10/23/2011. Somatic Complaints

Size: px
Start display at page:

Download "10/23/2011. Somatic Complaints"

Transcription

1 Amy Garrigues, PT, DPT Orthopaedic Clinical Specialist Fellow, American Academy of Orthopaedic and Manual Physical Therapists 1.4 Million reported incidents of Traumatic Brain Injury (TBI) in the US every year (2004) Mild TBI 70-90% Incidence of hospital treated mtbi: :100,000 Projected Annual Incidence of mtbi: 600:100,000 Minor head injury Mild closed head injury American Academy of Pediatrics Mild Traumatic Brain Injury WHO and American College of Rehabilitation Medicine Concussion and Sports Concussion American Academy of Neurology and Concussion in Sport group a complex pathophysiological process induced by traumatic forces secondary to direct or indirect forces to the head that disrupts the function of the brain... associated with normal structural neuroimaging findings and may or may not involve a loss of consciousness --Centers for Disease Control Who do they tell? Somatic Complaints Coach, Athletic Trainer, or parent Emergency Department Primary Care Provider No one Headache (86%) Dizziness/Balance Deficits Nausea/Vomiting Sensitivity to light/noise Visual Disturbance Numbness and Tingling Tinnitus 1

2 Cognitive Deficits Poor concentration Impaired memory Slowed thinking in a fog Neurobehavioral Deficits Depression Frustration Irritability/nervousness Drowsiness Altered sleep patterns Fatigue/lethargy Slowed responsiveness Dazed & Confused Personality change Memory loss Irritability Seizures Slurred or Incoherent Speech +/- LOC Poor Motor Coordination On-field or sideline evaluation of acute concussion ABCs Glasgow Coma Scale Rule out cervical spine fracture/skull fracture On-Field Symptoms Physical Signs LOC Balance GCS Maddock s Questions Cognitive Assessment Orientation Immediate Memory Concentration Balance Coordination Delayed Recall ED History Physical Exam and Cognitive Tests Sports Concussion Assessment Tool (SCAT2) 2

3 Imaging Focal neurological deficits Risk factors for hemorrhage Canadian Head CT Rule Canadian C- Spine Rule Imaging MRI SPECT PET fmri Neuropsychological Testing Written ImPACT/ CogSport (computerized) Pre-test allows for most accurate baseline comparison 22 questions rate current symptoms Different forms to minimize practice effect Only when symptom free!!! Cantu Guidelines Colorado Medical Society Guidelines American Academy of Neurology Guidelines Grade 1 Grade 2 Grade 3 No LOC. Posttraumatic amnesia <30 minutes; symptoms last only min. Confusion, no loss of consciousness (LOC) Confusion, symptoms last <15 minutes; no LOC LOC <5 minutes or amnesia lasting 30 minutes to 24 hours Confusion, posttraumatic amnesia, no LOC Symptoms last >15 minutes, no LOC LOC >5 minutes or amnesia >24 hours Any loss of consciousness (LOC) LOC (Grade 3a coma lasts seconds, Grade 3b for minutes) Rest Medication Education Complete bedrest ineffective in reducing symptoms (dekruijk JR et al, 2002) Avoid studying, cognitive work and physical for 2-5 days 3

4 Acetaminophen Avoid aspirin and NSAIDs Anti-depressants used for persistent headaches Trazodone for sleep disturbance Advice to follow up with primary care Signs and symptoms of worsening Wake ups? When do symptoms of concussion become post-concussion syndrome? HEADACHE DIZZINESS FATIGUE LIGHT SENSITIVITY DEPRESSION FOGGINESS DIFFICULTY CONCENTRATNG Duration of Amnesia (Cantu, 2001; Collins et al, 2003) 3 or more concussions (Guskiewicz et al, 2003; Collie et al, 2006; Couvassin et al, 2008; Slobounov et al, 2007) Age (Field et al, 2003; Metzl, 2006; Pellman et al, 2006; Sim et al, 2008) Female Gender (Reddy and Collins, 2009) Prolonged headache and migrainous symptoms (Collins et al, 2003; Register-Mihalik et al, 2007; Mihalik et al, 2005) Exertion (Leddy et al, 2007; Majerske et al, 2008) 4

5 Results 26% of 100 mtbi participants were classified as having post concussion syndrome at 3 months. Immediate memory, delayed memory, and headache intensity most predictive 80% Sensitive 76% Specific Education Neurocognitive Therapy Graded Activity Medication Psychological Counseling Neuropsychological Therapy State Legislation Cantu Colorado Medical Society American Academy of Neurology Prague Guidelines, updated in 2008 Mayo Grade First Concussion Second Concussion Third Concussion Grade I mild May return to play if asymptomatic for 1 week May return to Terminate play in 2 weeks if season, although asymptomatic for patient may 1 week return to play next season if asymptomatic GET BACK IN THERE!!! Grade 2 moderate May return to play after asymptomatic for 1 week Minimum of 1 Same as above month out of competition, may return to play then if asymptomatic for 1 week Grade 3 severe Minimum of 1 month, may return to play if asymptomatic for 1 week Terminate season, although may return to play next season if asymptomatic 5

