Albany Park Community Center THE CONCUSSION CRISIS : What you don’t know can hurt you!! Presented...
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Transcript of Albany Park Community Center THE CONCUSSION CRISIS : What you don’t know can hurt you!! Presented...
Albany Park Community
Center
THE CONCUSSION CRISIS:
What you don’t know can hurt you!!Presented by
March 29, 2014
Copyright: Sports Brain, LLC 2014 1
Entire Presentation will be posted on our website:
EVENTS
DISCLAIMER: Nothing in this presentation shall be construed as or constitute
medical advice or legal advice. Please consult with your professional advisors
about how these issues may relate to your specific situation
Copyright: Sports Brain, LLC 2014 2
Goals Learn elements of concussions Be aware of concussion signs Understand different baseline tests Develop process for handling
concussions Assist you in helping protect your
athletes
Copyright: Sports Brain, LLC 2014 3
Concussion ManagementCognitive Development and
TrainingMental Toughness Training
500 Lake Cook Road, Suite 350Deerfield, Illinois 60015
855-32-BRAIN (322-7246)www.SportsBrain.comCopyright: Sports Brain, LLC 2014 4
How many of you knew that concussions were a problem:
10 years ago 5 years ago 3 years ago
TodayCopyright: Sports Brain, LLC 2014 5
Concussion Management
Training and educational programs Parents, Coaches, Athletes, Athletic Trainers
Presentations to youth organizations Comprehensive baseline testing Neurofeedback treatment
Help people who continue to experience symptoms
Consultations with parents/coaches
Copyright: Sports Brain, LLC 2014 6
DiscussionAt the conclusion we will be
discussing:
What can be done to prevent concussions?
What steps your organization can take?
How should you manage/supervise the process?
Copyright: Sports Brain, LLC 2014 7
Sports Brain Credentials
National Council on Youth Sports Safety Sports Legacy Institute National Concussion Management Certification
Center Chicago Concussion Coalition NFL Alumni Retired Professional Football Players Positive Coaching Alliance Illinois Athletic Trainers Association Great Lakes Athletic Trainers Association US Indoor Facilities Owners Conference
Copyright: Sports Brain, LLC 2014 8
ConcussionsWHAT IS A CONCUSSION
Dictionary.com Injury to the brain or spinal cord due to jarr
ing from a blow, fall Shock caused by the impact of a collision, bl
ow, etc. The act of violently shaking or jarring.
Google.com Temporary unconsciousness caused by a
blow to the head. Also, loosely, aftereffects such as confusion or temporary incapacity.
A violent shock as from a heavy blow
Merriam-Webster A stunning, damaging, or shattering effect
from a hard blow; especially : a jarring injury of the brain resulting in disturbance of cerebral function
A hard blow or collision
Copyright: Sports Brain, LLC 2014 9
WHAT IS A CONCUSSION
DEFINITION Brain injury that changes the way the
brain normally works. Caused by a bump, blow, or jolt to the
head. Can also occur from a blow to the body
that causes the head and brain to move rapidly back and forth.
Even what seems to be a mild bump to the head can be serious.
Concussions can have a more serious effect on a young, developing brain and need to be addressed correctly.”
Copyright: Sports Brain, LLC 2014 10
WHAT IS A CONCUSSION
It is a BRAIN INJURY Remove word “concussion”
from your vocabulary Insert the phrase “brain injury” Which sounds more serious?
“mild brain injury” “mild concussion”
Copyright: Sports Brain, LLC 2014 11
Common Symptoms Short Term: Headaches Nausea or vomiting Sensitivity to noise Sensitivity to light Dizziness (loss of balance) Difficulty concentrating Amnesia (memory loss) Confusion (repeating
questions) Irritability Depression Vision problems Difficulty thinking
Long term: Headaches Memory loss Difficulty sleeping Slow processing
of information Some other short
term symptoms can last too
Copyright: Sports Brain, LLC 2014 12
Concussion Symptoms
WHEN DO THE SYMPTOMS SHOW UP?
Concussion symptoms can take minutes, hours, days, or even longer to show up.
Most concussions occur without loss of consciousness.
