Concussions - What You Need to Know

Join us for a presentation about Children's Health at noon on July 22 at TherapyWorks to hear about sports injuries, concussions and other health concerns for kids with Dr. Chris Koster of Pediatric and Adolescent Medicine. Here is some quick reading about concussions for you in the mean time.

Less than 10% of concussions result in loss of consciousness

• Common symptoms of concussions:

o Headache

o Dizziness

o Confusion

o Ringing in your ears

o Blurred vision

o Nausea

• Risk of returning to play early

o Second impact syndrome

 When a player sustains a second head injury before the first is healed

 Brain swelling

 Vascular engorgement

 increased intra cranial pressure can lead to death.

• Grades of Concussion (Cantu Guidelines)

o Grade 1

 No loss of consciousness; post traumatic amnesia < 30 minutes

• 1st may return to play if asymptomatic

• 2nd may return in 2 wks if asymptomatic at that time for 1 week

• 3rd End the season, may return next year if asymptomatic

o Grade 2

 Loss of consciousness <5 minutes or post traumatic amnesia > 30 minutes

• 1st return after asymptomatic for 1 week

• 2nd wait at least 1 month; may return if then asymptomatic for 1 week

• 3rd End the season may return next year if asymptomatic

o Grade 3

 Loss of consciousness >5 minutes or post traumatic amnesia > 24 hours

• 1st wait at least 1 month; may return then if asymptomatic for 1 week

• 2nd End the season

• Physical Therapy treatment for Concussion (APTA)

o Physical therapists can evaluate and treat many problems related to concussion.

 Help Stop Dizziness and Improve Your Balance

• If you have dizziness or difficulty with your balance following a concussion, vestibular physical therapy may help. The vestibular system, which includes the inner ear and its connections with the brain, is responsible for sensing head movement, keeping your eyes focused when you move your head, and helping you keep your balance. A qualified vestibular physical therapist can provide specific exercises and training to reduce or stop dizziness and improve balance and stability.

o Reduce Headaches

 Your physical therapist will examine you for neck problems following a concussion. Neck injuries can cause headaches and contribute to some forms of dizziness. Your therapist also can assess your back for possible injuries to your spine.

o As symptoms due to concussion improve, your physical therapist will help you resume physical activity gradually, to avoid overloading the brain and nervous system that have been compromised by concussion.

By Sarah White-Hamilton, DPT of TherapyWorks 1311 Wakarusa Drive Lawrence KS 66049 749-1300 www.therapyworkskansas.com

Tagged: children, kids, concussion, physical therapy, injuries, sports

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