6 Stage of Rehabilitation Stage 1 Target Heart Rate : 30-40% of maximum Recommendations: exercise in quiet area, balance and vestibular treatment by specialist, Physical Therapy Program -Very light aerobic conditioning -Sub-max isometric strengthening and gentle isotonic -ROM/ Stretching - low level balance activities Recommended Exercises Stationary Bike; Seated Elliptical; UBE; Treadmill walking: (10-15 min) Quad sets; Ham sets; (UE) light hand weights Cervical ROM exercise, Romberg exercises (feet together, tandem stance, eyes open-closed); single leg balance Stage 2 Target Heart Rate : 40-60% of maximum Recommendations: use various exercise equipment; allow some positional changes and head movement; low level concentration activities; minutes of cardio exercise. -Light to Moderate Treadmill; Stationary Bike; aerobic conditioning Elliptical; UBE; -Light weight PRE s -stretching (active stretching initiated) -Moderate Balance activities; initiate activities with head position changes Light weight strength exercise resistive band exercises; wall squats, lunges, step up/downs stage 1 stretching, active stretching as tolerated Romberg exercises, VOR exercise (walking with eyes focused with head turns); Swiss ball exercises; single leg balance exercises Stage 3 Target Heart Rate: 60-80% of maximum Recommendations: any environment ok for exercise; integrate strength, conditioning, and balance/ proprioceptive exercise; incorporate concentration challenges (stage 1&2 exercises included, as appropriate) -Moderately aggressive aerobic exercise -All forms of strength exercise (80% max) -Impact activities running, plyometrics (no contact) -Challenging proprioceptive/ dynamic balance Treadmill (jogging); Stationary Bike; Elliptical UBE (25-30min) Resistive weight training including free weights; MRS/ Functional Squat; Dynamic Strength activities Initiate agility drills (zig zag runs, side shuffle, ect ), Jumping on tramp/blocks. Higher level balance activities: ball toss on plyo floor, balance discs, trampoline; BOSU ball Stage 4 (Sport Performance Training) Target Heart Rate: 80% of maximum Recommendations: continue to avoid contact activity, but resume aggressive training in all environments -Non-contact physical training -Aggressive strength exercise -Impact activities/ plyometrics -Sport Specific Performance Training Program to be designed by Sport Performance Trainers Graded Treadmill testing Interval training Sport Specific drills/training Stage 5 (Sport Performance Training) Target Heart Rate: Full Recommendations: Initiate contact activities as appropriate to sport activity; full activities for sport activities -Resume full physical training activities with contact -Continue Aggressive strength/ conditioning exercise -Sport specific Activities Program to be designed by Sport Performance Trainers Practice and game intensity training Sport specific activities Current guidelines are for sportsrelated concussions What about the other 85%? 6

7 Medical Management is limited Physical Therapists are in a unique position to evaluate and treat these patients throughout the spectrum of injury to recovery but we are under-utilized! 7

Guidelines for the Medical Management of Concussions As Applied to Cheerleading

Guidelines for the Medical Management of Concussions As Applied to Cheerleading This information is not intended to evaluate or treat a concussion or any injury, and is not a substitute for a consultation with a medical provider. Every concussion is unique and AACCA recommends that

More information

SOUTHWEST FOOTBALL LEAGUE CONCUSSION MANAGEMENT PROTOCOL

SOUTHWEST FOOTBALL LEAGUE CONCUSSION MANAGEMENT PROTOCOL SOUTHWEST FOOTBALL LEAGUE CONCUSSION MANAGEMENT PROTOCOL NOTE: Revisions to the guidelines recommended in this Concussion Management Protocol will be made on an annual basis based upon current legislation.

More information

Revised 10-4-10 Bethel Park s Sports Concussion and Closed Head Injury Protocol and Procedures for Student-Athletes

Revised 10-4-10 Bethel Park s Sports Concussion and Closed Head Injury Protocol and Procedures for Student-Athletes Bethel Park s Sports Concussion and Closed Head Injury Protocol and Procedures for Student-Athletes If the Certified Athletic Trainer of Bethel Park School District has a concern that a student-athlete

More information

Concussion Management Program for Red Bank Catholic High School Athletic Department

Concussion Management Program for Red Bank Catholic High School Athletic Department Concussion Management Program for Red Bank Catholic High School Athletic Department *This document should be used as a framework for a successful concussion management program but is not intended to replace

More information

UCSF 2 nd Annual Primary Care Sports Medicine Conference ABCs of Musculoskeletal Care Sports Concussion Workshop November 30, 2007

UCSF 2 nd Annual Primary Care Sports Medicine Conference ABCs of Musculoskeletal Care Sports Concussion Workshop November 30, 2007 UCSF 2 nd Annual Primary Care Sports Medicine Conference ABCs of Musculoskeletal Care Sports Concussion Workshop November 30, 2007 Bill Durney MBA, ATC UCSF Orthopaedic Surgery & Sports Medicine Practice

More information

Comprehensive Evaluation, Management and Treatment of Mild Traumatic Brain Injury

Comprehensive Evaluation, Management and Treatment of Mild Traumatic Brain Injury Comprehensive Evaluation, Management and Treatment of Mild Traumatic Brain Injury Steven M. Erickson, MD Medical Director, Sports Medicine and Concussion Specialists Definition of MTBI A complex pathophysiological

