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Concussion Discussion- What Should You Do?

Uncategorized


What is a concussion and what should we do?The action and toughness of sports are what makes it enjoyable to engage in and fascinating to watch for many people – who doesn’t enjoy watching big hockey hits, or the powerful uppercut from a UFC fight?However, new information about concussions and how it can affect mental function later in life has made the issue of preventing head injuries more important than ever. A real effort to spread the word about head injuries and the risk of concussion has led to a movement concussion awareness that will help to protect athletes from serious damage now and more devastating effects later in life.A concussion is defined as a traumatic brain injury caused by biomechanical forces. Simply- a concussion is a traumatic brain injury caused by a jolt of the head or the body that causes the brain to ‘bounce’ inside the skull. This sudden movement of the brain can cause microscopic structural damage to the brain with some cell death, as well as some changes in your brains chemistry.

The facts.

– A concussion is a brain injury
– ALL concussions are serious
– Most concussions occur WITHOUT loss of consciousness
– Concussions can occur in any activity
– Recognition and proper response to concussions when they first occur is crucial to help improve recovery times, prevent further injury or even death

Did you know?
– Athletes who have had a concussion are at an increased risk to suffer another concussion
– Young children and teens are more likely to get a concussion and will take longer to recover from them than adults
– A repeat concussion that occurs before the brain has recovered from the first – usually within a short period of time – can slow recovery or increase the likelihood of long-term problems or death

Potential concussion signs
– Any loss of consciousness
– Impact seizures/ posturing of limbs
– Slow to get up following a hit/fall
– Motor coordination or balance problems (stumbling, trips, falls etc.)
– Blank or vacant look
– Disorientation
– Amnesia

Potential concussion symptoms
– Headaches
– Dizziness
– Balance or coordination difficulties
– Nausea
– Amnesia
– Cognitive slowness
– Light or sound sensitivity
– Disorientation
– Visual disturbance
– Tinnitus (ears ringing)

Common features that may be utilized to define a concussive brain injury include:
– A direct blow to the head, face, neck or elsewhere on the body that transmits force to the head
– Rapid onset of short-lived brain function impairment that resolves spontaneously (in some cases signs and symptoms may change over minutes to hours)
– Symptoms reflect a functional disturbance rather than a structural injury and, as such, no abnormality is seen on standard imaging (brain scans etc.)
– Signs and symptoms may or may not involve loss of consciousness
– Signs and symptoms cannot be explained by drugs, alcohol, medication, other injuries, or other medical conditions

If a concussion is suspected, implement a four-step action plan:
1. Remove the athlete from play immediately
2. Ensure that the athlete is evaluated by a healthcare professional
3. Inform the athlete’s parents or guardians about the possible concussion
4. Keep the athlete out of play until they have been cleared to return by the healthcare professional

Even if a player is feeling normal following a play that may have caused a concussion, it is important to periodically assess the player because a concussive injury can evolve and may not be apparent for several minutes or hours.

When is it safe to return to participation following a concussion?

For every individual, each concussion is unique and recovery time varies from athlete to athlete. Therefore, there is no set time-from for their return to play or for the athlete to progress through the steps to return to full activity.

After being diagnosed with a concussion, the athlete can progress through the source protocol to return to participation. The athlete with a concussion moves onto the next step of the protocol only after they have demonstrated tolerance of the activities in the current step without experiencing any of the signs or symptoms of a concussion explained above. If the activities trigger any signs or symptoms of a concussion, the athlete should discontinue all activities and return to the prior step in the protocol. The athlete must not experience any worsening of symptoms during the exertion itself, as well as a reasonable time afterward. While these are guidelines, it is important to communicate with your clinician as they should be the final say on whether you progress or regress in each step.

