FyzicalDunes: Concussions

Newsletter by Fyzical Therapy & Balance Centers

DAKOTA DUNES CLINIC 101 Tower Road #110 Dakota Dunes, SD 57049

NEWSLETTER THE

P: (605) 217-4330 F: (605) 217-4255

CLIVE CLINIC 12499 University Ave. #250 Clive, IA 50325

2019

P: (515) 985-7530 F: (515) 985-7531

NATHAN O’NEILL, PT, DPT GET TO KNOW OUR TEAM

Where did you grow up? Oak Grove, MO. Where did you go to school? Missouri Western State University for undergrad and Briar Cliff University for DPT school. Favorites: Food: Ice Cream Color: Green TV show: The Office

Activities: Fishing, watching movies, and working out. If you could go anywhere in the world where would you go? Cliffs of Moher in Ireland. What is your biggest fear? Being stuck in the middle of the ocean. What is one guilty pleasure you can’t give up? Superhero tv shows. What is a unique talent you have? Can talk in an Irish accent.

Details Inside FREE FALL RISK ASSESSMENT

NEWSLETTER THE

2019

CONCERNED ABOUT A CONCUSSION WHEN PLAYING?

INSIDE: • Risk Factors For A Delayed Recovery • Patient Success Spotlight • Healthy Recipe • What Should I Do If I Think I Have A Concussion?

Whether you have pain or have been suffering for a long time, seeing a physical therapist at Fyzical Therapy & Balance Centers can help you return to a more active and pain-free life. Give us a call at today: • DAKOTA DUNES: (605) 217-4330 • CLIVE: (515) 985-7530

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 ifnotmanagedcorrectlybyaqualifiedhealthcareprofessional. What healthcare professionals manage and treat sports concussions? No single healthcare professional is able to fully manage a sports concussion due to themanydifferent issues related toaconcussion.Concussionmanagement is truly a team effort to help a patient return to his or her prior level of function.Membersof theconcussionmanagement teammay includeasports medicine physician, primary care physician, athletic trainer, teacher, school administrator, social worker, physical therapist, occupational therapist, speech languagepathologist,psychologist,neuropsychology,neurologist, radiologist, orthopedic surgeon, ophthalmologist, ear nose & throat physician and other healthcare professions. How can I spot a possible concussion? Concussions are a fairly common injury, but many people are unaware of exactly what happens when one gets a concussion. This injury is a result of an impact, in which the brain collides with the inside of the skull. This can be caused by a harsh blow to the head

or any traumatic jolt to the body. Concussions can also be caused if a violent back-and-forth motion (such as whiplash) of the head takes place. When your head tosses in different directions rapidly (such as from a car crash or harsh football tackle), your brain gets tossed along inside it, bouncing off the bony enclosure of your skull. Concussions can result in a number of unfortunate symptoms, such as: • Painful and chronic headaches/migraines • Sensitivity to light and sound

• Ringing in the ears • Visual abnormalities • Slurring of speech • Memory loss and confusion • Nausea and vomiting • Inability to focus • Dizziness • Fatigue

Ifyouareexperiencinganyofthesesymptoms,youmayhaveaconcussion. 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 threeweeks,but20%ofconcussedpatientsmay takemuch longer to recover. If you believe you may have a concussion, contact Fyzical today to find out how to gain relief today.

