Concussion and return to play
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Transcript of Concussion and return to play
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Concussion and Return to
PlayEducation tool for Ontario
Rugby U20 Women’s Team 2011
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What is a concussion?
• 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.
• Most concussion (80-90%) resolve in a short period (7-10) days
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Sign and Symptoms of a Concussed Athlete
1. Loss of consciousness
2. Seizure or Convulsion
3. Amnesia
4. Headache
5. Pressure in head
6. Neck Pain
7. Nausea and vomiting
8. Dizziness
9. Blurred Vision
10. Balance problems
11. Sensitivity to light and/or noise
Reference: www.athletictherapy.org/en/pdf/SCAT2.pdf
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Sign and Symptoms of a Concussed Athlete (continued)
12. Feeling Slowed down13. Feeling like “in a fog”14. “Don’t feel right”15. Difficulty concentrating16. Difficulty remembering17. Fatigue or low energy18. Confusion19. More emotional20. Irritability21. Sadness22. Nervous or anxious
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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
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Graduated Return to Play Protocol
• Stepwise Process• Athlete should continue to proceed to the next level if
symptom free at the current level.• Generally Each step should take 24h hours• Take approximately one week to proceed through the full
rehab protocol after being symptom free at rest• 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
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Rehabilitation Stage 1: No Activity
• Complete physical and cognitive rest• Scholastic work, video games, text messaging may
make symptoms worse and possibly delay recovery• This helps the brain recover from the trauma
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Rehabilitation Stage 2: Light aerobic Exercise
• Walking, swimming or stationary bike• < 70% maximum heart rate• Goal is to increase your heart rate
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Rehabilitation Stage 3: Sport Specific Exercises
• Running drills• No head impact activities• Goal is to add movement
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Rehabilitation Stage 4: Non-Contact training drills
• Progression to more complex training drills• Passing drills• May start progressive resistance training• Goal is to increase exercise, coordination and cognitive
load
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Rehabilitation Stage 5: Full Contact Practice
• Following medical Clearance, participate in normal training activities
• Restore confidence• Assessment of functional skills by coaching staff
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Rehabilitation Stage 6: Return to Play
• Normal Game Play
If an athlete is suspected of having a concussion
1. Athlete will be REMOVED FROM PLAY for that day
2. Medically assessed by trainer
3. Monitored for deterioration (i.e., should not be left alone)
4. Should not drive a motor vehicle
5. Required to see family physician or sports medicine physician.