Step 1: Rest and recovery
This step focuses entirely on physical and cognitive rest. In general, the athlete must rest and limit all activities (physical and cognitive) that increase or aggregate symptoms. This includes taking time away from:
– TV screens
– Video games
– Studying
– Exercise
– Stressful activities

Step 2: Light aerobic exercise
This step is an initiation of a gradual exercise program where the athlete can begin general cardiovascular activity and may also begin dynamic stretching and balance training. The duration and intensity of the cardiovascular training may be gradually increased as long as the athlete does not incur any concussive signs or symptoms.

Step 3: Continued aerobic exercise and introduction of strength training
The athlete continues with supervised cardiovascular exercises that are increased and may begin to mimic their sport, and strength training is introduced.

Step 4: Limited sport-specific activities
The athlete continues with their cardiovascular, balance, and strength training and can participate in all non-contact actives for the typical duration of a full practice.

Step 5: Full sport activity
After the player has established their ability to participate in non-contact activity including team meetings, strength and conditioning, and non-contact practice without symptoms, the athlete may begin to participate in a full practice with contact.

Step 6: Final clearance
Consult your doctor or clinician to confirm that the athlete’s concussion has resolved and is cleared to participate in their next game without restrictions.

References
Ellenbogen, R. G., Batjer, H., Cardenas, J., Berger, M., Bailes, J., Pieroth, E., . . . Sills, A.
(2018). National Football League Head, Neck and Spine Committee’s Concussion Diagnosis and Management Protocol: 2017-18 season. British Journal of Sports Medicine,52(14), 894-902. doi:10.1136/bjsports-2018-099203

Take it easy = make it easy

Regardless of their sport, athletes are passionate about pushing their bodies to the max and injuries keep us away from what we love to do. Difficulties arise when the athlete becomes injured because their passion and mindset are to keep pushing forward.

As much as you want to get back to activity as soon as possible, it is important to make sure you have fully recovered so you don’t return from an injury too soon. Being injured is a difficult process. No athlete wants to be sidelined, away from their teammates, or to take time away from training. Therefore, the athletes’ expectation is to return to their sport as soon as possible.

One of the biggest mistakes we can make as an athlete is to attempt to return to full participation too quickly because their passion for their sport deafens the advice from their clinician to “take it easy”. If you try and push back before an injury has fully healed, you increase your risk of having a setback in your rehabilitation, even if you were feeling pretty good that day. By returning early, you may risk slowing your recovery and you could turn what should have been easy to overcome into a long-term problem that may take longer to get back to 100%.

The most effective method for returning to action is to gradually increase the stress imposed on the body while allowing adequate time for recovery. A study by Blanch & Gabbett (2015) outlines the importance of gradually increasing training by demonstrating that if athletes perform greater workloads than what they are prepared for, they are more likely to experience a setback in their rehabilitation process.

When your clinician is telling you to “take it easy”, they are trying to allow your body to heal while giving time to slowly increase the stress you put on your body. Returning to full activity may seem like a slow progression for the athlete, however, by pushing yourself to the guidelines of your clinician – you can return to your passion in the most effective and expedient way.

References
Blanch, P., & Gabbett, T. J. (2015). Has the athlete trained enough to return to play safely? The
acute:chronic workload ratio permits clinicians to quantify a players risk of subsequent injury. British Journal of Sports Medicine, 50(8), 471-475. doi:10.1136/bjsports-2015-095445

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Mar 21

Open
EXERCISE OF THE WEEK:
Slider Wall Push Up

Emilie’s pick for this week’s exercise is a slider wall push up. This exercise targets core stability as well as shoulder/scapular stability!
Wanting a harder variation? Try the above from the floor!

Start your day off on an active note and give it a try! Remember to listen to your body when performing the above.

#yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives

advantagesportmedyeg

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Mar 14

Open
✨ ASM Athlete Highlight ✨

This week marks 1 year post Achilles Tendon Repair for ASM athlete Alex!
Alex has been diligent with his rehabilitation program and has worked hard with the team at ASM. 
Alex is now mastering high level rehabilitation exercises and is returning to sport.
Great work Alex!!! 👏 #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy

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Mar 8

Open
🚺 INTERNATIONAL WOMEN’S DAY 🚺

Today we recognize all the amazing women that make-up our staff at ASM North and South! You all rock! #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives #internationalwomensday

advantagesportmedyeg

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Mar 6

Open
Strengthening Up The Chain

While the initial treatment plan following an injury might include basic strengthening exercises, it is important to eventually address the areas that are “ further up the chain”.

