1 / 24

Concussion Management and Awareness Act

Concussion Management and Awareness Act. Dave Boyland, PT, DPT, SCS, ATC Maggie Reinhard, PT, DPT, ATC Goldwyn & Boyland Physical Therapy. The Law.

socorro
Download Presentation

Concussion Management and Awareness Act

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Concussion Management and Awareness Act Dave Boyland, PT, DPT, SCS, ATC Maggie Reinhard, PT, DPT, ATC Goldwyn & Boyland Physical Therapy

  2. The Law • A student diagnosed with a concussion is not to be returned to athletic activities until at least 24 hours have passed without symptoms and the student has been assessed and cleared by a medical provider to begin a graduated return to activities.

  3. The 3rd International Conference on Concussion in Sport • Panel of Sports Medicine Physicians, Neurologists, Psychologists, Athletic Trainers, Researchers, Athletes, Coaches, etc. • Endorsed by FIFA, IOC, IRB, IIHF

  4. The 3rd International Conference on Concussion in Sport • Concussion is defined as a complex pathophysiological process affecting the brain, induced by traumatic biomechanical forces. • Eliminated the terms “complex” and “simple” concussion • Established Return to Play (RTP) Guidelines

  5. Direct/Indirect Observation • Any student suspected of having a concussion either based on the disclosure of a head injury, observed or reported symptoms, or by sustaining a significant blow to the head or body must be removed from athletic/physical activity and observed until an evaluation can be completed by a medical provider.

  6. The Team • Medical Director • School Nurse • Certified Athletic Trainer • Director of Physical Education/Athletics • School Administrator • Teacher • Coach • Student • Parent/Guardian

  7. Training Course • NYSED approved training course • Heads up to Clinicians (CDC) • Every 2 years

  8. Who Must Take the Course? • School Nurse • Certified Athletic Trainer • Physical Education Teacher • Coach

  9. Neurocognitive Computerized Testing • Impact • CogSport • Headminders • ANAM (Automated Neuropsychological Assessment Metrics)

  10. Identification • Amnesia • Confusion • Headache • LOC • Balance Difficulty/Dizziness • Double or Blurred Vision • Sensitivity to Light and/or Sound • Nausea/Vomiting/Loss of Appetite

  11. Identification • Irritability/Sadness/Changes in Personality • Feeling Sluggish or Light-headed • Concentration or focusing problems • Slowed Reaction Times • Fatigue/Sleep Issues

  12. Immediate Referral • Headache that Worsens • Seizures • Looks drowsy or cannot be awakened • Repeated Vomiting • Slurred Speech • Unable to recognize people or places • Weakness or Numbness • Unsteady Gait • Dilated or Pinpoint Pupils

  13. Sideline Assessment Tools • SCAT 2 • SAC • BESS

  14. SAC

  15. Diagnosis • Licensed Physician • Nurse Practitioner • Physician Assistant

  16. Post-concussion Management • Cognitive Rest • Avoidance of participation or exposure to: • Computer and Video Games • Television Viewing • Texting • Reading or Writing • Studying or Homework • Taking a Test or Completing a Significant Project • Loud Music • Bright Lights

  17. School Responsibility • Providing Accommodations • Shorter School Day • Rest Periods • Peer Note Takers • Extended Time for Tests and Assignments

  18. Post-concussion Management • Physical Rest • Adequate Sleep • Taking Frequent Rest Periods and Naps • Avoiding Exertion

  19. Post-concussion Management • 24 Hours SYMPTOM FREE • Clearance for Return to Activity • Private Medical Provider • Medical Director

  20. Return to Activity • Phase 1 • Low impact, non-strenuous light aerobic activity • Phase 2 • Higher impact, higher exertion, moderate aerobic activity • Phase 3 • Sport specific, non-contact activity, low resistance weight training • Phase 4 • Sport specific, non-contact activity, higher resistance weight training • Phase 5 • Full contact training drills, intense aerobic activity

  21. Return to Activity • Phase 6 • Return to full activity without restrictions • Determined by Medical Director

  22. Second Impact Syndrome (SIS) • A Severe, Life Threatening Condition That Causes Irreversible Brain Damage, Hemorrhage, And Cerebral Edema • Almost Exclusively In Individuals Under Age 25

  23. References • http://www.nysphsaa.org/safety/pdf/NYSEDGuidelinesforConcussionManagement.pdf • http://preventingconcussions.org • McCrory P, Meeuwisse W, Johnston K etal. Consensus Statement on Concussion in Sport: The 3rd International Conference on Concussion in Sport Held in Zurich, November 2008. J Ath Training. 2009;44:434-448. • Wojtys EM, Hovda D, Landry G et al. Concussion in Sports. Am J Sports Med. 1999;27:676-687.

  24. Questions?

More Related