More information

Concussion Management Protocol for G-Force Program

Concussion Management Protocol for G-Force Program Concussion Management Protocol for G-Force Program Baseline ImPACT testing Recommended but not mandatory - Can be done anytime but ideally recommended before season begins - Ideally this should be done

More information

Michael J. Sileo, MD. Orthopedic Associates of Long Island (OALI)

Michael J. Sileo, MD. Orthopedic Associates of Long Island (OALI) Michael J. Sileo, MD Orthopedic Associates of Long Island (OALI) ! Jeremy Thode, AD! Center Moriches BOE ! Safety of our student-athletes is our Number 1 concern! NYS is now forcing our hand " Referees

More information

concussion recovery guide

concussion recovery guide concussion recovery guide Important Facts... A concussion is a TRAUMATIC BRAIN INJURY All concussions are serious What Is A Concussion? A concussion is a type of traumatic brain injury (TBI). Concussions

More information

Skate Australia Concussion Guidelines

Skate Australia Concussion Guidelines Skate Australia Concussion Guidelines Introduction Forces strong enough to cause concussion are common in all roller sports. Even though helmets are worn in most disciplines, the risk of concussion is

More information

LIBERTY UNIVERSITY CONCUSSION PROTOCOL Page 1

LIBERTY UNIVERSITY CONCUSSION PROTOCOL Page 1 Liberty University Sports Medicine Concussion / Traumatic Brain Injury Protocol The Liberty University Sports Medicine Department recognizes that head injuries, particularly sportinduced concussions, pose

More information

IF IN DOUBT, SIT THEM OUT.

IF IN DOUBT, SIT THEM OUT. IF IN DOUBT, SIT THEM OUT. Scottish Sports Concussion Guidance: Grassroots sport and general public Modified from World Rugby s Guidelines on Concussion Management for the General Public Introduction The

More information

THE MANAGEMENT OF CONCUSSION IN AUSTRALIAN FOOTBALL

THE MANAGEMENT OF CONCUSSION IN AUSTRALIAN FOOTBALL THE MANAGEMENT OF CONCUSSION IN AUSTRALIAN FOOTBALL AFL Research board AFL MEDICAL OFFICERS' ASSOCIATION THE MANAGEMENT OF CONCUSSION IN AUSTRALIAN FOOTBALL This document has been published by the AFL

More information

Defined as a complex process affecting the brain, induced by traumatic biomechanical forces.

Defined as a complex process affecting the brain, induced by traumatic biomechanical forces. Concussion Protocol Defined as a complex process affecting the brain, induced by traumatic biomechanical forces. May be caused by a direct blow to the head, face, neck or elsewhere on the body with force

More information

CONCUSSION GUIDELINES PLAYERS HEALTH AND SAFETY FIRST

CONCUSSION GUIDELINES PLAYERS HEALTH AND SAFETY FIRST CANADA SOCCER CONCUSSION GUIDELINES PLAYERS HEALTH AND SAFETY FIRST CANADA SOCCER SPORTS MEDICINE COMMITTEE 2 CANADA SOCCER /// CONCUSSION GUIDELINES SUMMARY A concussion is a brain injury. All concussions

More information

NFL Head, Neck and Spine Committee s Protocols Regarding Diagnosis and Management of Concussion

NFL Head, Neck and Spine Committee s Protocols Regarding Diagnosis and Management of Concussion NFL Head, Neck and Spine Committee s Protocols Regarding Diagnosis and Management of Concussion Introduction Concussion is an important injury for the professional football player, and the diagnosis, prevention,

More information

Concussion Management Return to Play Protocol

Concussion Management Return to Play Protocol Concussion Management Return to Play Protocol Returning to play following a concussion involves a stepwise progression once the individual is symptom free. There are many risks to premature return to play

More information

Sport Concussion in New Zealand ACC National Guidelines

Sport Concussion in New Zealand ACC National Guidelines Sport Concussion in New Zealand ACC National Guidelines This guideline document has been produced to inform National Sports Organisations (NSOs), and recreation, education and health sectors in their development

More information

Neuropsychological Assessment in Sports-Related Concussion: Part of a Complex Puzzle

Neuropsychological Assessment in Sports-Related Concussion: Part of a Complex Puzzle Neuropsychological Assessment in Sports-Related Concussion: Part of a Complex Puzzle Jillian Schuh, PhD 1, 2, John Oestreicher, PhD 1, & Linda Steffen, PsyD 1 1 Catalpa Health 2 Department of Neurology,

More information

Boston College Sports Medicine

Boston College Sports Medicine Boston College Sports Medicine Guidelines for Care of the Concussed Student-Athlete This document is for use by Boston College Sports Medicine Clinicians when treating Student- Athletes (S-A s) who have

More information

A Parent s Guide to Choosing a Sports Concussion Specialist Brain Injury Alliance of New Jersey Concussion in Youth Sports Committee

A Parent s Guide to Choosing a Sports Concussion Specialist Brain Injury Alliance of New Jersey Concussion in Youth Sports Committee A Parent s Guide to Choosing a Sports Concussion Specialist Brain Injury Alliance of New Jersey Concussion in Youth Sports Committee The following is a guideline for parents to use when choosing a sports

More information

What You Need to Know About Concussions

What You Need to Know About Concussions Stamford Health What You Need to Know About Concussions A Planetree Hospital Concussion and Head Injury A concussion is a mild traumatic brain injury that can occur after a direct blow to the head or other

