Management of the Concussed Adolescent
|
|
- Joan Jackson
- 5 years ago
- Views:
Transcription
1 Management of the Concussed Adolescent Tamara C. Valovich McLeod, PhD, ATC, FNATA John P. Wood, D.O., Endowed Chair for Sports Medicine Professor and Director, Athletic Training Program Director, Athletic Training Practice-Based Research Network Objectives 1. Increase awareness of current best practices for sport-related concussion. 2. Discuss best practices for the management of concussion in adolescents. 3. Describe return to physical activity and return to school progressions. 4. Demonstrate concussion assessment using a variety of validated clinical tools. Top 10 Things to Know 1. Definition 2. Epidemiology 3. Imaging 4. Symptoms 5. Assessment 6. Management 7. Treatment 8. Return to Activity 9. Effects 10. Prevention Tamara Valovich McLeod,
2 1. What is a Concussion AMSSM (2012) A traumatically induced transient disturbance of brain function and is caused by a complex pathological process AAN (2013) A clinical syndrome of biomechanically induced alteration of brain function, typically affecting memory and orientation, which may involve loss of consciousness Zurich (2013) A complex pathophysiological process affecting the brain, induced by biomechanical forces Features of Concussion 1. May be caused either by a direct blow to the head, face, neck, or elsewhere on the body with an impulsive force transmitted to the head. 2. Typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously. However, in some cases, symptoms and signs may evolve over a number of minute to hours 3. May result in neuropathological changes Acute clinical symptoms largely reflect a functional disturbance rather than a structural injury No abnormality is seen on standard structural neuroimaging studies 4. Results in a graded set of clinical symptoms that may or may not involve loss of consciousness Resolution of the clinical and cognitive symptoms typically follows a sequential course In some cases symptoms may be prolonged. McCrory et al, Br J Sport Med Only 6.3%-8.9% of collegiate athletes demonstrated LOC following a concussion (Guskiewicz et al, 2000 & 2003; McCrea et al, 2003) LOC does not necessarily imply severity, nor predict recovery (McCrory et al, 2004) Tamara Valovich McLeod,
3 What is a Concussion? A Mild Traumatic Brain Injury 2. Who Gets Concussed? Tamara Valovich McLeod,
4 Epidemiology of Pediatric Sport-Related Concussion million concussions annually (Langlois, 2006) 8.9% of all high school athletic injuries (Gessel, 2007) Nationwide estimates of sport-related mtbi hospital charges ~$6 million annually (Yang, 2007) Limited epidemiological data in patients under high school age ~144,000 pediatric (0-19y) patients report to ER (Meehan, 2010) Guskiewicz & Valovich McLeod, 2011 Tamara Valovich McLeod,
5 3. How Useful is Imaging? Neuroimaging Primary use to rule out intracranial hemorrhage CT and MRI Often used but have little value in assessing less severe injuries CT should not be used to diagnose concussion No use in contributing to recovery or return to activity decisions Identified as one of the top 5 procedures that should not be ordered regularly Giza, 2013; McCrory, 2013; Schurr, 2014 The Future of Neuroimaging Functional MRI (Chen 2004, 2008; Jantzen, 2004; Lovell, 2007; Slobounov, 2010) Abnormal activation patterns consistently reported across studies during working memory tasks Diffusion tensor imaging (Zhang, 2010) Magnetic resonance spectroscopy (Vagnozzi, 2008; Henry, 2010) Tamara Valovich McLeod,
6 fmri and Concussion Lovell et al, Neurosurg, What are the Symptoms? Sensitivity to light/noise Difficulty concentrating Feeling foggy Feeling slowed Difficulty remembering Vision problems Cognitive- Sensory Sleep- Arousal Fatigue Sleeping less than usual Trouble falling asleep Drowsiness Headache Nausea Vomiting Dizziness Balance problems Vestibular- Somatic Affective Sadness Feeling more emotional Nervousness Irritability Kontos et al, 2012 Tamara Valovich McLeod,
7 Anxiety Dizziness Depression School Fatigue Emotional TBI Mood States Social PCS Fatigue Headache 5. How Should I Assess Concussion? Vestibular - Ocular Postural Control Symptoms Mental Status Clinical Exam Concussion Assessment Neurocognitive Acute Concussion: Evaluation Signs and symptoms Any ONE or more present to suspect concussion Clinical domains Cognitive symptoms Somatic symptoms Emotional symptoms Physical signs Behavioral changes Cognitive impairment Sleep disturbances Tamara Valovich McLeod,
8 Concussion Assessment Broglio, 2014 Acute Concussion Evaluation (ACE) /tbi/tbi.htm Background Parent questionnaire Prior concussion history Past medication and imaging history Comorbid factors Tamara Valovich McLeod,
