Concussion and Postconcussive Syndrome: When to Rest, Exercise, or Return to Sport
Bridging the gap between research and clinical practice is the key to reducing the incidence and severity of sport-related concussion and improving return-to-play decisions. This presentation will provide valuable information and recommendations for medical professionals caring for athletes at the youth, high school, collegiate, and elite levels. This presentation will share current practice recommendations for management of concussion for injured athletes. Timing of resumption of activity and strategies to challenge balance and cognitive functions will be reviewed.
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- Recognize both the obvious signs (fluctuating levels of consciousness, balance problems, memory and concentration difficulties, etc) and common self-reported symptoms (headache, ringing in the ears, nausea, etc).
- Describe deteriorating signs and symptoms that may indicate a more serious head injury.
- Describe appropriate documentation of all pertinent information surrounding the concussive injury.
- Outline strategies to implement baseline cognitive and postural-stability testing.
- Summarize approaches to conducting serial assessments of the injured athlete, noting the presence or absence of signs and symptoms of injury.
- Describe key factors important for predicting outcome, and managing complicated cases of post-concussion syndrome.
- Outline necessary steps to make return to play decisions following a graduated exertional testing program.
- Highlight the importance of counseling the concussed athlete on risk for future injury and potential neurodegenerative changes following multiple concussions.
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