UNIVERSITY OF KENTUCKY CONCUSSION MANANGEMENT IN HORSE RACING

INTRODUCTION • 3. 8 million concussions occur in the US every year during competitive

PURPOSE This pilot initiative aims to provide continued care for jockeys suffering head injuries

WHAT IS A CONCUSSION • Biomechanical disturbance to the brain • Result of direct

WHAT IS A CONCUSSION • Physical and emotional symptoms include but are not limited

SCAT 3 BASELINE • Standardized cognitive and balance assessment • Approximately 10 15 minutes

WHAT DOES THIS MEAN FOR YOU? • Data collection is for your own safety,

UPDATE ON PROGRESS • Data collection will resume Spring 2017 • Over 30 jockeys

ATHLETIC TRAINER • A certified AT will be in attendance at KY Race Tracks

MEDICAL MANAGEMENT FOLLOWING A FALL • In the event of a fall, an ATC

FOR THE FUTURE • Looking to expand baseline testing • Future research to compile

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UNIVERSITY OF KENTUCKY CONCUSSION MANANGEMENT IN HORSE RACING PILOT INITIATIVE

INTRODUCTION • 3. 8 million concussions occur in the US every year during competitive sports and recreational activities • 50% of concussions may go unreported • US horse racing is the only organized competi tive sport without a Comprehensive Concussion Management Protocol

PURPOSE This pilot initiative aims to provide continued care for jockeys suffering head injuries and establish a system for effective management.

WHAT IS A CONCUSSION • Biomechanical disturbance to the brain • Result of direct or indirect impact to the head • Loss of consciousness does not always occur • Can result in diminished brain functioning

WHAT IS A CONCUSSION • Physical and emotional symptoms include but are not limited to: • • • Headache Confusion Vomiting Changes in mood Sleep disturbance Memory loss

SCAT 3 BASELINE • Standardized cognitive and balance assessment • Approximately 10 15 minutes • Multiple components • Symptom score • Immediate memory recall • Balance • Baseline assessment provides “normal” score that can be compared to an assessment post injury.

WHAT DOES THIS MEAN FOR YOU? • Data collection is for your own safety, nothing you report is meant to be used against you • Participate in data collection at Kentucky Racetracks • Keeneland • Churchill Downs • Kentucky Downs • Ellis Park • Turfway Park

UPDATE ON PROGRESS • Data collection will resume Spring 2017 • Over 30 jockeys baseline tested in the state of Kentucky in 2016 • Data has been added to Jockey Health Injury Database

ATHLETIC TRAINER • A certified AT will be in attendance at KY Race Tracks • In the event of an injury, ATC is trained in evaluation and management of injuries • Additional Skillset; • Taping • Therapeutic Massage • Stretching • Wound Care • Rehabilitation Techniques

MEDICAL MANAGEMENT FOLLOWING A FALL • In the event of a fall, an ATC will be able to assess jockey if physician is not present. • If warranted, a post injury SCAT 3 will be completed and compared to baseline assessment. • ATC will be able to refer jockey to additional medical personnel if needed as well as follow up evaluation.

FOR THE FUTURE • Looking to expand baseline testing • Future research to compile information for a comprehensive concussion management plan

THANK YOU