9 Cognitive and physical evaluation Standardized Assessment of Concussion Child version Balance assessment Modified BESS and/or tandem gait Neck Examination ROM, strength, tenderness Coordination Clinical Tests of Vestibular Function Interview / patient history Oculomotor screening Smooth pursuits Saccades Gaze stability SCC and otoliths Head shake/thrust Dynamic visual acuity Functional tests Gaze stability Balance Tamara Valovich McLeod,
10 6. How Are Concussions Managed? REST Physical Rest Cognitive Rest Physical and Cognitive Rest 1 week of cognitive and physical rest decreased symptoms and increased ImPACT scores regardless of time between concussion and onset of rest (Moser, 2012) 1-7d, 8-30d, 31+ d Tamara Valovich McLeod,
11 (Moser, 2012) Cognitive Rest No activity Full activity Asleep or comatose Goal: limit cognitive activity to a level that is tolerable and does not exacerbate symptoms Normal school Academic Decline Have you personally encountered a situation where a student athlete that you have treated experienced a decrease in school and academic performance as a direct result of a symptomatic concussion? Yes 79% (n=549) No 21% (n=142) ~44% of concussions resulted in some form of academic accommodations Mayfield, RM, In press Tamara Valovich McLeod,
12 Temporary Academic Adjustments Excused absence Rest periods Deadline extensions Postpone/stagger tests Extend test time Light/noise accommodations Excuse from PE Monitor backpack weight, stair use Reader/recorded books Note taker Smaller, quiet exam room Preferential seating Tutor McGrath, J Athl Train, 2010 Communication Coach Primary Care Provider School Nurse Outside referral sources Athletic Trainer Counselor Parents Teachers Student Piebes et al, J School Nursing, 2009 ACE Return to School Tamara Valovich McLeod,
13 Referral Neurologist Prolonged symptoms, sleep disturbances Neuropsychologist Cognitive deficits, school issues Vestibular therapist Dizziness and balance issues ED Management Rule out more serious injury With concussion we expect negative imaging Instructions for red flags Instructions for rest (physical and cognitive) Do not clear to RTP Follow-up with AT/PCP for continued evaluation and clearance Avoid giving RTP timelines 7. What Treatments are Effective? Tamara Valovich McLeod,
14 Pharmacological No treatment has been shown to speed recovery Management of specific or prolonged symptoms Symptoms affecting QOL that benefit of treatment outweighs risks of medication Provider is experienced with sport-related concussion Concern with masking symptoms or side effects of medications increasing symptoms McCrory, 2013; Meehan, 2011; Petralgia, 2012 Activity During Recovery? No school or exercise activity School activity only School activity and light activity at home School and sports practice School and sports games Majerske, JAT, 2008 Active Rehabilitation Exercise has a positive effect on mental health Closely monitored rehabilitation in post-acute phase improved recovery time in adolescents who were slow to recover (Gagnon, Brain Inj, 2009) Controlled subsymptom threshold aerobic exercise improved recovery in athletes with PCS (Leddy, CJSM, 2010, 2011) Tamara Valovich McLeod,
15 Vestibular Rehabilitation After Concussion Intervention Outcomes Gaze stabilization (X1) Standing balance Walking with balance challenges Canilith repositioning Dizziness rating Activities-specific balance confidence scale DHI Dynamic gait index Functional gait assessment TUG SOT (all conditions) Alsalaheen, JNPT, When Should a Patient Return to Activity? Return to Activity Progression that begins when asymptomatic Off medications No S&S at rest Full return to school Return to baseline on adjunct assessments Neurocognitive Balance Guskiewicz, J Athl Train Tamara Valovich McLeod,
16 Modifying Factors More Conservative Management McCrory, 2009 Prolonged Recovery Authors McCrea et al Iverson et al Collins Lovell, et al Sample Size Population Tests Utilized 94 College Paper and Pencil 30 High School Computer ImPACT 134 High School Computer ImPACT Total Days Cognitive Resolution Total Days Symptom Resolution Individual Recovery Rates 3-5 Days 7 Days 91% recovered w/in 7 days 10 days 7 Days 50% recovered w/in 7 days NR NR 40% recovered w/in 7 days Slide Courtesy of Gerry Gioia, PhD ~24 hours between each stage McCrory et al, 2013 Tamara Valovich McLeod,
17 9. What are the Short- and Long-Term Concerns? Concerns Short-term SIS Repeat Injury Long-term MCI Depression CTE Tamara Valovich McLeod,
18 Giza & Hovda, J Athl Train, Pathophysiology of SIS Relatively minor second trauma Loss of autoregulation Increases intracranial pressure Herniation through the foramen magnum Brain stem failure Mortality rates near 50% and morbidity rates of 100% Tamara Valovich McLeod,
