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Concussion / Post-Concussion - Coggle Diagram
Concussion / Post-Concussion
Definition
Concussion:
A concussion or mild traumatic brain injury (mTBI) is induced by biomechanical forces but does not result in an extended period of unconsciousness, amnesia or significant neurological signs.
Findings
Demographics
2.3 million children in the US experience a mTBI a year.
Increased risk of sustaining another concussion if a prior one was received
Mechanism of Injury
Falls (most common)
Assault
MVA
Gender and Age Considerations
Males 0-4 years old affected the most
5-14 year olds affected the 3rd most
Female athletes are affected more compared to male athletes
Sports
Gymnastics
Cheer
Contact Sports
Football
Wresting
Lacrosse
Rugby
Hockey
Baseball, Volleyball, Track& field, Cycling
Females 0-4 years old affected the 2nd most
Post-concussion Syndrome Definition:
Concussion symptoms lasting more than 4 weeks and may continue for longer than 3 months and affects between 10-30% of people with a concussion.
Medical Treatment
Return to Play
Symptom limiting activites
Light Aerobic activity
Sport-specific activities
Noncontact Activity, drills, heavy resistance training
Full contact practice
Full Return to sport
Return to Learn
Gradual progression of academics
Assess school-related needs
collaboration
with parents and school
Individualized Approach
Pharmological treatment
Removal of athlete from play
Aerobic Exercise
Vision and Vestibular Therapy
Cognitive Therapy
Differential Diagnosis
Migraine
Depression
Acute
Cervical spine injury
Intracranial hemorrhage
Skull Fracture
Headache Disorder
Sleep Dysfunction
Mental Health (Anxiety, Depression, PTSD)
Case Study
Interventions
Graded aerobic exercise
visualization
Sport specific skills
Pain neuroscience education
Anatomy of injury
Recovery Process
Treadmill
Buffalo Concussion Protocol
Cycling
RPE SCALE for exertion
Return to play
Symptom limiting treatment
Sport specific skills
Graded exercise protocols
Cognitive/physical rest
Interpreting Imaging
CT Scan
MRI
Role of Therapist
Parent education, Patient education, allowing brain tissue to heal, develop plan of Care
managing psychological symptoms.
Psych Referral
Depression, attention deficits
Symptoms
Somatic
headache, fatigue, light and noise sensitivity, postural hypotension, decreased appetite
Loss of Consciousness
Vestibular
dizziness, nausea, vertigo, poor balance
Vision
diplopia, reading difficulties
Cognitive
fogginess, memory, concentration,
delays in verbal responses, looks "out-of-it"
Emotional
Anxiety, depression, irritability, moodiness, sadness, changes in personality, and confusion about recent events
1 Month
20-25% still have symptoms
7-10 days
3 Months
Diagnostic Tools
SCAT
SCOAT6
References:
Link Title