Some people have even reported little or no symptoms after sustaining a concussion
Copyright: Sports Brain, LLC 2014 13
Concussion SymptomsTHESE SYMPTOMS CONSTITUTE
AN EMERGENCY One pupil larger Drowsiness Consistent headache gets worse Repeated vomiting or nausea Slurred speech Convulsions or seizures Difficulty recognizing people or places Increased symptoms Unusual behavior Loss of consciousness
Copyright: Sports Brain, LLC 2014 14
Concussion Myths 1. Must involve blow to head 2. Involves losing consciousness 3. Can be prevented by
helmets/headbands 4. Next one is always more severe 5. 3 concussions signals end of
career 6. Boys suffer more often than
girls 7. Mouth Guards prevent
concussions 8. Symptoms are obvious
immediately
Copyright: Sports Brain, LLC 2014 15
Sub-Concussive Blows
We still don’t have a lot of specific info about these but we do know that they
can cause damage
Copyright: Sports Brain, LLC 2014 16
ConcussionsDifficulty in reviewing facts and
statistics: Lots of conflicting information Different studies Conflicting categorization of concussions Changing definitions of “what constitutes” a
concussion Historically been only self-reported There is a big gap:
When we speak to groups of players, we typically ask:
How many “diagnosed” concussions? (at the time you suffered it)
How many estimated concussions? (based on what you know today)
Copyright: Sports Brain, LLC 2014 17
ConcussionsFIVE PHASES
PREVENTION Education, rules, equipment, safety,
tackling techniques BASELINE TESTING
Neurocognitive, Vision, Balance, Reaction, new technology
DIAGNOSIS Sensors, blood tests, sideline testing
TREATMENT AND RECOVERY Helping people recover from the injury Return to Learn/Return to Play Eliminate Symptoms
MEDICAL RESEARCH
Copyright: Sports Brain, LLC 2014 18
BASELINE TESTINGWhy is baseline testing important? Helps establish a proper baseline in
elements of: Neurocognitive function Vision Balance Reaction time
Helps guide the recovery process Identify which elements above are
functioning properly Help provide objective data for medical
providersCopyright: Sports Brain, LLC 2014 19
BASELINE TESTING Challenge of baseline testing
Understanding the different testing platforms available
Knowing the requirements of each test Recognizing the limitations of each test Determining the feasibility of implementing on
a large basis Having the staff and expertise to administer the
tests. Understanding the output from the tests/what
results mean Purchasing equipment to run the tests Staying current on all testing
platforms/requirements Keeping up with new technologies
Copyright: Sports Brain, LLC 2014 21
TREATMENT AND RECOVERYPRIORITIES
Helping athlete recover from the injury
Getting students back to school
Return to participation in sports
Resume normal life activities
Avoid long term damageCopyright: Sports Brain, LLC 2014 22
Post Injury Testing Common problems with post-
injury testing Given in very different environments
than baseline tests Determine whether athlete has
recovered from concussion Importance of following graduated RTP
Protocol Many organizations, teams and medical
professionals are using (or misusing) baseline tests as return to play tests
ACL MRI or broken bone x-ray/rehab recovery Would never take kid from doctor to
practice field Why do we do it with these injuries?
Copyright: Sports Brain, LLC 2014 23
RETURNING TO LEARN (RTL)
At school, parents should request:
Rest breaks Fewer hours More time Help with homework Less computer
Copyright: Sports Brain, LLC 2014 24
Return To Play (RTP) Decisions
Should ONLY be made by medical professional
BUT medical professional MUST: Have knowledge of concussions Have good/objective data and information Get feedback from both athlete and parents,
family, coaches
YOU are with athlete more than any physician
Keep an eye on how they are doing Have them assessed cognitively, vision,
balance, reaction time WARNING: Kids who have “returned” to
cognitive baseline Often only 60-70% in vision, balance, reaction
time
Copyright: Sports Brain, LLC 2014 25
Graduated Return to Play Protocol
Return-To-Play Policy (steps)
1. Stationary biking 15-20 minutes
2. Cardio drills/Running/Sprinting
3. Sport specific drills-no contact
4. Full practice with contact5. Full game clearanceCopyright: Sports Brain, LLC 2014 26
Graduated Return to Play Protocol
What does this mean? Cannot return day of concussion Cannot start RTP until 3 requirements
Symptom free Returns to baseline in ALL phases Medical clearance
BY DEFINITION: If a player suffers a concussion, player must remain out an absolute minimum of one week
Copyright: Sports Brain, LLC 2014 27
Players Returning Too Early
Returning to play too early poses multiple risks
2nd impact syndrome Greatest risk for long term damage Potential==DEATH More prone to a subsequent concussion Vision, balance, reaction time not up to
par
Copyright: Sports Brain, LLC 2014 28
Impact on youth athlete’s lives
Hear sad stories at every conference we attend
National Council on Youth Sports Safety
United Nations Concussion Summit-Super Bowl
U. Miami Concussion Clinic--Ashley Quintero
National Soccer Coaches Association of America
Internet/Blogs Parents Athletes
Copyright: Sports Brain, LLC 2014 29
TREATMENT AND RECOVERY
Why is this receiving so little attention? Few tangible answers Lack of long term scientific studies More difficult to find solution Harder to train all treatment providers
than provide general education materials
Most groups treat it almost like a hospice model “We don’t really know if we can do
anything for you but we will make you as comfortable as we can in the meantime”
“You just have to accept that was part of the price of playing professional football”
Copyright: Sports Brain, LLC 2014 30
TREATMENT AND RECOVERY
Study with former NFL players in conjunction with chapters of: NFL Alumni The Retired Professional Football Players
of Chicago What does Sports Brain do?
