Concussion Testing and Treatment
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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

  • The CDC estimates as many as 3.8 million sport-related concussions in the US each year.
  • 5-10% of athletes will experience a concussion in any given sport season.
  • Fewer than 10% of sport related concussions involve a Loss of Consciousness (blacking out, seeing stars, etc).
  • Football is the most common sport with concussion risk for males (73% chance for concussion). There is 1 concussion for almost every American football game.
  • Soccer is the most common sport with concussion risk for females (50% chance for concussion).
  • 78% of concussions occur during games (as opposed to practices).
  • Some studies suggest that females are twice as likely to sustain a concussion as males.
  • It is also estimated that up to 53% of high school athletes have sustained a concussion before participation in high school sports.

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 (amnesia) 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

  • Usually within 14 days of initial concussion
  • No loss of consciousness required
  • More likely to cause brain swelling and widespread damage
  • Can be fatal – up to 50% mortality in most sever case
  • Higher risk of long-term effects and dysfunction

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 athletic 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.

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