19 Repeat Concussion 4-6 times risk for subsequent concussion (Gerberich et al, 1983; Wilberger, 1993; Zemper, 1994) 3 times more likely to sustain 2 nd in same season (Guskiewicz et al, 2000) Increased severity with subsequent concussion (Guskiewicz et al, 2000) S y m p to m S e v e rity Baseline Control Concussion Injury 2 H rs Day 1 Day 2 Day 3 CRITICAL FIRST WEEK: Average of 7 days for full recovery 75% of repeat concussions within first 7 days 92% of repeat concussions within first 10 days Guskiewicz et al, JAMA 2003 Day 5 Assessment Point Day 7 Day 90 Courtesy of Kevin M. Guskiewicz, PhD, ATC 10. Can Concussion Be Prevented? Tamara Valovich McLeod,
20 Protective Equipment Helmets Protect against head and facial injury in high velocity sports Do not reduce the risk of concussions Helmet Covers No protective benefit Concerns with adding weight to helmet (c-spine risk) Headbands Limited research, not encouraged or discouraged Mouthguards Reduces dental and orofacial injuries No evidence to support reduction in concussion risk Broglio, 2014; Benson, 2009; Halstead, 2001; ACSM, 2011; Hagel, 2005; Mueller, 2008; Sulheim, 2006 Education Concussion symptom video game improved identification in youth hockey players (Goodman, 2006) Concussion education increased reporting of concussion symptoms to coaches (Bramley, 2012) Every state concussion law requires education Proper Assessment Good pre-participation examination to identify concussion history Have you ever had an injury to your face, head, skull or brain that resulted in confusion, memory loss or headache from a hit to your head, having your "bell rung" or getting "dinged" while participating in sports or recreational activities? Thorough clinical examination Use of adjunct assessments Appropriate follow-up and RTP Tamara Valovich McLeod,
21 Concussion Legislation May 2009 Jan 2014 AIA Policy Education Training coaches, athletes, parents Information sheet and consent AIA Policy Removal From Play Athlete, coach, AT, team physician, official, or parent can remove an athlete Return to Play No same day return Medically cleared by an appropriate health-care professional prior to resuming After medical clearance, RTP should follow a stepwise protocol Tamara Valovich McLeod,
22 Bonus: What Resources Are Available? Arizona Resources Concussion Research Registry Concussion Consultation Tamara Valovich McLeod,
23 NATA Special Topic 2013 June 27, 2013 OnePass Medical Providers Community Tamara Valovich McLeod,
24 Tamara Valovich McLeod,
Review of: NATA Position Statement Management of Sport Concussion.
Review of: NATA Position Statement Management of Sport Concussion www.csm-institute.com Topics: Education and Prevention Documentation and Legal Aspects Evaluation and RTP Other Considerations Strength
More informationCarleton College Concussion Safety Protocol
Carleton College Introduction Carleton College is committed to ensuring the health and safety of its student-athletes. To this end, and in accordance with NCAA legislation [Division III Constitution 3.2.4.16],
More informationSeth Smith MD, PharmD. Thank You!
Seth Smith MD, PharmD Thank You! Concussion Headlines!!! Concussion Headlines!!! Concussion rules put kids health before winning games The Miami Herald 8/21/12 FHSAA's implementation of legislation goes
More informationDirector of Athletics
3341-8-1 Concussion Management Policy. Applicability Intercollegiate Athletics Responsible Unit Policy Administrator Intercollegiate Athletics/Director of Athletics Director of Athletics (A) Policy Purpose
More informationPEDIATRIC SPORTS RELATED CONCUSSIONS
Anna Mazur, PhD PEDIATRIC SPORTS RELATED CONCUSSIONS Disclosure No financial interests or funding 1 Presentation Outline Prevalence Predicting recovery: Post Traumatic Amnesia and Loss of Consciousness
More informationIT S ALL IN YOUR HEAD!
IT S ALL IN YOUR HEAD! CARING FOR CONCUSSIONS IN YOUR COMMUNITY Stephen K Stacey, DO CPT, MC, USA OUTLINE Definition Epidemiology Diagnosis Evaluation Recovery Sequelae Prevention Resources for providers
More informationConcussion Assessment, Management, and Return to Play Guidelines
Concussion Assessment, Management, and Return to Play Guidelines The following policy and procedures on neurocognitive baseline testing and subsequent assessment and management of concussions as well as
More informationPOLICY / PROCEDURE DOCUMENT Effective Date 08/19/2010. Concussion Assessment, Management, and Return to Play Guidelines
Beacon Medical Group Sports Medicine POLICY / PROCEDURE DOCUMENT Effective Date 08/19/2010 TITLE: Document of (Entity) POLICY: PATIENT POPULATION: Concussion Assessment, Management, and Return to Play
More informationCurrent Research Perspectives: What We Know Now and Where We Are Headed. Objectives. What We Think We Know?