More information

Concussion guidance. Introduction CONCUSSION FACTS

Concussion guidance. Introduction CONCUSSION FACTS Introduction This World Rugby Concussion Guidance document has been developed to provide guidance and information to persons involved in the Game of Rugby (including the general public) regarding concussion

More information

CPEP Traumatic Brain Injury (TBI) Examination

CPEP Traumatic Brain Injury (TBI) Examination CPEP Traumatic Brain Injury (TBI) Examination Please read each question carefully and click on the circle next to the correct answer. When you have finished all the questions, click the Submit button at

More information

Objectives. Definition. Epidemiology. The journey of an athlete

Objectives. Definition. Epidemiology. The journey of an athlete Sport Concussion Chantel Debert MD MSc FRCPC CSCN Physical Medicine and Rehabilitation Department of Clinical Neurosciences Hotchkiss Brain Institute, University of Calgary Objectives Definition Epidemiology

More information

Management of Concussion/Mild Traumatic Brain Injury - Evidence Based Practice

Management of Concussion/Mild Traumatic Brain Injury - Evidence Based Practice Management of Concussion/Mild Traumatic Brain Injury - Evidence Based Practice Introduction 1) The Centers for Disease Control and Prevention has estimated that each year, approximately Americans survive

More information

Concussion Education. Sports Medicine. ohsusportsmedicine.com 503 494-4000

Concussion Education. Sports Medicine. ohsusportsmedicine.com 503 494-4000 Concussion Education What is a concussion? A concussion is a common, yet mild traumatic brain injury resulting from a force or impact to the head. Examples of such forces include: Head to Head Head to

More information

INTERNATIONAL RUGBY BOARD Putting players first

INTERNATIONAL RUGBY BOARD Putting players first Summary Principles Concussion must be taken extremely seriously to safeguard the long term welfare of Players. Players suspected of having concussion must be removed from play and must not resume play

More information

Concussion Management Plan

Concussion Management Plan Concussion Management Plan School District of Luck 810 South 7 th Street Luck, WI 54853 Date: 08/23/2013 Luck School District Sports Concussion Management Plan 1. Overview 1.1. In response to the growing

More information

UHSAA Sports Concussion Management Policy (Updated and Revised 8/17/2011)

UHSAA Sports Concussion Management Policy (Updated and Revised 8/17/2011) 1. Overview UHSAA Sports Concussion Management Policy 1.1. In response to the growing concern over concussion in athletics there is a need for High Schools to develop and utilize a Concussion Management

More information

.org. Sports Concussion. Description. Cause

.org. Sports Concussion. Description. Cause Sports Concussion Page ( 1 ) According to the U.S. Centers for Disease Control and Prevention, about 200,000 people in the United States suffer concussions while playing sports every year. Concussions

More information

WJCC Schools Athletics Concussions Procedures

WJCC Schools Athletics Concussions Procedures WJCC Schools Athletics Concussions Procedures Concussions sometimes occur among athletes in competitive sports programs. At WJCC Schools, careful protocols are utilized, including the use of ImPACT software,

More information

CONCUSSION FACTS. What is concussion? What causes concussion? Prevention of Concussions: Solano College Reporting:

CONCUSSION FACTS. What is concussion? What causes concussion? Prevention of Concussions: Solano College Reporting: CONCUSSION FACTS A concussion is a brain injury. All concussions are serious. Concussions can occur without loss of consciousness. All athletes with any symptoms following a head injury must be removed

More information

Interesting Concussion Case Studies. Kevin Guskiewicz, PhD, ATC 2005 NATA Advanced Track Indianapolis, IN June 12, 2005

Interesting Concussion Case Studies. Kevin Guskiewicz, PhD, ATC 2005 NATA Advanced Track Indianapolis, IN June 12, 2005 Interesting Concussion Case Studies Kevin Guskiewicz, PhD, ATC 2005 NATA Advanced Track Indianapolis, IN June 12, 2005 Case 1 HS soccer player 16 year-old female HS soccer player No concussion history

More information

CONCUSSION INFORMATION AND SIGNATURE FORM FOR COACHES (Adapted from CDC Heads Up Concussion in Youth Sports )

CONCUSSION INFORMATION AND SIGNATURE FORM FOR COACHES (Adapted from CDC Heads Up Concussion in Youth Sports ) CONCUSSION INFORMATION AND SIGNATURE FORM FOR COACHES (Adapted from CDC Heads Up Concussion in Youth Sports ) Read and keep this page. Sign and return the signature page. THE FACTS A concussion is a brain

More information

What is a concussion? What are the symptoms of a concussion? What happens to the brain during a concussion?