Create virtual map of your brain Use neuro-feedback to help you re-
establish pathways in brain Individual appointments Customized treatment Consultations with other professionals (as
needed)
Copyright: Sports Brain, LLC 2014 31
TREATMENT AND RECOVERY
How does it work? LENS system (Low Energy
Neurofeedback system) Create virtual map of brain Place electrodes at 21 sites around the
head Measure brain amplitude and frequency Helps brain heal itself Approved by FDA Most clients complete course of
treatment within 12 weeks Many see results within 4-6 weeks Some see results as soon as 3 weeks
Copyright: Sports Brain, LLC 2014 33
TREATMENT AND RECOVERY
Does it work?YES, we have helped people with many
different situations Former professional football players with
concussions Former professional hockey players with
concussions War veterans with PTSD Car accident victims with head injuries Children with ADHD Adults with migraine headaches People with sleep disorders and difficulties Individuals suffering from depression Entrepreneurs and business owners needing
better performing brains
Copyright: Sports Brain, LLC 2014 34
Risk Management and Litigation
Can never stop all lawsuits Focus on health and safety of players Follow procedures and protocols Make sure that athletes recover
before being allowed back on field
Which parent lawsuit would you rather fight??
Wrongfully holding out child Catastrophic injuries/death
Copyright: Sports Brain, LLC 2014 35
National Council Youth Sports Safety
Convened by former Surgeon General David Satcher Discussed risks of concussions Concussions will NEVER be eliminated Risk must be managed in advance Treatment and care must change after
injury Biggest risk IS NOT suffering a
concussion Biggest risk is in how concussions are
managed afterwardsCopyright: Sports Brain, LLC 2014 36
National Council Youth Sports Safety
SO SHOULD WE STOP ALL IMPACT/COLLISION SPORTS??
NO!! Much bigger risk for society if we
eliminate physical activity and competition
Obesity much more of a risk for most kids than the concussions
Copyright: Sports Brain, LLC 2014 37
ACTION STEPSSo now we are ready to get started!!
What can we do to help fight concussions?
• EDUCATION• Parents• Athletes• Coaches
• BASELINE CONCUSSION TESTING• Neurocognitive• Vision• Balance
• CONCUSSION MANAGEMENT POLICY• If in doubt, sit them out• Written policy for organization to follow
• RISK MANAGEMENT
Copyright: Sports Brain, LLC 2014 38
Discussion
What can be done to prevent concussions?
What steps can you take as coach?
What steps can you take as athlete?
How should you manage/supervise the process?
Copyright: Sports Brain, LLC 2014 39
FAVORPLEASE COMPLETE
NATIONAL CONCUSSION BASELINE TESTING SURVEY
Copyright: Sports Brain, LLC 2014 40
Who are we? Roy Kessel
University of Wisconsin, Finance and Marketing Northwestern University School of Law Private law practice 1991-2010
Representing many entrepreneurs and small business owners
SportsLoop—sports consulting 1997 to present Adjunct Professor Northwestern University
Masters in Sports Administration Program Founder
Sports Philanthropy Foundation Jewish Sports Foundation Kick Start (collections of used sports equipment)
Copyright: Sports Brain, LLC 2014 42
Who are we? Robert Kauffman
Critical Thinking for Success Cognitive training and development Teach and develop thinking skills Train coaches
Neurofeedback Vets with PTSD Children with ADHD Former NFL players recovering from
concussions
Social workCopyright: Sports Brain, LLC 2014 43
Cognitive Training and Development
Sports Brain Academy Critical Thinking for success Individual training/Group
programs Cognitive skill development Emotional intelligence Overall improvement in quality
of lifeCopyright: Sports Brain, LLC 2014 44
Mental Toughness
Mental Toughness Academy Online Program
Individualized training School, group, team trainings Parent and coach training Visualization, Motivation, Intensity,
Determination, Mastering Pressure, Focus, Emotional IntelligenceCopyright: Sports Brain, LLC 2014 45