Current Research Perspectives: What We Know Now and Where We Are Headed Tamara C. Valovich McLeod, PhD, ATC, FNATA John P. Wood, D.O., Endowed Chair for Sports Medicine Professor and Director, Athletic
More informationNew Developments in the Management of Concussions. David Marshall, MD Medical Director Sports Medicine Program Children s Healthcare of Atlanta
New Developments in the Management of Concussions David Marshall, MD Medical Director Sports Medicine Program Children s Healthcare of Atlanta Concussions in the News June 7, 2009 New Guidelines on Young
More informationCONCUSSION AWARENESS, MANAGEMENT, AND ASSESSMENT FROM AN ATHLETIC TRAINER
CONCUSSION AWARENESS, MANAGEMENT, AND ASSESSMENT FROM AN ATHLETIC TRAINER Dr. Ryan Krzyzanowicz, DAT, ATC Clinical Associate Professor Program Director - Athletic Training Education University at Buffalo
More informationSports Related Concussion. Joshua T. Williams, PT, DPT, OCS, SCS, CSCS
Sports Related Concussion Joshua T. Williams, PT, DPT, OCS, SCS, CSCS Concussion & Traumatic Brain Injury Glasgow Coma Scale Minimal Mild Mod Severe? Sports concussion Severe GCS 8 Moderate GCS 9-12 Mild
More informationConcussion: A Treatable Injury MELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST, DIRECTOR INOVA SPORTS MEDICINE CONCUSSION PROGRAM
Concussion: A Treatable Injury MELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST, DIRECTOR INOVA SPORTS MEDICINE CONCUSSION PROGRAM THE CURRENT PROBLEM 1. WHAT IS A CONCUSSION? 2. ACUTE/SIDELINE EVALUATION 3. AT
More informationConcussion Management and Update. Objectives
Concussion Management and Update Ricardo Guirola MD M Ed Pediatric Rheumatology Primary Care Sports Medicine Objectives Review definition, signs and symptoms Discuss the initial evaluation of a patient
More informationCONCUSSION IN SPORTS. Corona del Sol High School Athletics
CONCUSSION IN SPORTS Corona del Sol High School Athletics WHAT IS A CONCUSSION? A concussion is a brain injury All concussions are serious Can occur in any sport Can occur without loss of consciousness
More informationPre and Post Concussion Management
Pre and Post Concussion Management Timothy A. Tolbert, Ph.D., ATC Clinical Coordinator Marshall University Athletic Training Program 1 Concussion A complex pathophysiological process affecting the brain,
More informationRIDGEWOOD BOARD OF EDUCATION PROGRAM /page 1 of 8 Management of Sports-Related Concussion M Management of Sports-Related Concussion
2431.4/page 1 of 8 M 2431.4 Medical management of sports-related concussions is evolving. In recent years, there has been significant research into sports-related concussions in high school athletes. As
More informationConcussion Facts & Stats
Jeffrey Liang, MD Concussion Facts & Stats 10% of all contact sport athletes sustain concussions yearly. 63% of all concussions occur in football. Estimated that up to 20% of football players will sustain
More informationThe Master s Academy Concussion Policy
The Master s Academy Concussion Policy Ann Williams,M.S.N., R.N. Robert O Quinn, MS, ATC, LAT Updated 2/6/2018 Outline I. Abbreviated policy II. Introduction III. Prevention and Education IV. Recognition
More informationConcussion Information
What is a Concussion? Concussion Information Information taken from the Sports Concussion Institute http://www.concussiontreatment.com A concussion is defined as a complex pathophysiological process that
More informationConcussion: The Basics. Bill Meehan, MD Micheli Center for Sports Injury Prevention Sports Concussion Clinic, Boston Children s Hospital
Concussion: The Basics Bill Meehan, MD Micheli Center for Sports Injury Prevention Sports Concussion Clinic, Boston Children s Hospital Definition Working definition Characteristics Trauma Impulse
More informationConcussion 2013 A Program For Logan County
Concussion 2013 A Program For Logan County Boyd C Hoddinott MD, MPH Logan County Health Commissioner ----------------------------------- Kristy Wisner PT, DPT Mary Rutan Physical Rehab Center Consensus
More informationWhy It s Not Just a Concussion
Why It s Not Just a Concussion Connecticut Concussion Task Force www.connecticutconcussiontaskforce.org Facts About Concussion Concussions are injuries to the brain The Centers for Disease Control (CDC)
More informationSport-Related Concussion. Daniel Seidman DO 6 August 2016
Sport-Related Concussion Daniel Seidman DO 6 August 2016 My Pertinent Qualifications - Current Fellow, PCSM - Henry Ford Hospital - Recent Graduate, FM - St. John Macomb-Oakland Hospital - Involved in
More information2014 Concussion Connection
Concussion Connection is an online resource that strives to provide education and awareness about concussions while being a support for athletes as they recover from one or more concussions. Concussion
More informationCraig Davidson, MD University Health Center Team Physician Department of Athletic Medicine University of Oregon
Craig Davidson, MD University Health Center Team Physician Department of Athletic Medicine University of Oregon In the news Definition Pathophysiology Signs and symptoms Review current clinical guidelines
More informationReturn-to-Play Protocol After Concussion/mild TBI
Return-to-Play Protocol After Concussion/mild TBI Return to activity and play is a medical decision. The athlete must meet all of the following criteria to progress to activity: Asymptomatic at rest and
More informationCONCUSSION RECOGNITION, MANAGEMENT, AND PREVENTION IN YMCA PROGRAMS
CONCUSSION RECOGNITION, MANAGEMENT, AND PREVENTION IN YMCA PROGRAMS Links of Interest Last Reviewed Nov. 2016 www.cdc.gov/concussion/sports/recognize.html For a list of signs and symptoms from the U.S.