What is a concussion? What are the symptoms of a concussion? What happens to the brain during a concussion? What is a concussion? The working definition used today for concussion is a complex pathophysiological process affecting the brain, induced by traumatic biomechanical forces (developed by the consensus

More information

CONCUSSIONS AND MILD TRAUMATIC BRAIN INJURIES

CONCUSSIONS AND MILD TRAUMATIC BRAIN INJURIES CONCUSSIONS AND MILD TRAUMATIC Concussions and mild traumatic brain injuries (MTBI) are complex processes affecting the brain that are brought about by traumatic biomechanical forces. They result in the

More information

Concussion: Sideline Assessment

Concussion: Sideline Assessment Concussion: Sideline Assessment Damion A. Martins, MD Director, Orthopedics & Sports Medicine Program Director, Sports Medicine Fellowship - Atlantic Health System Director of Internal Medicine - New York

More information

Recovering from a Mild Traumatic Brain Injury (MTBI)

Recovering from a Mild Traumatic Brain Injury (MTBI) Recovering from a Mild Traumatic Brain Injury (MTBI) What happened? You have a Mild Traumatic Brain Injury (MTBI), which is a very common injury. Some common ways people acquire this type of injury are

More information

A Brief Update on Concussion Management. Virginia Academy of Family Physicians Sports Medicine Task Force

A Brief Update on Concussion Management. Virginia Academy of Family Physicians Sports Medicine Task Force A Brief Update on Concussion Management Virginia Academy of Family Physicians Sports Medicine Task Force Overview Be suspicious of a concussion and hold the athlete from further activities until completely

More information

Concussion Vital Signs

Concussion Vital Signs Concussion Vital Signs Peter C. Entwistle Ph.D. Charles Shinaver Ph.D. Pearson Webinar Football season is almost here and so is baseline testing for your athletes. This webinar will provide a "how to"

More information

Current Concepts of Concussion Evaluation and Management. Michael J O Brien, MD

Current Concepts of Concussion Evaluation and Management. Michael J O Brien, MD Current Concepts of Concussion Evaluation and Management Michael J O Brien, MD 22nd Annual Northeast Regional Nurse Practitioner Conference May 6-8, 2015 DISCLOSURES There has been no commercial support

More information

Attention & Memory Deficits in TBI Patients. An Overview

Attention & Memory Deficits in TBI Patients. An Overview Attention & Memory Deficits in TBI Patients An Overview References Chan, R., et.al.. (2003). Are there sub-types of attentional deficits in patients with persisting post- concussive symptoms? A cluster

More information

Recognizing and Managing Concussion and Sports Concussion in the Collegiate Setting

Recognizing and Managing Concussion and Sports Concussion in the Collegiate Setting Recognizing and Managing Concussion and Sports Concussion in the Collegiate Setting Brian P Rieger, PhD Chief Psychologist & Clinical Assistant Professor Department of Physical Medicine & Rehabilitation

More information

PREVENTION AND TREATMENT OF SPORTS-RELATED CONCUSSIONS AND HEAD INJURIES

PREVENTION AND TREATMENT OF SPORTS-RELATED CONCUSSIONS AND HEAD INJURIES 2431.4/Page 1 of 9 2431.4 A concussion is a traumatic brain injury caused by a direct or indirect blow to the head or body. Allowing a student-athlete or cheerleader to return to play before recovering

More information

SUGGESTED GUIDELINES FOR MANAGEMENT OF CONCUSSION IN SPORTS

SUGGESTED GUIDELINES FOR MANAGEMENT OF CONCUSSION IN SPORTS SUGGESTED GUIDELINES FOR MANAGEMENT OF CONCUSSION IN SPORTS National Federation of State High School Associations (NFHS) Sports Medicine Advisory Committee (SMAC) Introduction A concussion is type of traumatic

More information

Laurel School Sports Medicine Traumatic Brain Injury (TBI)/Concussion Management Document

Laurel School Sports Medicine Traumatic Brain Injury (TBI)/Concussion Management Document Laurel School Sports Medicine Traumatic Brain Injury (TBI)/Concussion Management Document Baseline Testing Laurel School Sports Medicine utilizes ImPACT neurocognitive testing as part of our concussion

More information

IHSA Sports Medicine Acknowledgement & Consent Form. Concussion Information Sheet

IHSA Sports Medicine Acknowledgement & Consent Form. Concussion Information Sheet Concussion Information Sheet A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force

More information

Sports Concussion. Carol Scott, MD. May 1, Sports Medicine University of Nevada Student Health Center

Sports Concussion. Carol Scott, MD. May 1, Sports Medicine University of Nevada Student Health Center Sports Concussion Carol Scott, MD Sports Medicine University of Nevada Student Health Center May 1, 2014 Goals and Objectives Review Nevada State Law Review the latest Concussion in Sport Guidelines Provide

More information

R PREVENTION AND TREATMENTOF SPORTS-RELATED CONCUSSIONS AND HEAD INJURIES

R PREVENTION AND TREATMENTOF SPORTS-RELATED CONCUSSIONS AND HEAD INJURIES R 2431.4/Page 1 of 6 R 2431.4 PREVENTION AND TREATMENTOF SPORTS-RELATED CONCUSSIONS AND HEAD INJURIES A concussion is a traumatic brain injury caused by a direct or indirect blow to the head or body. Allowing

More information

Multnomah University. Concussion Policy

Multnomah University. Concussion Policy Multnomah University Concussion Policy This policy is to outline the process and procedure in dealing with an MU athlete that is suspected in having a concussion injury. This policy will also define what

More information

University of Notre Dame Sports Medicine Department Intercollegiate Athletics Concussion Management Plan

University of Notre Dame Sports Medicine Department Intercollegiate Athletics Concussion Management Plan Purpose: University of Notre Dame Sports Medicine Department Intercollegiate Athletics Concussion Management Plan Head injuries can pose a significant health risk for student-athletes competing in intercollegiate

