet their nutrition and performance goals. A sports dietitian has additional training and certifications that relate to the role of nutrition and performance. Reaching performance goals can be achieved through: Counseling individuals and groups on daily nutrition for performance and health Making sense of the latest scientific evidence through practical sports nutrition recommendations Tracking and documenting outcomes of nutrition services Serving as a food and nutrition resource for coaches and trainers Providing sports nutrition education for health/wellness programs, athletic teams and community groups Our sports dietitians also provide medical nutrition therapy that focuses on behavioral and lifestyle changes that positively affect health and athletic performance. They offer care that consists of nutrition assessment, diagnosis, intervention and monitoring/evaluation. The benefits of meeting with a sports dietitian include: Better knowledge of the role of carbohydrates, proteins, fats and fluids on athletic performance Better understanding of what types of foods are most beneficial for performance Assistance with timing of meals and fluids to provide optimal performance Recovery foods and meal suggestions to assist the athlete with getting back into the game sooner UH s clinical nutrition therapy has adult and pediatric dietitians who are food and nutrition experts with training and credentials to translate the most up-to-date sports nutrition research into healthy living and optimal performance. UH Medina 4001 Carrick Drive, Suite 220 Medina, Ohio AMY JAMIESON-PETONIC, MEd, RDN, CSSD, LD UH Westlake 960 Clague Road, Suite 101 W.O. Walker Center Euclid Avenue, Suite University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 31

17 SPORTS MEDICINE RESEARCH PROGRAM EVENT MEDICINE University Hospitals is dedicated to advancing the field of sports medicine through our leading-edge research and innovation program. Skilled physicians within all subspecialties of sports medicine live out the discovery aspect of University Hospitals mission To Heal. To Teach. To Discover. through implementing novel treatments and developing the best practices available for total athlete care. As a health care provider supporting not only professional athletes but also many colleges, high schools and youth leagues, we have the unique opportunity to investigate training protocols with our local teams in order to optimize care for athletes at all levels of experience. Our research and innovation program is focused on implementing technology, enhancing performance, preventing injury, and improving surgical and medical treatments. Current and future studies aim to develop sport-specific training protocols, which will ideally improve player performance while incorporating injury prevention skills in order to keep our athletes safer and healthier. In the event that surgical or medical intervention is necessary, our team of physicians remains current in the newest treatments and contributes to exploring leading-edge techniques for developing less invasive procedures, ultimately minimizing time to full recovery. Through our partnership with the Cleveland Browns, our team physicians have published research on elite athletes that utilizes the most up-to-date techniques to provide a safer sporting environment. Investigating topics such as how changes in active workload between player positions relate to the onset of injury has led to significant contributions to research in the area of optimizing individualized player performance. With the technological advancements prevalent in the world today, UH Sports Medicine is at the forefront of integrating wearable technology and objective biomarkers into understanding athletic performance and the true nature of injuries at the physiological and metabolic level. It is the goal of the UH Sports Medicine Research Program to translate the knowledge and findings that we observe at the professional and elite level into training protocols that can be used by coaches, athletic trainers and parents in order to improve upon our community s local athletes. Our research initiative is a collaborative effort that breaks down the orthopedic sports medicine barrier to include multiple scientific specialties, allowing UH to produce an influx of ideas that will continue to grow and contribute to the advancement of this field worldwide. The Center for Event Medicine is a joint venture between the Current and previous event University Hospitals EMS Training and Disaster Preparedness medicine opportunities include: Institute and University Hospitals Sports Medicine. Its goal First Energy Stadium is to provide comprehensive event medicine support that is Cleveland Convention Center and tailored to its clients needs and is focused on providing Global Center for Health Innovation superb medical care to participants, spectators and The Cleveland Marathon employees of local events. The Center for Event Medicine is The Cleveland Triathlon able to provide comprehensive medical care with licensed Susan G. Komen 3-Day Walk for the Cure medical professionals at all levels (paramedics, registered Ingenuity Fest nurses and emergency medicine physicians) and deliver event Wild Ride at the Zoo medical care customized to the needs of the client through a The Great Geauga County Fair comprehensive medical needs assessment. Patient encounters are maintained through an electronic pre-hospital charting system, allowing us to provide a detailed statistical summary of the medical care provided during the event. Disaster medicine and medical emergency management consultations are also available. Our priority is to provide superb customer service from energetic, welcoming and caring providers. If you are interested in discussing how the Center for Event Medicine team can provide medical coverage for your athletic or professional venue, please contact the UH Sports Medicine department administrator: Lisa Piazza at University Hospitals PLAY UHSports.org 33 University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 33

