Concussion and return to play

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This presentation is an educational tool for athletes who are at high risk for concussions. The information provided was obtained from the sport concussion tool (SCAT2) and the consnesus statement on concussion in sport from the 3rd international conference on concussion in sport, November 2008.

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Concussion and return to play

  1. 1. Concussion and Return to Play Education tool for Ontario Rugby U20 Women’s Team 2011
  2. 2. What is a concussion? <ul><li>A traumatic injury to the brain as a result of a violent blow, shaking, or spinning. A brain concussion can cause immediate and usually temporary impairment of brain function such as of thinking, vision, equilibrium and consciousness. </li></ul><ul><li>Most concussion (80-90%) resolve in a short period (7-10) days </li></ul>
  3. 3. Sign and Symptoms of a Concussed Athlete <ul><li>Loss of consciousness </li></ul><ul><li>Seizure or Convulsion </li></ul><ul><li>Amnesia </li></ul><ul><li>Headache </li></ul><ul><li>Pressure in head </li></ul><ul><li>Neck Pain </li></ul><ul><li>Nausea and vomiting </li></ul><ul><li>Dizziness </li></ul><ul><li>Blurred Vision </li></ul><ul><li>Balance problems </li></ul><ul><li>Sensitivity to light and/or noise </li></ul>Reference: www.athletictherapy.org/en/pdf/ SCAT2 .pdf
  4. 4. Sign and Symptoms of a Concussed Athlete (continued ) <ul><li>12. Feeling Slowed down </li></ul><ul><li>13. Feeling like “in a fog” </li></ul><ul><li>14. “Don’t feel right” </li></ul><ul><li>15. Difficulty concentrating </li></ul><ul><li>16. Difficulty remembering </li></ul><ul><li>17. Fatigue or low energy </li></ul><ul><li>18. Confusion </li></ul><ul><li>19. More emotional </li></ul><ul><li>20. Irritability </li></ul><ul><li>21. Sadness </li></ul><ul><li>22. Nervous or anxious </li></ul>
  5. 5. Clinical Journal of Sport Medicine: May 2009 - Volume 19 - Issue 3 - pp 185-200 @ http://journals.lww.com/cjsportsmed/Fulltext/2009/05000/Consensus_Statement_on_Concussion_in_Sport_3rd.1.aspx
  6. 6. Graduated Return to Play Protocol <ul><li>Stepwise Process </li></ul><ul><li>Athlete should continue to proceed to the next level if symptom free at the current level. </li></ul><ul><li>Generally Each step should take 24h hours </li></ul><ul><li>Take approximately one week to proceed through the full rehab protocol after being symptom free at rest </li></ul><ul><li>If any post-concussion symptoms occur while in the stepwise program, then the athlete should drop back to previous asymptomatic level and try and progress again after a further 24-hour period of rest </li></ul>
  7. 7. Rehabilitation Stage 1: No Activity <ul><li>Complete physical and cognitive rest </li></ul><ul><ul><li>Scholastic work, video games, text messaging may make symptoms worse and possibly delay recovery </li></ul></ul><ul><ul><li>This helps the brain recover from the trauma </li></ul></ul>
  8. 8. Rehabilitation Stage 2: Light aerobic Exercise <ul><li>Walking, swimming or stationary bike </li></ul><ul><li>< 70% maximum heart rate </li></ul><ul><li>Goal is to increase your heart rate </li></ul>
  9. 9. Rehabilitation Stage 3: Sport Specific Exercises <ul><li>Running drills </li></ul><ul><li>No head impact activities </li></ul><ul><li>Goal is to add movement </li></ul>
  10. 10. Rehabilitation Stage 4: Non-Contact training drills <ul><li>Progression to more complex training drills </li></ul><ul><li>Passing drills </li></ul><ul><li>May start progressive resistance training </li></ul><ul><li>Goal is to increase exercise, coordination and cognitive load </li></ul>
  11. 11. Rehabilitation Stage 5: Full Contact Practice <ul><li>Following medical Clearance, participate in normal training activities </li></ul><ul><li>Restore confidence </li></ul><ul><li>Assessment of functional skills by coaching staff </li></ul>=
  12. 12. Rehabilitation Stage 6: Return to Play <ul><li>Normal Game Play </li></ul>If an athlete is suspected of having a concussion <ul><li>Athlete will be REMOVED FROM PLAY for that day </li></ul><ul><li>Medically assessed by trainer </li></ul><ul><li>Monitored for deterioration (i.e., should not be left alone) </li></ul><ul><li>Should not drive a motor vehicle </li></ul><ul><li>Required to see family physician or sports medicine physician. </li></ul>

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