More information

Sports Concussion Management Plan

Sports Concussion Management Plan Chesapeake Public Schools Sports Concussion Management Plan Developed in collaboration with The Children s Hospital of The King s Daughters Sports Medicine Program. CHKD Sports Medicine The official athletic

More information

Post-Concussion Syndrome

Post-Concussion Syndrome Post-Concussion Syndrome Anatomy of the injury: The brain is a soft delicate structure encased in our skull, which protects it from external damage. It is suspended within the skull in a liquid called

More information

Neuropsychological Assessment in Sports- Related Concussion: Part of a Complex Puzzle

Neuropsychological Assessment in Sports- Related Concussion: Part of a Complex Puzzle Neuropsychological Assessment in Sports- Related Concussion: Part of a Complex Puzzle Jillian Schuh, PhD 1, 2, John Oestreicher, PhD 1, & Linda Steffen, PsyD 1 1 Catalpa Health 2 Department of Neurology,

More information

Concussion Guidance for the General Public

Concussion Guidance for the General Public CONCUSSION FACTS A concussion is a brain injury. All concussions are serious. Concussions can occur without loss of consciousness. All athletes with any symptoms following a head injury must be removed

More information

Concussion Management Protocol for Kansas State University Sports Medicine Prior to participation in any athletic activity for Kansas State

Concussion Management Protocol for Kansas State University Sports Medicine Prior to participation in any athletic activity for Kansas State Concussion Management Protocol for Kansas State University Sports Medicine Prior to participation in any athletic activity for Kansas State University, a student-athlete will have a pre-participation medical

More information

CONCUSSION INFORMATION - When in Doubt, Sit Them Out!

CONCUSSION 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 information

Parents calling should use this number if they need to set up an appointment: 484-526-3884

Parents calling should use this number if they need to set up an appointment: 484-526-3884 IMPACT TESTING CONCUSSION MANAGEMENT ALL coaches on the Palmerton staff are now required to take a course once a year to complete the concussion management certification-training course offered by the

More information

3. Overview: The next 8 pages contain the concussion management algorithms guiding garrison medical care at the time of injury to 7 days.

3. Overview: The next 8 pages contain the concussion management algorithms guiding garrison medical care at the time of injury to 7 days. ATTACHMENT 2 (CONCUSSION MANAGEMENT IN THE GARRISON SETTING ALGORITHMS) TO HQDA EXORD DA GUIDANCE FOR MANAGEMENT OF CONCUSSION/MILD TRAUMATIC BRAIN INJURY IN THE GARRISON SETTING 1. General: Implementation

More information

A GUIDE TO IN RUGBY UNION

A GUIDE TO IN RUGBY UNION A GUIDE TO The aim of this brochure is to provide information on concussion to those involved in rugby union in Ireland. Concussion MUST be taken extremely seriously. Any player with a suspected concussion

More information

Model Policy and Guidance for Pennsylvania Schools for Sports-Related Concussion/Mild Traumatic Brain Injury

Model Policy and Guidance for Pennsylvania Schools for Sports-Related Concussion/Mild Traumatic Brain Injury INTRODUCTION This document is designed to provide guidance to Pennsylvania school boards of education in the development, establishment, and implementation of policies, protocols and programs for the prevention,

More information

Concussion in Sports

Concussion in Sports PSAL: Concussion in Sports and the Concussion Management and Awareness Act Dennis A. Cardone, DO Associate Professor Concussion Overview Concussion accounts for 1 of 10 sports injuries CDC: Estimated 2,651,581

More information

Management of Sports-Related Concussions Smallville School District

Management of Sports-Related Concussions Smallville School District Management of Sports-Related Concussions Smallville School District Medical management of sports-related concussion continues to evolve. Recently, there has been a significant amount of new research regarding

More information

Alice A. Gervasini, PhD, RN Nurse Director, Trauma & Emergency Surgical Services Massachusetts General Hospital Instructor in Surgery Harvard Medical

Alice A. Gervasini, PhD, RN Nurse Director, Trauma & Emergency Surgical Services Massachusetts General Hospital Instructor in Surgery Harvard Medical Alice A. Gervasini, PhD, RN Nurse Director, Trauma & Emergency Surgical Services Massachusetts General Hospital Instructor in Surgery Harvard Medical School None of the planners or presenters of this session

More information

TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION

TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION TBI TRAUMATIC BRAIN INJURY WITHIN THE MILITARY/VETERAN POPULATION What is TBI? An external force that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. The

More information

Sports Medicine. A Parent s Guide to Concussions

Sports Medicine. A Parent s Guide to Concussions Sports Medicine A Parent s Guide to Concussions We re a national leader in the care and management of concussions. Nationwide Children s Hospital Sports Medicine wants you to be aware of concussions and

More information

Sport Concussion in New Zealand:

Sport Concussion in New Zealand: Sport Concussion in New Zealand: ACC National Guidelines January 2015 Developed with our partners: This guideline document has been produced to inform National Sports Organisations (NSOs), and recreation,

More information

Advancements in the Treatment and Management of Concussions to Improve Patient Outcomes

Advancements in the Treatment and Management of Concussions to Improve Patient Outcomes Advancements in the Treatment and Management of Concussions to Improve Patient Outcomes William R. Wellborn III, PhD Director Carilion Sports Concussion Program Department of Physical Medicine and Rehabilitation