More informationCONCUSSIONS: What You Really Need to Know Dr. Emily Dixon
CONCUSSIONS: What You Really Need to Know Dr. Emily Dixon TriHealth Heads Count Concussion Medical Director Emily Dixon, DO Born and raised north of Kansas City, Missouri. Earned her medical degree from
More informationBrains are Worth It: Concussion Symposium Vancouver, BC November 10, 2010
Brains are Worth It: Concussion Symposium Vancouver, BC November 10, 2010 Dr. Brian Hunt Co- Director ThinkFirst BC Neurological Surgeon Lions Gate Hospital, North Vancouver Dr. Shelina Babul-Wellar Associate
More informationConcussion Management
Concussion Management Jennifer Gray, DO Medical Co-Director, ThinkSMART! Concussion Management Program Department of Physical Medicine and Rehabilitation St. Charles Hospital Residency Program Director,
More informationParamus Athletics. Paramus High School Athletic Department Protocol and Procedures for Management of Sports - Related Concussion
Paramus Athletics Paramus High School Athletic Department Protocol and Procedures for Management Medical management of sports-related concussions is evolving. In recent years, there has been significant
More informationWisconsin Lacrosse Federation
The purpose of this policy is to insure the safety of the players and to limit the liability of those protecting the safety of the players. The responsibility of player safety falls on everyone involved
More informationUniversity of Central Arkansas Concussion Protocol and Management Plan
University of Central Arkansas Concussion Protocol and Management Plan 5/2018 It is often reported that there is no universal agreement on the standard definition or nature of concussion; however, agreement
More informationDisclosure Statement. Dr. Kadish has no relevant financial relationships with any commercial interests mentioned in this talk.
Disclosure Statement Dr. Kadish has no relevant financial relationships with any commercial interests mentioned in this talk. Head Trauma Evaluation Primary and secondary injury Disposition Sports related
More informationObjec ves. Sports- Related Concussions in Student- Athletes: A 2015 Update 8/30/15
Sports- Related Concussions in Student- Athletes: A 2015 Update Joel S. Brenner, M.D., M.P.H., F.A.A.P. Medical Director, CHKD Sports Medicine Program Director, CHKD Sports Concussion Program Associate
More informationPhysiotherapy management of concussion
Physiotherapy management of concussion Ms. Mairead Daly, Senior Physiotherapist, Bon Secours Health System Saturday November 17 th Silver Springs Hotel Cork Concussion Physiotherapy Assessment and Management
More informationConcussion in Youth Athletes: Where Are We Heading?
Concussion in Youth Athletes: Where Are We Heading? Thomas L. Pommering, D.O. Division Chief, NCH Sports Medicine Assistant Clinical Professor, Departments of Pediatrics and Family Medicine The Ohio State
More informationUPPER PERKIOMEN HIGH SCHOOL
UPPER PERKIOMEN HIGH SCHOOL Concussion Management and Return to Play Protocol Recognizing that sport related concussions pose a significant health risk for studentathletes, the Upper Perkiomen School District
More informationForney ISD Protocol and Procedures for the Management of the Sports-Related Concussion
Forney ISD Protocol and Procedures for the Management of the Sports-Related Concussion Medical management of sports-related concussion is evolving. Recently, there has been a significant amount of research
More informationSport Concussion Updates:
Sport Concussion Updates: Engaging research to improve prevention & clinical care Johna K. Register-Mihalik, PhD, LAT, ATC Asst. Professor Department of Exercise and Sport Science Kevin Guskiewicz, PhD,
More informationLower Moreland School District: Athletic Department Protocol and Procedures for Management of Sports-Related Concussion
Lower Moreland School District: Athletic Department Protocol and Procedures for Management of Sports-Related Concussion Preamble: Medical management of sports-related concussion is evolving. In recent
More informationSports Concussions. Objectives. Concussion Definition 9/16/2013. Melissa Schiff, MD, MPH
Sports Concussions Melissa Schiff, MD, MPH Objectives 1. Recognize signs and symptoms of concussion 2. Understand WA Lystedt concussion law 3. Understand return to play (RTP) requirements 4. Understand
More informationConcussions in Sport Definitions, Mechanisms, and Current Issues
Concussions in Sport Definitions, Mechanisms, and Current Issues Concussions are Everyone s Responsibility! If you do not LOOK FOR IT you will not FIND IT! Paul Echlin MD CCFP, Dip. ABFM, Dip. SM, CAQSM
More informationLee County School District: Athletic Department Protocol and Procedures for Management of Sports-Related Concussion
Lee County School District: Athletic Department Protocol and Procedures for Management of Sports-Related Concussion Medical management of sports-related concussions are evolving. In recent years, there
More informationINTERCOLLEGIATE ATHLETICS CONCUSSION ACKNOWLEDGEMENT AND STATEMENT
ACKNOWLEDGEMENT AND STATEMENT A FACT SHEET FOR STUDENT-ATHLETES WHAT IS A? A concussion is a brain injury that: Is caused by a blow to the head or body -From contact with another player, hitting a hard
More informationSigns and Symptoms of Concussion
Signs and Symptoms of Concussion These signs and symptoms following a witnessed or suspected blow to the head or body are indicative of probable concussion. Signs (observed by others) Appears dazed or
More informationTolland High School. Concussion Procedure Manual
Tolland High School Concussion Procedure Manual Tolland High School 6/20/2016 Tolland High School Concussion Procedure Manual This policy is a research based manual on how concussions will be managed in
More informationConcussion Management Policy Overview. City School District of Albany Department of Health, Physical Education & Athletics
Concussion Management Policy Overview City School District of Albany Department of Health, Physical Education & Athletics CSDA Concussion Management Policy After 6 months of research and development, the
More informationGilbert Public Schools (High School) Athletic Department Protocol and Procedures for Management of Sports-Related Concussion
Gilbert Public Schools (High School) Athletic Department Protocol and Procedures for Management of Sports-Related Concussion Medical management of sports-related concussion is evolving. In recent years,
More informationConcussion Management: A Multidimensional & Interdisciplinary Approach
: A Multidimensional & Interdisciplinary Approach Jacob E. Resch, Ph.D., ATC Department of Kinesiology Exercise Sport and Injury Laboratory University of Virginia Disclosures: Sponsors: Biocore LLC Study:
More informationwww.dylansteigersconcussionproject.com What is a Concussion? A concussion (kun-kush-un) is an injury to the tissue or blood vessels of the brain. It is also called a closed head injury or mild traumatic
More informationmtbi/concussion in Children, Adolescents & Young Adults: What it is and Why we should be Concerned Ronald C. Savage, Ed.D.
