Concussion Management athletico com Concussion In a Nutshell

Concussion Management athletico. com

Concussion

In a Nutshell • Prevention • Baseline • Evaluation • Communication • Return to Participation • Vestibular Physical Therapy • Event Coverage

Specifics • Defining “in Conjunction with” • SCAT 3 vs. SAC vs GSC vs others • Im. PACT (or other testing) Recommendations Better for every body.

Tools Provided • SCAT 3 • Graded Symptom Checklist • Concussion Information Sheet • Concussion Timeline Checklist • Concussion Physician Letter Template • Physician Update Form Better for every body.

Return to Participation • B - Bike • R - Run • A - Agility • I – In Red • N – No Restriction Practice • G – Game Play Better for every body.

SCAT 3 Scenario Better for every body.

Concussion Management… It’s A Team thing! Team Physician Primary Care Physician Neuropsychologist Athletic Trainer Physical Therapist Coach Parents School Administrators Educators Better for every body.

SB 007 • Concussion Oversight Team – Consisting of: • • Physician (MD/DO); AND *Athletic Trainer; AND/OR *School Nurse; AND/OR Advanced Practice Nurse; AND/OR Neuropsychologist; AND/OR Physician Assistant Other Licensed Healthcare Providers Better for every body.

Role of the Concussion Management Oversight Team • Create a Return to Play Policy that is evidence based • Create a Return to Learn Policy that is evidence based Better for every body.

Athlete May Return to Play When: • Have completed Return to Learn (RTL) and Return to Play(RTP) program • Written script from a physician stating that the athlete is cleared to return to play • Signed Parental Consent Form • Informed of returned to participation in accordance to RTP and RTL policies • Understands the risks of returning to participation • Consents to proper medical disclosures Better for every body.

Compliance • Superintendent, or designee, shall be responsible for the compliance of with the RTP and RTL policies • Designee may not coach any interscholastic sport Better for every body.

Education • Coaches and game officials – 2 hour education • Nurse serving on Concussion Oversight Team • Any Game officials • Physician serving on Concussion Oversight Team • ATC serving on Concussion Oversight Team • Any other member of Concussion Oversight team • Education must be completed by 9/1/2016 • Proof of training must be kept by school Better for every body.

Emergency Action Plan • School Specific • In Writing • Reviewed by the Concussion Oversight Team • Approved by the Superintendent • Distributed to all personnel • Posted conspicuously at all venues utilized by the school • Reviewed annually by all ATC’s, coaches, nurses, first responders, AD’s, volunteers Better for every body.

Concussion work at Athletico • Lectures • A Step a. Head • BNA • Many other opportunities to get involved! Better for every body.

BNA Testing • Brain Network Activity (BNA) Testing is taking Brain wave activity while performing a simple cognitive task • Computer interprets this into Network activity, which can be used following brain alteration (such as concussion), and compared to either a benchmark test, or to normative data. Better for every body.

Closing the Gap with BNA™ Technology Revealing Brain Networks Activity (BNA™) for Better Clinical Decisions Structure – Metabolism – Neuronal Function – Function CT/ MRI DTI PET f. MRI BNA™ Function Behavior Symptoms

Demonstration of BNA™ Clinical Utility 17 Year Old High School Football Player Case Report • Head to head collision • Many on field symptoms: • Disorientation, Headache, Dizziness, Balance problems, Visual Changes, Fatigue, Sensitivity to light/Noise, Migraine • Diagnosed with concussion When is it “safe” for him to return to play?

Current Practice Standard Clinical decision is based on subjective measures Neuro-Imaging Symptoms CT Scan Normal Resolved within 3 weeks Computerized tests non conclusive 56 50 1 43 Reaction Time Score Symptoms Score 60 Neuropsychology 40 30 20 10 4 1 0 Week 0, 8 0, 64000 0000000 018 0, 62000 0000000 01 1 2 0, 58 0, 4 0, 2 0 1 2 3 4 Week 3 4 Based on limited information available through current methods: Physician Decision: Return to Play after 3 weeks

The BNA Difference Baseline 1 Week 2 Weeks 3 Weeks 4 Weeks Delta (1 -4 HZ) Theta (3 -8 HZ) 24% Alpha (7 -13 HZ) Beta (12 -30 HZ) Connectivity 1 Week 2 Weeks 3 Weeks 4 Weeks BNA demonstrates that, while symptoms are gone, brain recovery is only at 24%. Return to Play in 3 weeks may not be the right decision

Thank You! Better for every body.