More information

Interesting Concussion Case Studies. Kevin Guskiewicz, PhD, ATC 2005 NATA Advanced Track Indianapolis, IN June 12, 2005

Interesting Concussion Case Studies. Kevin Guskiewicz, PhD, ATC 2005 NATA Advanced Track Indianapolis, IN June 12, 2005 Interesting Concussion Case Studies Kevin Guskiewicz, PhD, ATC 2005 NATA Advanced Track Indianapolis, IN June 12, 2005 Case 2 Collegiate Football Player Accelerometry Instrumentation Head Impact Telemetry

More information

Disclosure Statement. Overview of Concussion. 5 th Annual Current Concepts in Brain Injury Rehabilitation November 1-2,

Disclosure Statement. Overview of Concussion. 5 th Annual Current Concepts in Brain Injury Rehabilitation November 1-2, Evidence-Based Management of Sports Concussion and Mild Traumatic Brain Injury: What are we Learning? Micky Collins, PhD University of Pittsburgh Medical Center Associate Professor Department of Orthopaedic

More information

General Information Regarding Sports-Related Concussions & Head Injuries

General Information Regarding Sports-Related Concussions & Head Injuries Date Adopted: December 13, 2011 Date Revised Page 1 of 7 The Board of Education recognizes that head injuries pose a serious health risk to the students of this district and in particular to student athletes

More information

Athol-Royalston Regional School District Management of Sports-Related Head Injuries

Athol-Royalston Regional School District Management of Sports-Related Head Injuries Medical management of sports-related concussion continues to evolve. Recently, there has been a significant amount of new research regarding sports-related concussions in high school athletes, including

More information

Combat Medic/Corpsman Algorithm

Combat Medic/Corpsman Algorithm 1 Concussion Management Combat Medic/Corpsman Algorithm (Pre-hospital/no medical officer in the immediate area) Traumatic Event or Head Injury Occurs: Concussion Possible A Any red flags? B Initiate MACE

More information

Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi.

Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi. Montreal Cognitive Assessment (MoCA) as Screening tool for cognitive impairment in mtbi. Suresh Kumar, M.D. AUTHOR Director of: Neurology & Headaches Center Inc. Neurocognitve &TBI Rehabilitation Center

More information

Menomonee Falls School District

Menomonee Falls School District Concussion Management Plan For: Menomonee Falls School District W156 N8480 Pilgrim Road Menomonee Falls, WI 53051 May 17, 2012 Prepared by: Julie Italiano-Thomas, RN School District Nurse Gary Kiltz High

More information

Concussions in Children and Adolescents

Concussions in Children and Adolescents Concussions in Children and Adolescents 17 November 2012 Christina L. Master, MD, CAQSM There are no conflicts of interest to disclose Objectives Definition/Pathophysiology Incidence/Epidemiology Myths/Facts

More information

Concussion. Difficulty concentrating Blurry or double vision. Problems remembering Dizziness or difficulty with balance

Concussion. Difficulty concentrating Blurry or double vision. Problems remembering Dizziness or difficulty with balance What is a concussion? A concussion is an injury that affects the way the brain works or functions. s can occur from direct or indirect forces to the head or neck that cause the brain to move inside of

More information

Standardized Assessment of Concussion

Standardized Assessment of Concussion 101 Tosca Drive Stoughton, MA 02072 USA (Phone) 781.297-2034 (FAX) 781.297-2039 (Web) www.csmisolutions.com Standardized Assessment of Concussion CSMi is pleased to offer the industry standard in sideline

More information

CONCUSSION POLICY POLICY

CONCUSSION POLICY POLICY CONCUSSION POLICY POLICY The NCAA has created guidelines stating the course of action to be followed in the event of a sports related concussion to student-athletes. Treatment of sports-related concussions

More information

Concussion Training for Coaches

Concussion Training for Coaches Concussion Training for Coaches INTRODUCTION Each day in our nation, hundreds of thousands of young athletes head out to fields, ice and gymnasiums to practice and compete in a wide variety of sports.

More information

The FacTs: * All concussions are serious. A Fact Sheet for School Nurses

The FacTs: * All concussions are serious. A Fact Sheet for School Nurses A Fact Sheet for School Nurses Assess the situation Be alert for signs and symptoms Contact a health care professional The FacTs: * All concussions are serious. * Most concussions occur without loss of

More information

Recognition and Care of Concussion

Recognition and Care of Concussion Recognition and Care of Concussion Seattle Sport Concussion Program: Philip D. Heywood MS, ATC, AT/L Enter department name here Objectives: Definition and Pathophysiology Concussion facts Recognizing Concussions

More information

Concussion Safety Protocol Checklist

Concussion Safety Protocol Checklist Below is a checklist that will help the director of athletics to ensure that the athletic department is compliant with a concussion management plan recommended by the Concussion Safety Protocol Committee

More information

Outline. What is a concussion? A brief history of concussion. Neurometabolic Cascade 4/27/2016

Outline. What is a concussion? A brief history of concussion. Neurometabolic Cascade 4/27/2016 Outline Challenges in Managing Concussed Adolescents: The Biopsychosocial Balancing Act Luke C. Henry, PhD Clinical Neuropsychologist UPMC Sports Concussion Clinic 05.16.2014 Concussions Brief history

