VCSST_Concussion Management

The general definition of concussion means the act of forcefully shaking or jarring. A sports concussion is a type of mild traumatic brain injury (mTBI) caused by a shaking or jarring of the brain. A sports concussion can occur with a bump, blow or jolt to the head or the body which causes the brain to move within the skull.

Newsletter DEBUNKING THE TOP CONCUSSION MYTHS

Newsletter HAVE YOU EVER SUFFEREDACONCUSSION? What is a Concussion? The general definition of concussion means the act of forcefully shaking or jarring. A sports concussion is a type of mild traumatic brain injury (mTBI) caused by a shaking or jarring of the brain. A sports concussion can occur with a bump, blow or jolt to the head or the body which causes the brain to move within the skull. This movement causes the brain to hit the inside of the skull or stretch which can result in a change in brain cell chemistry and structural injury from cell stretching. This damage can result in a variety of signs and symptoms depending on the portion of the brain involved during a sports concussion. Are Concussions Serious? Sports concussions are described as a “mild” traumatic brain injury because concussions are not usually life threatening. However, concussions are a brain injury and can lead to serious long term consequences if not managed correctly by a qualified healthcare professional. What healthcare professionals manage and treat sports concussions? No single healthcare professional is able to fully manage a sports concussion due to the many different issues related to a concussion. Concussion management is truly a team effort to help a patient return to his or her prior level of function. Members of the concussion management teammay include a sports medicine physician, primary care physician, athletic trainer, teacher, school administrator, social worker, physical therapist, occupational therapist, speech language pathologist, psychologist, neuropsychology, neurologist, radiologist, orthopedic surgeon, ophthalmologist, ear nose & throat physician and other healthcare professions. VCSST Concussion Newsletter What is a Concussion? • The general definition of concussion means the act of forcefully shaking or jarring. A sports concussion is a type of mild traumatic brain injury (mTBI) caused by a shaking or jarring of the brain. A sports concussion can occur with a bump, blow or jolt to the head or the body which causes the brain to move within the skull. This movement causes the brain to hit the inside of th skull or stretch which can result in a change in brain cell chemistry a d structural injury from cell stretching. This damage can result in variety of signs and symptoms depending on the portion of the brain involved during a sports concussion. Are C ncussions Serious? • Sports concussions are described as a “mild” traumatic brain injury because concussions are not usually life threatening. However, concussions are a brain injury and can lead to serious long term consequences if not managed correctly by a qualified healthcare professional. What are the typical sign and symptom of concussion? VCSST Concussion Newsletter What is a Concussion? • The general definition of concussion means the act of forcefully shaking or jarring. A sports concussion is a type of mild traumatic brain injury (mTBI) caused by a shaking or jarring of the brain. A sports concussion can occur with a bump, blow or jolt to the head or the body which causes the brain to move within the skull. This movement causes the brain to hit the inside of the skull or stretch which can result in a change in brain cell chemistry and structural injury from cell stretching. This damage can result in variety of signs and symptoms depending on the portion of the brain involved during a sp rts concussion. Are Concussions Serious? • Sports concussions are described as a “mild” traumatic brain injury because concussions are not usually life threatening. However, concussions are a brain injury and can lead to serious long term consequences if not managed correctly by a qualified healthcare professional. What are the typical signs and symptoms of concussion? How can I spot a possible concussion?

INSIDE: • Have You Ever Had A Concussion? • Important Facts About Concussion

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What are serious or danger signs that need immediate medical attention? What are serious or danger signs that need immediate medical attention? hat are serious or dan er sig s that n ed immediate medical attention?

Important Facts About Concussion

What is the normal recovery time for a concussion? The normal recovery time from a concussion varies from person to person and past concussion recovery time does not predict future recovery time. The patient’s signs/symptoms and course of recovery depend upon the location of the mild brain injury and the severity of their injury. However, studies have shown that 80% of athletes recover from their concussion within three weeks, but 20% of concussed patients may take much longer to recover. What are some risk factors for a delayed or a prolonged recovery? What healthcare professionals manage and treat sports concussions? • No single healthcare professional is able to fully manage a sports concussion due to the many different issues related to a concussion. Concussion management is truly a team effort to help a patient r turn to his o her prior level of function. Member of the concussion management team may include a sports medicine physician, primary care physician, athletic trainer, teacher, school administrator, social worker, physical therapist, occupational therapist, speech language pathologist, psychologist, neuropsychology, neurologist, radiologist, orthopedic surgeon, ophthalmologist, ear nose & throat physician and o her healthcare profession . Wh t is the normal recovery time for a concussion? • The normal recovery time from a concussion varies from person to person and past concussion recovery time does not predict future recovery time. The patient’s signs/symptoms and course of recovery depend upon the location of the mild brain injury and the severity of their injury. However, studies have shown that 80% of athletes recover from their concussion wit in three weeks, but 20% of concussed patients may take much longer to recover. What are some risk factors for a delayed or a prolonged recovery?

