Dr. Michael D. McCleary presents "Strategies for Implementation of Regional Comprehensive Concussion Testing & Treatment Programs" at the 2013 9th Annual Cutting Edge Concepts in Orthopaedics & Sports Medicine Seminar presented by Orlando Orthopaedic Center Foundation.

1. Michael McCleary, M.D.
Orlando Orthopaedic Center
February 9, 2013

2.  Schools
 Medical providers
 Specialists, therapists

3.  Athlete / Parent / Coach EDUCATION:
- Significance of concussions
- Common signs & symptoms
- Creating a positive “culture”
- Injury prevention

4.  Pre-season preparation:
- Establish concussion protocol
- Pre-participation PE (identify those at risk)
- Neuropsych testing (ImPACT, etc.)

5.  Concussion protocols:
- Identifying injuries (incl. coaches, players)
- Sideline eval by ATC (SCAT, etc.)
- Clear criteria for removal from game, etc.
- Criteria for immediate eval (ED)
- Parental instructions
- Medical providers (who, when)
- Neuropsych testing (when, how)
- Return to play protocols

6.  Pre-participation PE:
- History of concussions
- Mood disorders
- Learning disabilities
- Attention disorders
- Migraines

7.  Neuropsych testing:
- Test environment (limit distractions)
- Emphasize importance / discourage
“sandbagging”
- Timing (after school/practice, limited
time)
- Review results for invalid scores

8.  Timely evaluation, availability
 Good communication with ATC’s
 Proper equipment, tools, office setting
 Patient, parent education
 Know up-to-date recommendations
 Collaboration with other medical providers
 Protocol for referral to specialists, therapists,
etc.

9.  Neuropsychologists
 Cognitive therapy
 Integrated Neurorehabilitation programs
 Progressive exercise programs
 Vestibular therapists
 PT, OT

10.  Be prepared
 Be organized
 Stick to the plan
 Seek help from others
 Educate, educate, educate!