More information

Maine East High School Athletic Concussion Protocol

Maine East High School Athletic Concussion Protocol Maine East High School Athletic Concussion Protocol As new medical information is disseminated, we at Maine East High School are ever evolving our safety procedures to create a safer environment for all

More information

National Football League Head, Neck and Spine Committee s Protocols Regarding Return to Participation Following Concussion

National Football League Head, Neck and Spine Committee s Protocols Regarding Return to Participation Following Concussion National Football League Head, Neck and Spine Committee s Protocols Regarding Return to Participation Following Concussion Introduction The management of concussion is important to football players, healthcare

More information

mtbi Concussion, Post Concussion Syndrome and mtbi

mtbi Concussion, Post Concussion Syndrome and mtbi mtbi Concussion, Post Concussion Syndrome and mtbi Barry Willer PhD bswiller@buffalo.edu Immediate Symptoms Secondary Symptoms Cognitive Issues Ideally with Baseline Understanding Persistent Symptoms

More information

Mild head injury: How mild is it?

Mild head injury: How mild is it? Mild head injury: How mild is it? Carly Dutton; Gemma Foster & Stephen Spoors Sunderland and Gateshead Community Acquired Brain Injury Service (CABIS), Northumberland, Tyne and Wear NHS Foundation Trust

More information

San Diego Sports Medicine Sport Concussion Policy Developed by the SDSM Committee on Sports Concussion Updated 2/11

San Diego Sports Medicine Sport Concussion Policy Developed by the SDSM Committee on Sports Concussion Updated 2/11 San Diego Sports Medicine Sport Concussion Policy Developed by the SDSM Committee on Sports Concussion Updated 2/11 San Diego Sports Medicine (SDSM) has been a leader in the evaluation and treatment of

More information

CONCUSSION DEFINITION

CONCUSSION DEFINITION Return to Learn and Return to Physical Activity Plan: Information for Parents and Student s CONTEXT Recent research has made it clear that a concussion can have a significant impact on a student'ss cognitive

More information

RECOGNISE & REMOVE. Concussion Guidance.

RECOGNISE & REMOVE. Concussion Guidance. Concussion Guidance 2 WRU Concussion Guidance Concussion facts Concussion is a brain injury All concussions are serious Concussion can often occur without loss of consciousness Players with any signs or

More information

A Parent s / Guardian s Guide To Concussion

A Parent s / Guardian s Guide To Concussion A Parent s / Guardian s Guide To Concussion National Federation of State High School Associations (NFHS) Sports Medicine Advisory Committee (SMAC) What is a concussion? A concussion is a brain injury that

More information

TSSA Concussion Information and Signature Form for Coaches/Administrators

TSSA Concussion Information and Signature Form for Coaches/Administrators TSSA Concussion Information and Signature Form for Coaches/Administrators Public Chapter 148, effective January 1, 2014, requires that school and community organizations sponsoring youth athletic activities

More information

BINSA Information on Mild Traumatic Brain Injury

BINSA Information on Mild Traumatic Brain Injury Mild traumatic brain injuries (MTBI) occur through sporting, car and workplace accidents. Mild brain injury is not easily diagnosed. This fact sheet explains how it may be recognised and assessed, and

More information

Brain Injury Litigation. Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com

Brain Injury Litigation. Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com Brain Injury Litigation Peter W. Burg Burg Simpson Eldredge Hersh & Jardine, P.C. www.burgsimpson.com Some General Facts About Traumatic Brain Injury TBIs contribute to a substantial number of deaths and

More information

Head Injury and Concussion Policy. To ensure that all staff have a clear understanding of how to deal with someone who has sustained a head injury.

Head Injury and Concussion Policy. To ensure that all staff have a clear understanding of how to deal with someone who has sustained a head injury. Head Injury and Concussion Policy Policy Aims To ensure that all staff have a clear understanding of how to deal with someone who has sustained a head injury. To demonstrate the protocol used by the Medical

More information

Concussion (Mild Traumatic Brain Injury) and the Team Physician: A Consensus Statement *

Concussion (Mild Traumatic Brain Injury) and the Team Physician: A Consensus Statement * SPECIAL COMMUNICATIONS Team Physician Consensus Statement Concussion (Mild Traumatic Brain Injury) and the Team Physician: A Consensus Statement * DEFINITION Concussion or mild traumatic brain injury (MTBI)

More information

In-Office Evaluation of Sports Concussion: Components of Assessment, Treatment and Rehabilitation

In-Office Evaluation of Sports Concussion: Components of Assessment, Treatment and Rehabilitation In-Office Evaluation of Sports Concussion: Components of Assessment, Treatment and Rehabilitation Micky Collins, PhD University of Pittsburgh Medical Center Department of Orthopaedic Surgery Department

More information

CONCUSSION PROTOCOL PARENT/GUARDIAN INFORMATION PACKAGE

CONCUSSION PROTOCOL PARENT/GUARDIAN INFORMATION PACKAGE CONCUSSION PROTOCOL PARENT/GUARDIAN INFORMATION PACKAGE November 2014 INTRODUCTION: PARENT/GUARDIAN CONCUSSION PACKAGE The parent/guardian concussion package has been developed to: Assist parent/guardians

More information