18 RADIOLOGY LOCATIONS RADIOLOGY The Department of Radiology at University Hospitals provides medical imaging services throughout the UH network. Dedicated radiologists, nurses, technologists and allied radiological science personnel are devoted to performing the highest quality radiology services in partnership with our clinicians and patients. Subspecialty reads and a 24/7/365 service with uniform protocols and state-of-the-art technology are our hallmarks. In addition, we have a full range of educational programs including a diagnostic radiology residency program, subspecialty fellowships and teaching of Case Western Reserve University School of Medicine students. We are committed to the UH mission: To Heal. To Teach. To Discover Richmond Road UH Amherst 254 Cleveland Avenue Amherst, Ohio Ashland Family Practice Inc Baney Road Ashland, Ohio UH Ashtabula 3315 North Ridge Road East Ashtabula, Ohio UH Aurora 55 North Chillicothe Road, Suite 400 Aurora, Ohio UH Avon 1997 Healthway Drive, Suite 101 Avon, Ohio UH Bedford Medical Center, a campus of UH Regional Hospitals 44 Blaine Avenue Bedford, Ohio UH Avon 1997 Healthway Drive, Suite 101 Avon, Ohio UH Breast Center at UH Chagrin Highlands 3909 Orange Place, Suite 4400 Orange Village, Ohio UH Brook Park Radiology Services Snow Road, Suite 300 Brook Park, Ohio UH Chagrin Highlands 3909 Orange Place, Suite 1200 Orange Village, Ohio UH Concord 7500 Auburn Road, Suite 1350 Concord Township, Ohio UH Conneaut Medical Center 158 West Main Road Conneaut, Ohio UH Elyria Medical Center 630 East River Street Elyria, Ohio UH Euclid Lakeshore Boulevard Suite 700 Euclid, Ohio UH Fairlawn 3800 Embassy Parkway Fairlawn, Ohio UH Geauga Medical Center Ravenna Road Chardon, Ohio UH Geneva Medical Center 870 West Main Street Geneva, Ohio UH Hudson 5778 Darrow Road, Suite 103 Hudson, Ohio UH Independence 6150 Oak Tree Boulevard, Suite 100B Independence, Ohio UH Kent 546 North Union Street Loudonville, Ohio UH Kettering 546 North Union Street Loudonville, Ohio UH Landerbrook 5850 Landerbrook Drive, Suite 200 Mayfield Heights, Ohio UH Landerbrook II 5885 Landerbrook Drive, Suite 200 Mayfield Heights, Ohio UH Madison 701 North Lake Street Madison, Ohio UH Medina 4001 Carrick Drive, Suite 110 Medina, Ohio UH Mentor 9000 Mentor Avenue, Suite 110 Mentor, Ohio UH Evans Middlefield East High Street Middlefield, Ohio UH Painesville Imaging Center 470 Bacon Road Painesville, Ohio UH Parma Medical Center 7007 Powers Boulevard Parma, Ohio UH Parma Medical Center Outpatient Center 6305 Powers Boulevard Parma, Ohio UH Portage Medical Center 6847 North Chestnut Street Ravenna, Ohio University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 35