The final phase of concussion recovery includes a graded return to play protocol that slowly progresses from light activity to full participation in order to be cleared for a full return to sports. This phase is not initiated until a patient has already returned to a full return to learning in school without accommodations, performing at their prior level of academic achievement and does not experience symptoms with learning tasks. Physical therapists are qualified to progress a patient through a return to play protocol and work with the physician for final clearance. plenty of sleep and naps during this stage of healing is very important in the recovery fr concussion. • A gradual return to symptom free physical activity is appropriate when the patient’s sy begin to improve. Gu dance from a qualified healthcar p ovider is very important duri stage of recovery. Physical therapists can evaluate and manage possible inner ear con associated with head trauma, balance deficits, neck pain, headaches, dizziness and app pace a return to cardiovascular activity. • The final phase of concussion recovery includes a graded return to play protocol that sl progresses from light activity to full participation in order to be cleared for a full return sports. Thi ph se is not initiated until pati nt has already returned to a full return to in school without accommodations, performing at their prior level of academic achieve does not experience symptoms with learning tasks. Physical therapists are qualified to a patient through a return to play protocol and work with the physician for final cleara

What steps should be taken to help a child recover from a concussion? The first priority in the management of a sports concussion is to remove them from play as soon as a concussion is suspected. The American Academy of Neurology uses the mantra of “If in doubt, sit it out” as a guide for parents, coaches and healthcare providers. Removal from play decreases the risk of suffering another concussion and prolonging recovery. Healthcare providers should perform a sideline assessment which may include tests to rule out a neck injury, issues with memory and neurocognitive tests (tests of thinking). Afterwards, you should follow-up with a healthcare provider for reassessment and management of the sports concussion. Treatment for sports concussion consists of rest and changes in daily activities in the initial stages of recovery. Activities or environments that provoke symptoms should be avoided and may include loud music, television, smart phone use, video games and thinking tasks. Getting plenty of sleep and naps during this stage of healing is very important in the recovery from concussion. A gradual return to symptom free physical activity is appropriate when the patient’s symptoms begin to improve. Guidance from a qualified healthcare provider is very important during this stage of recovery. Physical therapists can evaluate and manage possible inner ear conditions associated with head trauma, balance deficits, neck pain, headaches, dizziness and appropriately pace a return to cardiovascular activity. What steps should be taken to help a child recover from a concussion? • The first priority in the management of a sports concussion is to remove them from play as soon as a concussion is suspected. The American Academy of Neurology uses the mantra of “If in doubt, sit it out” as a guide for parents, coaches and healthcare providers. Removal from play decreases the risk of suffering another concussion and prolonging recovery. Healthcare providers should perform a sideline assessment which may include tests to rule out a neck injury, issues with emory nd neurocognitive tests (tests of thinking). Afterwards, you should follow-up with a healthcare pr vider for reassessment and ma agement of the sports concussion. • Treatment for sports concussion consists of rest and changes in daily activities in the initial stages of recovery. Activities or environments that provoke symptoms should be avoided and may include l ud music, television, smart phone u e, video game and thinki g tasks. Getting

How can Physical Therapy help a patient recover from a sports concussio • Physical therapists play an important role on a concussion management team. Physical Therapist will evaluate and treat many aspects of concussion that may include dizzines may arise from a neck issue (cervicogenic dizziness), balance deficits, neck pain, headac are referred from the neck, vertigo from an inner ear condition (benign paroxysmal pos vertigo), exercises for vision issues (ocular motor exercises), issues with blood pressure rate with exercise (autonomic dysregulation), and help to progress patients through a g return to play protocol.

How can Physical Therapy help a patient recover from a sports concussion? Physical therapists play an important role on a concussion management team. Physical Therapist will evaluate and treat many aspects of concussion that may include dizziness that may arise from a neck issue (cervicogenic dizziness), balance deficits, neck pain, headaches that are referred from the neck, vertigo from an inner ear condition (benign paroxysmal positional vertigo), exercises for vision issues (ocular motor exercises), issues with blood pressure & heart rate with exercise (autonomic dysregulation), and help to progress patients through a graded return to play protocol.

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Services our expert team is ready to provide:

• Orthopedic and Sports Rehabilitation • Spinal Mobilization/ Manipulation

• Core Stabilization • Functional Manual Therapy/ Mobilizations • Custom Orthotic Assessment and Fabrication • Functional Movement Screens and injury • Myofascial Release Techniques • McKenzie Approach • Physical Therapy Dry Needling • Managing chronic and persistent pain

• Concussion Management • Balance/Fall Prevention • Vestibular Rehabilitation/Canal Repositioning • Headache Management • TMD (Temporomandibular Disorders) • Post surgical rehabilitation

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