mtbi/concussion in Children, Adolescents & Young Adults: What it is and Why we should be Concerned Ronald C. Savage, Ed.D. rcsavage@comcast.net 1 How Common Are mtbi/concussions? CDC reports indicate that
More informationMELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST/DIRECTOR INOVA SPORTS MEDICINE COMPREHENSIVE CONCUSSION PROGRAM
MELISSA N. WOMBLE, PHD NEUROPSYCHOLOGIST/DIRECTOR INOVA SPORTS MEDICINE COMPREHENSIVE CONCUSSION PROGRAM THE CURRENT PROBLEM 1. PATHOPHYSIOLOGY OF CONCUSSION 2. SIGNS AND SYMPTOMS OF CONCUSSION 3. TYPICAL
More informationCoastal Carolina University Athletic Training Department Policy and Procedure Manual Concussion Management Revised/Reviewed 6/2012
Coastal Carolina University Athletic Training Department Policy and Procedure Manual Concussion Management Revised/Reviewed 6/2012 INTRODUCTION: Concussion classification, management, and protocols have
More informationMark J. Harary, MD Primary Care Sports Medicine St Charles Orthopedics, LLP
Mark J. Harary, MD Primary Care Sports Medicine St Charles Orthopedics, LLP Facts, Definitions, etc Appropriate Recognition Comprehensive Management Treatment Consequences of Concussions Neurocognitive
More informationConflicts. Objectives. You can t hide. Epidemiology 4/16/2018. I have no relevant financial relationships to disclose.
The Concussion Epidemic What the EM provider needs to know Conflicts I have no relevant financial relationships to disclose. Certified ImPACT consultant NFL/KSI grant reviewer Paid consultant for Weber-Shandwick
More informationCONCUSSION INFORMATION When in Doubt, Sit Them Out!
CONCUSSION INFORMATION When in Doubt, Sit Them Out! A concussion is a type of traumatic brain injury that interferes with normal function of the brain. All concussions are brain injuries. The WIAA recommends
More informationSport Related Concussion Update 2017
Sport Related Concussion Update 2017 HAYLEY QUELLER, MD ST. CHARLES ORTHOPEDICS, SPORTS MEDICINE DIRECTOR THINKSMART! CONCUSSION MANAGEMENT, CO-DIRECTOR Consensus Statement: 5 th Annual Meeting, Berlin
More informationWhen a concussion occurs:
When a concussion occurs: Once an athlete has experienced any type of potential head injury initiate the following checklist: 1. n Remove athlete from all activity and use the Concussion Recognition Tool
More informationConcussion: Recognizing, Managing and Assisting Athletes to Return to Play Safely
Concussion: Recognizing, Managing and Assisting Athletes to Return to Play Safely Todd Barron, MD Medical Director, WellSpan Neurosciences Medical Director, WellSpan Pediatric Neurology Agenda Safety in
More informationSports Concussions: Return to Learn
Sports Concussions: Return to Learn Jonathan Santana, DO Adolescent & Sports Medicine Objectives Be able to perform a brief cognitive assessment in the athlete with a head injury Be able to prescribe return
More informationFROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN PRESENTS:
FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN PRESENTS: MANAGING CONCUSSIONS ON AND OFF THE FIELD WELCOME AND OVERVIEW Definition of concussion Epidemiology of concussion Signs and symptoms Initial treatment
More informationCommunity Partnerships for Youth Concussion Care: Power of the Medical Neighborhood
Community Partnerships for Youth Concussion Care: Power of the Medical Neighborhood Gerard A. Gioia, Ph.D. Pediatric Neuropsychologist Chief, Division of Pediatric Neuropsychology Director, Safe Concussion
More informationDisclosures 7/22/2015 MANAGEMENT OF SPORTS RELATED CONCUSSION. Brad Herskowitz MD Neurologist Baptist Hospital
MANAGEMENT OF SPORTS RELATED CONCUSSION Brad Herskowitz MD Neurologist Baptist Hospital Disclosures I have no relevant financial conflicts of interest. I will not discuss off label or unapproved usage.
