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Concussions B.Robert January 20, 2014

Concussions B.Robert January 20, 2014. Concussions. Definition Recognition Approach Treatment Prevention Resources Questions. Concussions. Definition

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Concussions B.Robert January 20, 2014

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  1. Concussions B.Robert January 20, 2014

  2. Concussions • Definition • Recognition • Approach • Treatment • Prevention • Resources • Questions

  3. Concussions Definition A rapid disturbance in brain function caused by a direct or indirect force to the head. It results in a variety of non-specific symptoms. It may or may not involve loss of consciousness. It resolves spontaneously, over minutes to weeks.

  4. Concussions

  5. Concussions Recognition • Environment • Symptoms • Signs

  6. Concussions Environment

  7. Concussions Environment

  8. Concussions Environment

  9. Concussions Environment • "My friend has a world record for concussions, he lives very close. In fact, just a stones throw away.” -Stewart Francis • A man walks into a bar. It resulted in a concussion and 17 stitches

  10. Concussions Environment • No need for a direct blow to the head – only flexion/extension or lateral forces • Anatomy and muscle strength • Female high school soccer athletes suffer almost 40% more concussions than males (29,000 annually in the US) • 51 head injuries per 1000 match hours (FIFA)

  11. Concussions - Symptoms • Thinking/Remembering • difficulty thinking clearly, • feeling slowed down, • difficulty concentrating, • difficulty remembering information • Physical • Feeling tired • headache • having no energy • Blurry or fuzzy vision • sensitivity to sounds or light • Mood/Emotional • sadness, • anxiety • Sleep disturbances • trouble falling asleep

  12. Concussions - Signs • Thinking/Remembering • Following directions • Difficulties in school • Physical • Nausea, vomiting • Balance and coordination problems • Mood/Emotional • Irritability • Nervousness/anxiety • Emotional lability • Sleep disturbances • Sleeping more or less than usual

  13. Concussions Approach - SCAT 2 form • Always approach as a trainer • Cognitive assessment • Immediate -> “Maddocks Score” or orientation • Subsequent -> on the sidelines – SCAT 2 guidelines • Physical assessment • Emergency or medical plan activated – consider • NO MEDICATIONS

  14. Concussions Treatment (?)

  15. Concussions – Return to Play • Rest – complete rest (i.e. no activity) until signs and symptoms are resolved. Reinforce need for sleep, naps, hydration, and nutrition. • Light aerobic exercise (e.g. walking, stationary bicycle). No resistance training. • Sport specific activity (moderate) – jogging, driblling, footskills, stay on the ground • Practice with team (heavy) – NO CONTACT, may have light resistance training with gradual progression , SAQ, 3 planes of movement, etc • Normal team practices – no restrictions (except heading) – coaches control the practice • Game play – minimize heading for a few weeks.

  16. Concussions

  17. Concussions Second impact syndrome Rowan Stringer – 17 years old 17-year old Rowan Stringer of Ottawa died 2 weeks ago after suffering a head injury she sustained while playing in a high school rugby game.  After being tackled Rowan hit her head and neck on the ground, sat up, and then went unconscious.   Stringer’s parents reported that she had been hit in the head in a rugby game the week before and that she had taken pain medication to relieve the headache that it had caused.  The parents also reported that she felt better the following day, so they didn’t think anything of it. Sadly, she never woke up

  18. Concussions - Prevention • Knowledge • Common sense • Appropriate gear and equipment • Size of ball, type of ball, headgear • Appropriate age-specific and skill specific training • muscle strength, core strength, other skills • Tailor to individuals • Time at task • Appropriate environment • Mitigate injury (e.g. rain, hard ground, etc)

  19. Concussions – Prevention • Read the material • Learn the material • Coaching association of Canada (Coach.ca) • Apply the knowledge • Consider “Konkussion” for baseline evaluations • Disseminate the knowledge (ACE package)

  20. Concussions - Resources • Your curiosity • OISC • OSA (http://www.concussiontreatment.com/images/SCAT2.pdf) • Coaching Association of Canada (http://www.coach.ca/making-head-way-concussion-elearning-series-p153487) • FIFA (SCAT 2) and Pocket tool • Centre for Disease Control (http://www.cdc.gov/concussion/HeadsUp/physicians_tool_kit.html) • YouTube (http://www.youtube.com/watch?v=zCCD52Pty4A&feature=youtu.be&hd=1)

  21. Concussions • Definition and Recognition • Approach and Treatment • Prevention and Resources • Questions

  22. Concussions

  23. Concussions

  24. Concussions ? ? ?

  25. Concussions

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