In other words, once progressed past the initial phases of injury, looking beyond the injury and targeting muscles groups that may be influencing and contributing to the injured area is crucial to maximize healing and return to performance.

Have you experienced an injury? Our team of physiotherapists, athletic therapists, occupational therapists, and kinesiologists are experts in helping you identify all the things contributing to your injury. Call us today for an assessment.
☎️ 780-229-0174  #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives

advantagesportmedyeg

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Feb 28

Open
EXERCISE OF THE WEEK:
Overhead Pallof Press 
(darn autocorrect in the video; our apologies!)

Koji’s pick for this week’s exercise is a pall-off press with an overhead variation. This exercise targets core stability as well as shoulder/scapular stability.

Start your day off on an active note and give it a try! Remember to listen to your body when performing the above.
#yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives

advantagesportmedyeg

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Feb 22

Open
EXERCISE OF THE WEEK:
Front foot elevated split squat 

Austin’s pick for this week’s exercise is the front foot elevated split squat. This excise targets single leg strength and stability, core strength, and balance.

Start your day off on an active note and give it a try! Remember to listen to your body when performing the above. #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives

advantagesportmedyeg

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Feb 17

Open
Taping “How To”: Buddy Taping 👯‍♀️ 

Buddy taping refers to tapping an injured finger or toe to an uninjured/healthy one. The healthy digit thus acts as a digit act as a splint to support the injured digit and promote healing.

Stay tuned for more taping tutorials coming your way!  #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives

advantagesportmedyeg

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Feb 15

Open
EXERCISE OF THE WEEK

Tannis’ pick of the week is: heel elevated back squats 🏋️‍♀️ 

This exercise is an excellent way to increase the depth of your squat and target your quadriceps muscles. In addition to this, it also allows activation of various hip stabilizers allowing for greater muscle group utilization. 

I don’t have a squat rack or not quite ready to use one? Try the above without any weight or hold a dumbbell as a goblet weight!
Don’t forgot to listen to your body when attempting the above! #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives

advantagesportmedyeg

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Feb 9

Open
EXERCISE OF THE WEEK - “Therapist pick edition”

Danielle’s pick for exercise of the week is:
Single Leg Lateral Ball Squat

This exercise is an excellent way of strengthening the hip stabilizer muscles in a dynamic way. The exercise works a combination of single leg strength, core stability, and balance to provide an excellent dynamic strengthening exercise! 
Remember to listen to your body when attempting the above!  #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives

advantagesportmedyeg

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Feb 7

Open
Introducing: 
H Y P O P R E S S I V E S

Hypopressives utilize deep breathing and core activation to increase the strength of postural muscles, and help regulate the nervous system.

Hypopressves train and restore the deep core and pelvic floor function from the deepest layer inside out under low pressure.

Here’s how the Hypopressives technique has helped our clients over the years: 

💬 “Helped with postpartum recovery”
💬 “Find it helpful for back pain & chronic pain
Improved posture” 
💬 “Calming when feeling stressed”
💬 “Stopped peeing with coughs & sneezes”
💬 “Not afraid to jump on the trampoline with kids”
💬 “Run without fear of peeing”
💬 “Stopped living in fear of prolapse symptoms” 
💬 “Helped with period pain during menstruation”

Want to learn more?
Call us today!
780-229-0174  #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy #hypopressives

advantagesportmedyeg

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Feb 6

Open
We love hearing about our client and patient’s success! Hearing things like “I have progressed so much further than I ever thought it possible” is music to our ears! 👂 

At ASM, we pride ourselves on being an integral part of your rehabilitation journey! 