19 UNIVERSITY HOSPITALS URGENT CARE LOCATIONS UH Richmond Medical Center, a campus of UH Regional Hospitals Chardon Road Richmond Heights, Ohio UH St. John Medical Center Center Ridge Road UH Samaritan 2212 Mifflin Avenue Ashland, Ohio UH Samaritan Medical Center 1025 Center Street Ashland, Ohio UH Sharon 5133 Ridge Road Wadsworth, Ohio UH Sheffield 5001 Transportation Drive, Suite 2 Sheffield Village, Ohio Solon Road, Suite 106 UH Streetsboro 9318 State Route 14 Streetsboro, Ohio UH Twinsburg 8819 Commons Boulevard, Suite 103 Twinsburg, Ohio UH Walden 700 Walden Place Aurora, Ohio UH Wellpointe 303 East Royalton Road Broadview Heights, Ohio UH Westlake 960 Clague Road, Suite 1300 UH Akron Urgent Care 145 West Avenue Tallmadge, Ohio Q Care (Ashland) Hillcrest Medical Building 350 Hillcrest Drive Ashland, Ohio UH Ashtabula Ashtabula Towne Square 3315 North Ridge Road, Suite 700A Ashtabula, Ohio UH Broadview Heights 5901 East Royalton Road Broadview Heights, Ohio UH Kent 411 Devon Place Kent, Ohio UH Loudonville Urgent Care 546 North Union Street Loudonville, Ohio UH Medina 4001 Carrick Drive, Suite 120 Medina, Ohio UH North Olmsted Lorain Road, Suite 100 North Olmsted, Ohio UH Streetsboro 9318 State Route 14 Streetsboro, Ohio UH Urgent Care partnering with Southwest General Brook Park Snow Road, Suite 200 Brook Park, Ohio UH Urgent Care partnering with Southwest General Strongsville Pearl Road, Suite B104 Strongsville, Ohio UH Chagrin Highlands 3909 Orange Place, Suite 2100 Orange Village, Ohio UH Twinsburg 8819 Commons Boulevard, Suite 101A Twinsburg, Ohio UH Concord 7500 Auburn Road, Suite 1200 Concord Township, Ohio UH Westlake 960 Clague Road, Suite 1100B UH Conneaut Medical Center 158 West Main Road Conneaut, Ohio University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 37

20 UNIVERSITY HOSPITALS EMERGENCY ROOM LOCATIONS SPORTS MEDICINE RESOURCES UH Geneva Medical Center 870 West Main Street Geneva, Ohio UH Samaritan Medical Center 1025 Center Street Ashland, Ohio UHSports.org To make an appointment, please call the Sports Medicine Appointment Line: UH Andover Emergency Department 476 South Main Street Andover, Ohio UH North Ridgeville Lorain Road, Suite 160 North Ridgeville, Ohio UH Amherst 254 Cleveland Avenue Amherst, Ohio *Option 1 Concussion *Option 2 Sports-related injuries *Option 3 Nutrition appointments 3999 Richmond Road UH Parma Medical Center 7007 Powers Boulevard Parma, Ohio UH Avon 1997 Healthway Drive Avon, Ohio To schedule your ImPACT Concussion Testing, please call: UH Bedford Medical Center, a campus of UH Regional Hospitals 44 Blaine Avenue Bedford, Ohio UH Conneaut Medical Center 158 West Main Road Conneaut, Ohio UH Elyria Medical Center 630 East River Street Elyria, Ohio UH Portage Medical Center 6847 North Chestnut Street Ravenna, Ohio UH Rainbow Babies & Children s Hospital UH Richmond Medical Center, a campus of UH Regional Hospitals Chardon Road Cleveland, Ohio UH Kent 411 Devon Place Kent, Ohio UH Twinsburg 8819 Commons Boulevard Twinsburg, Ohio Southwest General Brunswick Medical Center 4065 Center Road Brunswick, Ohio UH Geauga Medical Center Ravenna Road Chardon, Ohio UH St. John Medical Center Center Ridge Road UH Team of the Year, Bedford Football Team 38 University Hospitals PLAY UHSports.org University Hospitals PLAY UHSports.org 39

21 Field. Track. Pool. Rink. Court. Ring. Gym. Stadium. Neighborhood. Wherever you are, we are. Play on, CLE. For an appointment close to home, call PLAY or visit 2018 University Hospitals SPRT