The Premium Health Care Option of

Choice in China

Guangzhou Shanghai Dongguan

Presented by:

Caleb Lott, MAT, ATC

Joe Panchella, MS, ATC

Concussion Awareness and Management

&

IWS Services

Objectives:

• Understand concussions & potential consequences

• Recognize signs/symptoms & how to respond

• Learn about return to activity for concussions

• Focus on prevention and preparedness to keep athletes safe

• Brain injury--functional disturbance • Causes changes in cognitive, emotional, and physical aspects of individuals

• Most occur without loss of consciousness

• All are serious

Definition:

Concussion Facts:

• Cannot be diagnosed by X-ray, CT scan, or MRI

• 3.8 million sports & recreational-related concussions occur each year in the USA

• Repeated concussion can result in brain swelling, permanent brain damage, and even death

• 4x more likely for reoccurrence

• Can occur in any sport

What causes a concussion?

• Forceful blow to the head or body that results in rapid movement of the head

How do you know?Signs observed by coaches Symptoms reported by athlete

Appears dazed or stunned Headache or ‘’pressure’’ in the head

Confused about assignment or position

Nausea or vomiting

Forgets sports plays or task Balance problems or dizziness

Unsure of game, score, opponent Double or blurry vision

Moves clumsily Sensitivity to light

Answers questions slowly Sensitivity to noise

Loses consciousness (even briefly) Feeling sluggish, hazy, foggy, or groggy

Shows behavior or personality changes

Concentration or memory problems

Can’t recall events prior to hit or fall Confusion

Can’t recall events after hit or fall Does not “feel right”

What should you do: Action Plan

1. Remove the athlete from play 2. Seek evaluation from professional medical

health care provider 3. Inform athlete’s parents/guardians about

possible brain injury and give them fact sheet on concussions

4. Allow the athlete to return to play only with permission from a health care provider

•Must complete gradual return-to-play guideline

How are concussions treated?

PHYSICAL & MENTAL REST

How long will it take to get better?

• Typically 7~10 days

• Every concussion is different

• No sign or symptom prediction length

• Numerous or few

If symptoms are still present during activity-

• Individual has increase chance of:•Their symptoms getting worse•Having their symptoms last longer•Developing a more serious brain

injury

Serious Brain Injury:

• Second Impact Syndrome

DEADLY

Return-to-Play-Guideline

• Should not start return-to-play-guideline until:– Completely symptom free– Receive written permission from health care

professional who is experienced in evaluating for concussions

• Directions:– Each step must take place on separate days– If symptoms return-stop all activity immediately– Must have 24 hours of rest – Once symptoms resolve, athlete can start at

previous level

Return-to-Play-GuidelineStep Activity Description Time

FrameObjective

*1 No Activity Complete restVariable-as

long as it takesIndividual recovery

2Light Aerobic

ExerciseWalking or

stationary bike~ 15 minutes

of activityIncrease heart

rate (HR)

3Sport specific

activity

NON-CONTACT

drills or resistance

training. (away from practice)

20-30 minutesAdd movement & increase HR

4 Practice-A

Full training drills, (Still

NON CONTACT)

Full length practice

Increase physical and

cognitive load

5 Practice-BFull contact

practiceFull length

practice

Assessment of functional

skills & restore confidence

*Completion of step 5 warrants re-evaluation by professional medical health care provider*

6Full return to sport without restrictions

Full game play n/a n/a

Prevention & Preparedness

• Insist that safety comes first • Teach athletes safe playing

techniques • Make sure athletes are wearing

right protective equipment for their activity

How IWS can support you?

• Concussion Awareness & Management Packet:– Concussion pamphlet– Take Home Fact Sheet– Return-to-Play Guidelines– Concussion Poster– Concussion Quick-Card

• Medical Advice

M-F, 9 am - 5 pm: 020-3821-9778After Hours: 136-4060-1225

How IWS can support you?

• Workshops and Health & Wellness Sessions– Concussion Awareness & Management – Emergency Planning in Athletics – Preventing Heat Illnesses – Preventing Injuries: Flexibility Considerations – Sports Performance Nutrition: Myth & Facts– Communicable & Infectious Diseases in

Secondary School Sports – Taping Lab– Spine Boarding Lab

How IWS can support you?

• Provide athletic training supplies at favorable cost– Taping supplies– Emergency supplies– Injury prevention & recovery

• Different size packages

Questions

*IWS services are free!

*may charge for actual cost