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RISK FACTORS FOR A DELAYED RECOVERY

Not effectively treating a concussion right away can lead to some serious health risks. In severe cases, concussions can result in brain bleeds that requireemergencymedical treatment. Incasessuchas this,yourcondition will be treated at the hospital ASAP. Delayed treatment can also lead to conditions such as post-concussion syndrome. Post-concussion syndrome is a serious condition that can last for several months, even without posing obvious symptoms. People who have post-concussion syndrome may experience bouts of dizziness, vertigo, or persistent headaches, that will not go away without treatment. If you believe you may have a concussion, the best solution is to seek the help of a medical professional right away to avoid the risk of worsening the concussion. With the help of physical therapy, you can receive the necessary treatment for your specific needs. What steps should be taken to help a child recover from a concussion? Thefirstpriority inthemanagementofasportsconcussion istoremovethem 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 riskofsufferinganotherconcussionandprolonging recovery.Healthcare providersshouldperformasidelineassessmentwhichmay 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’ssymptomsbegin to improve.Guidance fromaqualifiedhealthcare provider is very important during this stage of recovery. Physical therapists

canevaluateandmanagepossible innerearconditionsassociatedwithhead trauma,balancedeficits,neckpain,headaches,dizzinessandappropriately pace a return to cardiovascular activity. The final phase of concussion recovery includes a graded return to play protocol that slowly progresses from light activity to full participation in order tobecleared fora full return tosports.Thisphase isnot initiateduntil a patient has already returned to a full return to learning in school without accommodations,performingat theirprior levelofacademicachievement anddoesnotexperiencesymptomswith learning tasks.Physical therapists are qualified to progress a patient through a return to play protocol and work with the physician for final clearance. How can Physical Therapy help a patient recover from a sports concussion? Physical therapists play an important role on a concussion management team.PhysicalTherapistwillevaluateand treatmanyaspects 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), issueswithbloodpressureandheartratewithexercise (autonomic dysregulation), and help to progress patients through a graded return to play protocol.

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BUCATINI WITH MUSHROOMS

INGREDIENTS • 1/2 cup dried porcini mushrooms

• 2 (4-oz) packages exotic mushroom blend • 2 garlic cloves, minced • 2 tbsp dry sherry • 2 oz Parmigiano cheese • 1/4 cup heavy whipping cream • 1 tsp chopped sage • 1/2 tsp cracked black pepper • 1 tsp truffle oil Sage sprigs (optional)

• 2/3 cup boiling water • 8 oz uncooked bucatini • 3 1/4 tsp salt, divided • 1 tbsp canola oil • 1/4 cup chopped shallots

DIRECTIONS Rinse porcini thoroughly. Combine porcini and 2/3 cup boiling water in a bowl; cover and let stand 30 minutes. Drain in over a bowl, reserving 1/4 cup soaking liquid. Chop porcini. Cook pasta with 1 tablespoon salt in boiling water 10 minutes; drain in a colander over a bowl, reserving 1/4 cup cooking liquid. Heat oil in a large skillet over medium-high heat. Add shallots, mushroom blend, and garlic; sauté 5 minutes, stirring frequently. Stir in porcini, sherry, and 1/4 teaspoon salt; cook 1 minute. Finely grate 1 ounce cheese; crumble remaining cheese. Reduce heat to medium. Stir in pasta, 1/4 cup reserved cooking liquid, 1/4 cup reserved porcini soaking liquid, 1/4 cup grated cheese, cream, chopped sage, and pepper; toss well to combine. Drizzle with oil; toss. Place about 1 1/4 cups pasta mixture on each of 4 plates; top each serving with about 1 tablespoon crumbled cheese. Garnish with sage sprigs, if desired.

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Patient Success Spotlight

This sheet has information to help you protect yourself from concussion or other serious brain injury and know what to do if a concussion occurs. Ideally, the first assessment is performed prior to the athlete participating in his or her sport. If a concussion is suspected, subsequent tests will be compared to the baseline so that an individual is compared to his or her own results. Any COBALT test can be compared to normative data to evaluate how a subject is performing relative to age-peers, and that can help interpret results whether or not an individual baseline test is available. Why is COBALT different from other balance tests? There are several clinical and co puterized balance tests available. The dilemma in choosing an appropriate test protocol for an athletic population is to avoid a test that is too easy or too difficult. The COBALT protocols use conditi ns that increase the challenge, but the subject can still perform the task. Is Training/Treatment needed? In either option, the clinician must make a professional determination regarding training or treatment to address deficiencies suggested by COBALT results. CLINICAL USE OF CONCUSSION BALANCE TEST (COBALT) COBALT (Concussion Balance Test) is a balance test for athletes. The test protocol includes up to eight conditions designed to challenge vestibular, visual and somatosensory systems. For each condition, the subject stands on a force plate that measures postural sway, and that information is processed and stored by a computer. The test reports postural sway velocity for each condition as an indication of balance control. COBALT can be used as part of a concussion screening and management program. COBALT results provide an objective measure of balance control that can be helpful in identifying individuals with suspected concussion, and can be used to monitor recovery to determine safe return to play.

