Concussion Testing and Treatment
The Concussion Specialists in the Fit-N-Wise Sports Medicine Department uses C3 Logix advanced software to provide concussion testing and treatment services for all athletes with the ability to conduct ImPACT ™ testing as well.
Concussion Specialist Services
• C3 Logix exam
• Sway-Onsite Testing
• Baseline testing
• Vestibular therapy
• Vestibular Oculomotor screening
• Balance therapy
• Vision/Convergence therapy
• Buffalo Concussion treadmill exam
• Return to Play steps 1, 2 and 3
Benefits of C3 Logix
• Utilizes accelerometer and gyroscopic data to objectively quantify postural stability with unmistakable, detailed picture-graph results and analysis
• Portable high-resolution multi-point touch screen to capture athlete’s movement
• Cloud-based, secured database for easy retrieval with detailed assessment in managing and treating concussions
• C3 Logix results can also be directly compared to ImPACT ™ Testing and results
If You Think You Might Have a Concussion:
1. Have a family member monitor your blood pressure and respiratory rate for the first 48 hours.
2. Call Fit-N-Wise Concussion Specialist to schedule an appointment with a specialist.
3. Eat leafy greens and non-fatty foods.
4. STAY AWAY from cell phones, bright lights, loud noises, driving and loud music.
If you experience or have had any loss of consciousness, nausea, vomiting or blurred vision, contact your
physician or go to the Emergency Room immediately.
What is a Concussion?
A concussion is a stunning, damaging or shattering effect from a hard blow; especially: a jarring injury of the brain resulting in disturbance of cerebral function.
Concussion Facts
High schools with athletic trainers have lower overall injury rates and higher concussion rates due to trainers knowing the signs and symptoms of concussions, allowing them to treat and prevent premature return-to-play. Source: aap.org
Concussion Occurrence Rates
Concussion occurrence rate per 100,000 athletic exposures (includes practices).
Football (64-76.8)
Boys Ice Hockey (54)
Boys Lacrosse (40 – 46.6)
Girls Locrosse (31 – 35)
Girls Soccer (33)
Girls Field Hockey (22 – 24.9)
Boys Wrestling (22 – 23.9)
Girls Basketball (18.6 – 21)
Boys Soccer (19 – 19.2)
Boys Basketball (16 – 21.2)
Cheerleading (11.5 – 14)
Girls Volleyball (6 – 8.6)
Boys Baseball (4.6 – 5)
Concussion Signs and Symptoms
Symptoms of a concussion range from mild to sever. They can include:
• Headache (83%)
• Dizziness, dazed, foggy (65-80%)
• Acting confused, feeling spacey or not thinking strait
• Being drowsy, hard to wake up or similar changes
• Loss of consciousness
• Memory loss of events before the injury or right after
• Nausea and vomiting
• Light sensitivity, seeing flashing lights, colors change
• Feeling like you have “lost time”
Seek medical care right away if any of these emergency symptoms occur:
• Changes in alertness and consciousness
• Confusion that doesn’t go away
• Convulsions (seizures)
• Muscle weakness on one or both sides
• Persistent confusion
• Pupils of the eyes that are not equal in size
• Remaining unconsciousness (coma)
• Repeated vomiting
• Unusual eye movements (nystagmus)
• Walking or balance problems
• Unconsciousness (coma) that continues
Other Types of Brain Injuries
Coup and countrecoup injuries are associated with traumatic brain injury in which the brain is bruised. Coup and contrecoup injuries can occur individually or together.
Coup injuries
Coup injuries occur under the site of impact with an object. They typically occur when a moving object impacts the stationary head.
Countrecoup injuries
Countrecoup injuries occur on the side opposite the area that was impacted and are typically produced when the moving head strikes a stationary or moving object.
Second Impact Syndrome
Second concussion occurs while still symptomatic and healing from previous injury
Severe Effects of Brain Injuries
Epidural or Extradural Hematoma: a buildup of blood between the dura mater (outer membrane of the CNS) and the skull. This condition is potentially deadly; the buildup of blood can increase pressure in the intracranial space and compress brain tissue, and cause the brain to shift. The condition is present in 1-3% of head injuries. Between 15 and 20% of epidural hematomas are fatal. Subdural Hematoma: occurs when blood gathers within the outermost meningeal layer, between the dura mater and the arachnoid mater, which envelopes the brain. Usually resulting form tears in bridging veins, which cross the subdural space, causing increased ICP. Subdural hematomas are often life threatening when acute with 60-80% mortality rate.
Preventing Concussions
Concussions can be prevented with the following:
• Proper tackling
• Equipment
• Pre-screening/education
• Physicals
• SCAT2 (before season)
• Impact testing
• Team/parent meetings
• CEU’s for coaches
Downloads
UIL Concussion Management Protocol Return to Play Form: this form must be completed and submitted to the athle tic trainer or other person (who is not a coach) responsible for compliance with the Return to Play protocol established by the school district Concussion Oversight Team, as determined by the superintendent or their designee (see Section 38.157 (c) of the Texas Education Code). Concussion Signs and Symptoms: feel free to download, print and share the Concussion Signs and Symptoms flyer from Fit-N-Wise Sports Medicine.