More informationConcussion Protocol. Signs and Symptoms. Pre-Concussion Management
Concussion Protocol In recent years, we have seen an increase in concussions. A concussion is defined by The Children s Hospital of Philadelphia (CHOP) as a mild traumatic brain injury (mtbi) caused by
More informationPresented By: Corey Dean, MD, FAAP, FACP, CAQ Sports Medicine
Concussions Traumatic Brain Injuries (TBI) in Sports Presented By: Corey Dean, MD, FAAP, FACP, CAQ Sports Medicine Team Physician for Concordia University, Saline and Ypsilanti-Lincoln High Schools IHA
More informationConcussion Guidelines in the GAA
And present Concussion Guidelines in the GAA 2013 2016 Page 1 of 13 Position Statement Concussion Guidelines 2013 2016 Summary Principles... 3 What is Concussion?... 3 Signs and Symptoms... 3 Pitch Assessment
More informationConcussion Update and Case Presentations
Concussion Update and Case Presentations Cayce Onks, DO, MS, ATC Associate Professor Primary Care Sports Medicine Penn State Concussion Program Departments of Family Medicine and Orthopaedics I have no
More informationSports Concussion After the Injury. Carol Scott, MD UNR Student Health Center Sports Medicine September 22, 2016
Sports Concussion After the Injury Carol Scott, MD UNR Student Health Center Sports Medicine September 22, 2016 Goals Understand the initial assessment of concussion Become familiar with tools that aid
More informationand present Date: Amended January 2015
and present Concussionn Guidelines in the GAA 2013 2016 Adopted by LGFA Date: Amended January 2015 Table of Contents Summary Principles... 2 What is Concussion?... 3 Signs and Symptoms... 3 Pitch Assessment
More informationPurpose: The purpose of this policy is to establish a protocol for defining concussions, recognizing symptoms of concussions, and determining the
Purpose: The purpose of this policy is to establish a protocol for defining concussions, recognizing symptoms of concussions, and determining the return to play of an athlete following a concussion at
More informationCompleting the Loop: Management of the Adolescent Sports Injury. Marisa Frank PT, DPT, CSCS
: Management of the Adolescent Sports Injury Marisa Frank PT, DPT, CSCS OBJECTIVES Describe patients who are appropriate for physical therapy. Demonstrate an understanding of the phases of concussion rehabilitation.
More informationTHE ATHLETE S GUIDE TO CONCUSSION MANAGEMENT
THE ATHLETE S GUIDE TO CONCUSSION MANAGEMENT THE ATHLETE S GUIDE TO CONCUSSION MANAGEMENT Table of Contents Introduction...3 What is a Concussion?...4 How Do I Know If I Have a Concussion?...4 Concussion
More informationConcussion. Concussion is a disturbance of brain function caused by a direct or indirect force to the head.
Concussion Concussion is a disturbance of brain function caused by a direct or indirect force to the head. Disturbances of brain tissue is largely related to neurometabolic dysfunction rather then structural
More informationNorth Thurston Public Schools Concussion Information Sheet
North Thurston Public Schools Concussion Information Sheet Definition A concussion is a brain injury that may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an
More informationUNIVERSITY OF MASSACHUSETTS SPORTS MEDICINE PROGRAM Concussion Management Plan
UNIVERSITY OF MASSACHUSETTS SPORTS MEDICINE PROGRAM Concussion Management Plan University of Massachusetts Sports Medicine personnel will evaluate student-athletes with a suspected concussion as follows:
More informationSports Concussion What the Clinician Needs to Know
I have no disclosures. Sports Concussion What the Clinician Needs to Know Carlin Senter, MD Associate Professor Co-Director UCSF Sports Concussion Program Primary Care Sports Medicine University of California
More informationNew Frontiers in the Science of Concussion
New Frontiers in the Science of Concussion Mark R. Lovell, Ph.D., FACPN Chairman and Chief Scientific Officer Founding Director and Professor University of Pittsburgh Sports Concussion Program Copyright
More informationApril 28, Katie Barnes Wood, PT, DPT Orthotennessee Therapy. Concussion Therapy. How and Why Physical Therapy Can Help Concussions
April 28, 2018 Katie Barnes Wood, PT, DPT Orthotennessee Therapy Concussion Therapy How and Why Physical Therapy Can Help Concussions Background Concussion Rehab at KOC Our Care Team Athletic Trainers
More informationConcussion in the Young Athlete:
Concussion in the Young Athlete: Return-to-Learn and Return-to-Play UCSF Family and Community Medicine Annual Review Course December 10, 2015 Cindy J. Chang, M.D. Associate Clinical Professor UCSF Dept
More informationCONCUSSIONS. Recognition, Assessment, Management, and Return to Play
CONCUSSIONS Recognition, Assessment, Management, and Return to Play What is a concussion? A concussion is a traumatic injury to the soft tissue of the brain as a result of a violent blow. The brain tissue
More informationThe Value of Rest. Makdissi- Zurich A brief period of rest is important in the acute period following concussion.
