But continue to exercise! concussion facts · 2018-12-20 · return to activity guidelines for...
Transcript of But continue to exercise! concussion facts · 2018-12-20 · return to activity guidelines for...
return to activity guidelines for children and
youth
is a brain injury and must be
taken seriously
a concussion
concussionmanagementconcussion
management
recommendations for return to contact sport after multiple concussions
concussion facts
•NO SAME DAY RETURN TO PLAY!•Ifpositiveneuroimagingfindings→Takeatleast3monthsofffromcontactsport.•If2concussionsin3months→Take6monthsofffromthetimeofmostrecentinjury.•If3ormoreconcussionsin1year→Take1yearofffromthetimeofthe mostrecentinjury.•Discussretirementfromcontactsportsafter3concussions,consideringnon-contact alternatives,especiallyifsymptomsareprolongedandaffectingperformance.
Thebiggest riskisgoingbacktoplaybeforethebrainhealsandgettinganotherconcussion!
Management Tips•Drinkwaterregularly•Getsubstantialrest(8-10hoursofsleep)•Donotskipmeals
•Wearsunglassesornoisecancellingheadphonesifsensitivetolightor
noise
return to activity Stage 1:...................... 1-2days Stage 2:....................... 7-10days Stage 3:....................... 7days Stage 4:....................... 7days Stage 5:....................... 3days
Fully back to game play in 4-5 weeks
return to school Stage 1:...................... 1-2days Stage 2:....................... 3-5days Stage 3:....................... 7-14days Stage 4:....................... 7days
Fully back to school in 2-4 weeks
Time in Each Stage/How long will it take for me to get through each stage? Averagetimeineachstageisbasedonresearchfrom
McMaster’sBacktoPlayStudy.
Note:Differentpeoplerecoveratdifferentratesdependingonmanyfactors,includingseverityofinjuryandprevioushealthhistory.Thesetimelinesaremeanttohelpsetexpectationsandtobeusedasaguide.Ifyouareworriedaboutthepaceofyourrecovery,contactaphysicianorbraininjuryspecialist.
Higher risk of prolonged recovery with:
•Multipleconcussions•Historyoflearningorbehaviourproblems•Historyofmigraines•Symptomsofamnesia,fogginessordizziness
But continue to exercise!
Formoreinformation,pleasevisitwww.canchild.ca
GOAL: Completehomeandleisureactivitiesastolerated,withoutanincreaseinthenumberorseverityofsymptoms.Nophysicalactivitiesofanyintensityforlongerthan5minutes,aslongastheseactivitiesdonotincreasesymptoms.
stage
1Short Phase of
Physical and Cognitive Rest with Symptom Guided Activity
24-48 hours
Beginnolaterthan2weekspostinjuryifsymptomsaredecreasing.GOAL: InadditiontoactivitiesaccomplishedinStage1,complete15-30minutesoflightphysicalactivitytwicedailywithoutworseningsymptomsforatotalof~1hourperday.LIGHT ACTIVITIES:Walking,stationarycycling,swimming,stretching.NOresistancetrainingorweightlifting.
stage
2 Light Exercise(No Contact)
GOAL: AbletocompleteactivityrequirementsforStages1and2,withtwoadditional30-minutesessionsofmoderatephysicalactivitydailywithoutworseningsymptomsforatotalof~2hoursperday.MODERATE ACTIVITIES:Skating,lightjogging,throwing.
stage
3Individual
Sport-SpecificActivity
(No Contact)
GOAL: AbletocompleteactivityrequirementsforStages1-3,withtwoadditional30-minutesessionsofmoderate/vigorousphysicalactivityfornomorethan3hoursperday.Bytheendofthestage,progresstofullteampracticewithNOCONTACT.Increaseskilllevelanddifficultyastoleratedwithoutworseningsymptoms.MODERATE/VIGOROUS ACTIVITIES: Beginresistancetrainingandgeneralsport-specificconditioningskillswithoneotherteammate.Throwing/passingaball,sport-specificdrills,andothernon-contactactivities.
stage
4Sport SpecificPractice with
Team(No Contact)
GOAL: AbletocompleteactivityrequirementsforStages1-4,participateinfullpracticeandtrainingactivitiesastoleratedwithoutworseningorcausingsymptoms.VIGOROUS ACTIVITIES: Running,cycling,jumpingjacks.Ifsymptomfree,youarereadytoreturntocompetition!
stage
5Sport-SpecificPractice with
Team(Contact)
Congratulations you have completed the Guidelines!
stage
6Return to FullActivity, Sportor Game Play
(Contact)
return to activity guidelinesSTAGES1-3oftheReturntoActivity(RTA)andReturntoSchool(RTS)guidelinesshouldprogresstogether,howeveryouthshouldreturn
full-timetoschoolactivitiesbeforeprogressingtoSTAGE4,and5oftheRTAguidelines
ConCuSSionAconcussionalsoknownasamildtraumaticbraininjury,changesthewaythebrainfunctions.Aconcussioncanbecausedbyadirectorindirecthit,blow,orforcetotheheadorbody.
SympTomS oF ConCuSSion• Headache• Dizziness,nauseaorvomiting• Sleepdisturbanceordrowsiness• Poorbalanceorcoordination• Visualproblems• Sensitivitytolightornoise• Mentallyfoggy• Difficultyconcentrating/ remembering• Emotionalchanges(anxiety, irritability,sadness)
Red FlAg SympTomSIfanyofthefollowingsymptomsdevelop,gototheemergencydepartmenttoseekfurthermedicaltreatmentimmediately.
• Increaseddrowsinessorcannot beawakened• Headachesorneckpainworsen• Persistentvomiting• Unequalpupilsize• Seizures• Confusionorshort-term memoryloss• Blurred/doublevision,slurred speech,orlossofmotorfunction• Changeinbehaviour(irritability, agitation,oraggression)
importantnotes
ANxIETY canbehighafterabraininjury.Manyyouthworryaboutschoolfailureandneedreassurancethataccommodationswillbetemporary.
DEPRESSIONiscommonduringrecoveryfrombraininjury,especiallywhenthechildisunabletobeactive.Depressionmaymakesymptomsworseorprolongrecovery.
Note:Differentpeoplerecoveratdifferentratesdependingonmanyfactors,includingseverityofinjuryandprevioushealthhistory.Thesetimelinesaremeanttohelpsetexpectationsandtobeusedasaguide.Ifyouareworriedaboutthepaceofyourrecovery,contactaphysicianorbraininjuryspecialist.
©CanChild,McMasterUniversity2018
if symptoms increase or return at any STAge, reduce activity by returning to the previous stage for 24 hours.
a SYMPTOM FREE WITHIN 48 HOURS AFTER INJURY B SYMPTOM FREE/SYMPTOMS DECREASE
WITHIN 1-4 WEEKS AFTER INJURY c SYMPTOMATIC FOR MORE THAN 4 WEEKS
WHICH SYMPTOM GROUP ARE YOU IN? orB ca
Takeatleast24hoursforeachstageasyoucompletetherestoftheguidelines.
Takeatleast2daysforeachstageasyoucompletetherestoftheguidelines.
Takeatleast1weekforeachstageasyoucompletetherestoftheguidelines.