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Concussion Management

Learn about concussion prevention, baseline evaluation, communication strategies, and return-to-play protocols. Explore the role of various healthcare providers and the importance of team-based approach in concussion management. Discover BNA technology for better clinical decisions.

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Concussion Management

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  1. Concussion Management athletico.com

  2. Concussion

  3. In a Nutshell • Prevention • Baseline • Evaluation • Communication • Return to Participation • Vestibular Physical Therapy • Event Coverage

  4. Specifics • Defining “in Conjunction with” • SCAT3 vs. SAC vs GSC vs others • ImPACT (or other testing) Recommendations Better for every body.

  5. Tools Provided • SCAT 3 • Graded Symptom Checklist • Concussion Information Sheet • Concussion Timeline Checklist • Concussion Physician Letter Template • Physician Update Form Better for every body.

  6. Return to Participation • B - Bike • R - Run • A - Agility • I – In Red • N – No Restriction Practice • G – Game Play Better for every body.

  7. SCAT 3 Scenario Better for every body.

  8. Concussion Management…It’s A Team thing! • Team Physician • Primary Care Physician • Neuropsychologist • Athletic Trainer • Physical Therapist • Coach • Parents • School Administrators • Educators Better for every body.

  9. SB 007 • Concussion Oversight Team – Consisting of: • Physician (MD/DO); AND • *Athletic Trainer; AND/OR • *School Nurse; AND/OR • Advanced Practice Nurse; AND/OR • Neuropsychologist; AND/OR • Physician Assistant • Other Licensed Healthcare Providers Better for every body.

  10. Role of the Concussion Management Oversight Team • Create a Return to Play Policy that is evidence based • Create a Return to Learn Policy that is evidence based Better for every body.

  11. Athlete May Return to Play When: • Have completed Return to Learn (RTL) and Return to Play(RTP) program • Written script from a physician stating that the athlete is cleared to return to play • Signed Parental Consent Form • Informed of returned to participation in accordance to RTP and RTL policies • Understands the risks of returning to participation • Consents to proper medical disclosures Better for every body.

  12. Compliance • Superintendent, or designee, shall be responsible for the compliance of with the RTP and RTL policies • Designee may not coach any interscholastic sport Better for every body.

  13. Education • Coaches and game officials – 2 hour education • Nurse serving on Concussion Oversight Team • Any Game officials • Physician serving on Concussion Oversight Team • ATC serving on Concussion Oversight Team • Any other member of Concussion Oversight team • Education must be completed by 9/1/2016 • Proof of training must be kept by school Better for every body.

  14. Emergency Action Plan • School Specific • In Writing • Reviewed by the Concussion Oversight Team • Approved by the Superintendent • Distributed to all personnel • Posted conspicuously at all venues utilized by the school • Reviewed annually by all ATC’s, coaches, nurses, first responders, AD’s, volunteers Better for every body.

  15. Concussion work at Athletico • Lectures • A Step aHead • BNA • Many other opportunities to get involved! Better for every body.

  16. BNA Testing • Brain Network Activity (BNA) Testing is taking Brain wave activity while performing a simple cognitive task • Computer interprets this into Network activity, which can be used following brain alteration (such as concussion), and compared to either a benchmark test, or to normative data. Better for every body.

  17. Closing the Gap with BNA™ TechnologyRevealing Brain Networks Activity (BNA™) for Better Clinical Decisions Structure – Metabolism – Neuronal Function – Function Function Behavior Symptoms CT/ MRI DTI PET fMRI BNA™

  18. Demonstration of BNA™ Clinical Utility17 Year Old High School Football Player Case Report • Head to head collision • Many on field symptoms: • Disorientation, Headache, Dizziness, Balance problems, Visual Changes, Fatigue, Sensitivity to light/Noise, Migraine • Diagnosed with concussion When is it “safe” for him to return to play?

  19. Current Practice Standard Clinical decision is based on subjective measures Neuro-Imaging Symptoms Neuropsychology CT Scan Normal Resolved within 3 weeks Computerized tests non conclusive Week Week Based on limited information available through current methods: Physician Decision: Return to Play after 3 weeks

  20. The BNA Difference 2 Weeks 3 Weeks 4 Weeks 1 Week Baseline Delta (1-4HZ) Theta (3-8HZ) Alpha (7-13HZ) Beta (12-30HZ) Connectivity 24% 4 Weeks 1 Week 2 Weeks 3 Weeks BNA demonstrates that, while symptoms are gone, brain recovery is only at 24%. Return to Play in 3 weeks may not be the right decision

  21. Thank You! Better for every body.

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