Call us today to book your assessment!
📞 780-229-0174

 #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy

advantagesportmedyeg

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Feb 3

Open
‼️ N E W • B L O G • A L E R T ‼️ 

We are now 1 month into New Year’s Resolutions. 
Are you looks for tips for long term success? 💁 ✅

Making a resolution or setting a goal is the first step in making a change to your lifestyle or behaviour. Goals can be big or small, short or long term and they can be geared towards creating a new habit or reducing one we already have. Whether you want to get more sleep, eat better, or be more physically active, your goals will be the stepping stones to get you on the right track!

Check out of website to read the full blog post on how you can remain successful with your New Year’s resolutions! #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy

advantagesportmedyeg

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Feb 2

Open
🌟 ASM SPOTLIGHT: INTRODUCING SYLYANNE 🌟 

Sylyanne Foo graduated from the University of Alberta with a Master of Science in Physical Therapy. Previously, Sylyanne completed a Bachelor of Science in Environmental Sciences with Distinction.
 
Sylyanne is passionate about working with clients of all ages and activity levels – she will take the time to understand how your injury is impacting your life and work with you to meet your own unique goals. Taking the time to set specific goals will allow her to appreciate what is important to you and to integrate rehab into your daily routine. Sylyanne’s goal is to empower each individual by helping you understand and manage your injury/condition and by providing tools and the latest evidenced-based treatment to aid in your own recovery. Her treatment style emphasizes education, manual therapy, exercise prescription, and self-management techniques, to optimize recovery. She is also determined in staying up to date with the latest evidence-based treatment through research and continuing education courses. Sylyanne has been fortunate enough to have experiences in acute care/ICU, community neurorehabilitation, geriatrics and orthopaedic settings throughout her education.
 
Outside of work, Sylyanne loves to spend time with her two senior dogs (Milo and Bella). Sylyanne enjoys different ways to stay active, such as running, hiking, biking, skiing and snowboarding, ice skating, and volleyball. Sylyanne also loves having a good brunch, spending time outdoors, and exploring different travel destinations. Her goals for 2023 is to complete a marathon and continue to be involved in the community through skating lessons and volunteering. 

☎️ Call today to book with Sylyanne!
(780) 229-0174

advantagesportmedyeg

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Jan 30

Open
MOBILITY • MONDAY

“Mobility Monday” is making a comeback this week to feature “Around the World”
Thoracic Rotation 🌎 

Get your week started with the exercise above to help improve the mobility of your mid back.

Remember to listen to your body when attempting the above. 👂  #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy

advantagesportmedyeg

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Jan 26

Open
We pride ourselves on providing the best possible care for our patients and clients 👥

Returning people to full function in their every day lives and increasing people’s quality of life is what we strive for 

We are so glad that we can help get people back to what they do!  #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy

advantagesportmedyeg

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Jan 24

Open
E X E R C I S E • O F • T H E • W E E K

This week we are featuring a thoracic rotation exercise that combines lower body and upper body mobility.
Get moving this week and give it a try!
Remember to listen to your body when attempting the above.  #yeg #yegphysio #yegphysicaltherapy #yeglift #yeghealthandwellness #yeghealth #yegathlete #edmontonlife #edmontonathlete #stalbert #stalbertphysio #stalbertfitness #physicaltherapy #physio #edmonton #yegsportmedicine #education #advantagesportmedyeg #athletictherapy #yegathletictherapy
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EDMONTON

302, 575 100 St SW

Edmonton, T6X 0S8

Phone: (780) 229 0174

Fax: (780) 498 6024

Clinic Hours:

Mon-Thursday 7am-7pm

Friday: 7am–4pm

Saturday: 8am-3pm

Sunday: Closed

ST. ALBERT

#101, 190 Carleton Dr.

St. Albert, AB T8N 6W2

Phone: (780) 460 9977

Fax: (780) 460 9978

Clinic Hours:

Monday-Thursday: 7am-7pm

Friday: 7am-4pm

Saturday: 8am-3pm

Sunday: Closed

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