Treatment 2 The Value of Rest Makdissi- Zurich 2012 A brief period of rest is important in the acute period following concussion. There is no evidence however that prolonged rest is beneficial for athletes
More informationCoaching Applications. The Knowledge, Attitudes and Beliefs of Pediatric Concussion Among USA Swim Coaches
Coaching Applications The Knowledge, Attitudes and Beliefs of Pediatric Concussion Among USA Swim Coaches Katrina G. Ritter, MS, ATC 1 ; Cailee E. Welch Bacon, PhD, ATC 1 ; Ian A. McLeod, MS, PA- C, ATC
More informationSPRINGFIELD CLINIC S
SPRINGFIELD CLINIC S HEAD INJURY MANAGEMENT GUIDE FOR PARENTS Given the complexities of concussion management, Springfield Clinic recognizes the importance of managing concussions on an individualized
More informationSt. John Fisher College Intercollegiate Athletics Concussion Management Protocol
St. John Fisher College Intercollegiate Athletics Concussion Management Protocol Definition of Concussion Concussion is defined as a complex pathophysiological process affecting the brain, induced by traumatic
More informationDisclosures. Sports and Recreation Concussions. 4 th International Conference on Concussion in Sports
Update: 4th International Consensus Conference on Concussions in Sports Stanley A. Herring, MD Director of Sports, Spine and Orthopaedic Health UW Medicine Co-Medical Director Seattle Sports Concussion
More informationCONCUSSION MANAGEMENT PROTOCOL 2015
301-333 Terminal Avenue, Vancouver, BC Canada V6A 4C1 t: 604.568.1135 f: 604.568.1639 e: info@canadasnowboard.ca www.canadasnowboard.ca CONCUSSION MANAGEMENT PROTOCOL 2015 A CONCUSSION is a disturbance
More informationContact Sports and Concussion. Get your head in the game keep your head in the game!
Contact Sports and Concussion Get your head in the game keep your head in the game! Contact sports with concussion potential at UMW http://www.youtube.com/watch?v=yiqzdbk3m40 Safety First Safety First
More informationConcussions: the evidenced based office evaluation for primary care and beyond.
Concussions: the evidenced based office evaluation for primary care and beyond. Presented By: Dr. Corey Dean MD, FAAP, FACP, and CAQSM Associate Program Director of Ambulatory Education St. Joseph Hospital
More informationNo relevant financial relationships to be discussed, directly or indirectly, referred to or illustrated with or without recognition within the
No relevant financial relationships to be discussed, directly or indirectly, referred to or illustrated with or without recognition within the presentation. 24 year old Olympic ice hockey player gets hit
More informationJefferson County School District Protocol and Procedures for Management of Sports-Related Concussions
Jefferson County School District 509J 390 SE 10 th St. Madras, OR 97741 Jefferson County School District Protocol and Procedures for Management of Sports-Related Concussions Medical management of a sports-related
More informationAlberta Deaf Sports Association Concussion Protocol and Policy **BOARD APPROVED: August 27 th, 2016** 1.1 Introduction
1.1 Introduction Alberta Deaf Sports Association Concussion Protocol and Policy **BOARD APPROVED: August 27 th, 2016** The Canadian Concussion Collaborative recommends that all recreation providers, sports
More informationConcussion Management Procedures Grades 5-12
Concussion Management Procedures Grades 5-12 Medical management of sports-related concussion is evolving. Recently there has been a significant amount of research into sports-related concussion in high
More informationWhat is concussion? DR MARTIN RAFTERY CHIEF MEDICAL OFFICER NOVEMBER 2016
What is concussion? DR MARTIN RAFTERY CHIEF MEDICAL OFFICER NOVEMBER 2016 2 WHAT IS RUGBY? Short video CONCUSSION WHY IMPORTANT? 1. Can mimic more serious intra-cranial injury 2. Can lead to persistent
More informationBELMONT ABBEY COLLEGE ATHLETIC TRAINING CONCUSSION MANAGEMENT PLAN. Revised September 7, 2016
BELMONT ABBEY COLLEGE ATHLETIC TRAINING CONCUSSION MANAGEMENT PLAN Revised September 7, 2016 I. Introduction The Belmont Abbey College Athletic Training Department remains committed to ensuring the health
More informationSam Schimelpfenig, MD, FAAP Team Physician, University of Sioux Falls Avera Medical Group
Sam Schimelpfenig, MD, FAAP Team Physician, University of Sioux Falls Avera Medical Group Understand the basic management principles of sports-related concussions Review some of the current literature
More informationOutline. A brief history of concussion 4/25/2018. Understanding the Impact of Concussions: From Injury through Recovery
Understanding the Impact of Concussions: From Injury through Recovery Luke C. Henry, PhD Clinical Neuropsychologist UPMC Department of Neurological Surgery 05.04.2018 Concussions Brief history Definition
More informationNovaCare Rehabilitation Athletic Training Services
NovaCare Rehabilitation Athletic Training Services Concussion Management Standards: Harrisburg Academy 10 Erford Rd Wormleysburg, PA 17043 Medical management of sports-related concussion is evolving. In
More information