I am actually back to work now! “I’m living proof that they are the best. I had a severe concussion and could barely even walk without help. They were able to not only get me to where I can get around, but I am happy to say that I am actually back to work now, something that in the beginning even the neurologists didn’t think could happen. They are in my mind, nothing short of angels because they have given me my life back.” – T.G. A Fact Sheet for ATHLETES WHAT IS A CONCUSSION? A concussion is a brain injury that affects how your brain works. It can happen when your brain gets bounced around in your skull after a fall or hit to the head. A Fact Sheet for ATHLETES WHAT IS A CONCUSSION? A concussion is a brain injury that affects how your brain works. It can happen when your brain gets bounced around in your skull after a fall or hit to the head.

This sheet has information to help you protect yourself from concussion or other serious brain injury and know what to do if a concussion occurs.

WHAT SHOULD I DO IF I THINK I HAVE A CONCUSSION?

WHAT SHOULD I DO IF I THINK I HAVE A CONCUSSION?

GET CHECKED OUT BY A DOCTOR.

GET CHECKED OUT BY A DOCTOR.

REPORT IT. Tellyourcoachandparent ifyou think youoroneofyour teammatesmay haveaconcussion.Youwon’tplayyour best ifyouarenot feelingwell,and playingwithaconcussion isdangerous. Encourageyour teammates toalso report their symptoms.

Ifyou thinkyouhaveaconcussion,donot return t playon thedayof the injury.Only adoctororotherhealthcareprovidercan tell ifyouhaveaconcussionandwhen it’s OK to return to schoolandplay.

REPORT IT. Tellyourcoachandparent ifyou think youoroneofyour teammatesmay haveaconcussion.Youwon’tplayyour best ifyouarenot feelingwell,and playingwithaconcussion isdangerous. Encourageyour teammates toalso report their symptoms.

Ifyou thinkyouhaveaconcussion,donot return toplayon thedayof the injury.Only adoctororotherhealthcareprovidercan tell ifyouhaveaconcussionandwhen it’s OK to return to schoolandplay.

FREE FALL RISK ASSESSMENT CALL TO SCHEDULE TODAY! DAKOTA DUNES: (605) 217-4330 CLIVE: (515) 985-7530

GIVE YOUR BRAIN TIME TO HEAL.

GIVE YOUR BRAIN TIME TO HEAL.

Mostathleteswithaconcussiongetbetterwithin acoupl ofweeks.For some,aconcussioncan makeeverydayactivities, suchasgoing to school, harder.Youmayneedextrahelpgettingback toyournormalactivities.Be sure toupdateyour parentsanddoctorabouthowyouare feeling.

Mostathleteswithaconcussiongetbetterwithin acoupleofweeks.For some,aconcussioncan makeeverydayactivities, suchasgoing to school, harder.Youmayneedextrahelpgettingback toyournormalactivities.Be sure toupdateyour parentsanddoctorabouthowyouare feeling.

Limited to the first 25 callers. Expires 11-28-19

GOOD TEAMMATES KNOW: IT’S BETTER TO MISS ONE GAME THAN THE WHOLE SEASON.

GOOD TEAMMATES KNOW: IT’S BETTER TO MISS ONE GAME THAN THE WHOLE SEASON.

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