Concussion Flashcards

1
Q

Overall, what are the features of a concussion?

A

force transmitted to the head (directly or indirectly) that causes impairment of neurological function and is not seen on standard imaging

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2
Q

What are some symptoms associated with a concussion?

A
  • somatic: headache
  • cognitive: fog
  • emotional: change in personality or mood
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3
Q

What is the assessment tool for concussions and who is it used on?

A
  • SCAT-5

- athletes age 13 and older

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4
Q

When should emergency procedures be activated?

A
  • Glasgow Coma score <15
  • deteriorating mental status
  • potential spinal injury
  • worsening symptoms
  • new neurologic signs
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5
Q

What does Maddocks Score represent?

A

orientation to time and space

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6
Q

What does Glasgow Coma Score represent

A

level of consciousness

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7
Q

What are some examples of cognitive assessment?

A
  • immediate memory
  • digits backwards
  • months in reverse
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8
Q

Which foot is used for single legged stance?

A

non-dominant

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9
Q

Which foot is placed forward/ back in tandem stance?

A

forward: dominant
back: non-dominant

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10
Q

What qualifies as a score of 1 in the finger-to-nose test?

A

5 correct repetitions in <4 seconds

==>must fully extend elbow

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11
Q

What is the sequence for return to play protocol?

A
  • no activity
  • light aerobic execise
  • sport specific exercise
  • non-contact training drills
  • full contact practice
  • return to play
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12
Q

No activity

A
  • avoid physical activity

- limit cognitive activity

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13
Q

Light aerobic exercise

A
  • walking, swimming, running, stationary bike
  • <70% max HR
  • no resistance training
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14
Q

Sport specific exercise

A
  • movement drills, simple
  • no head impact
  • add movement w/ increased HR
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15
Q

Non-contact training drills

A
  • more complex sport tasks
  • resistance training ok to begin
  • exercise, cognition, coordination
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16
Q

Full contact practice

A

-normal team training

17
Q

What are some possible predictors of delayed recovery for HS football players?

A
  • migraine symptom cluster
  • reaction time
  • visual memory
  • verbal memory
  • dizziness
18
Q

Vestibular rehab techniques

A
  • gaze stabilization exercises
  • standing balance exercises
  • walking balance challenges
19
Q

Subsystem Threshold Exercise

A
  • increasing parasympathetics, decreasing sympathetics improving cerebral blood flow
  • contradicts steps
20
Q

Cervicovestibular rehab

A

-cervical spine and vestibular rehab techniques