Consussion Flashcards

1
Q

Do sport related concussions need to be from a direct blow to the head

A

no, could be from elsewhere with an impulsive force transmitted to the head

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2
Q

what percentage of concussion cases have prolonged symptoms?

A

10-15%

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3
Q

what percentage of concussion resolve within 7-10 days?

A

85-90%

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4
Q

In relation to injury mechanics, acceleration can lead to what 3 types of forces

A

shear, tensile, compressive

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5
Q

The secondary impact from a concussion is know as …

A

the contrecoup

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6
Q

what are the 4 primary domains of concussion signs and symptoms

A

migraine (physical)
neuropsychiatric (emotion related)
sleep
cognitive (fatigue and fogginess)

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7
Q

what 3 things should you always ask when assessing concussion symptoms

A
  1. on a scale od 0-100% how do you feel
  2. what makes you not 100%
  3. SCAT5 checklist
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8
Q

Other than SCAT5 what are 4 other assessment tools

A

Field SCAT5
king-Devick
Balance (Balance error scoring system (BESS))
Subjective assessment

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9
Q

when might neuroimaging be used in clinical evaluation of concussions?

A

when suspicion of intracerebral structural lesion exists

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10
Q

how many days is the expected gradual resolution of a concussion

A

7-10 days

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11
Q

what are the 4 steps of return to learning?

A
  1. daily activities
  2. school activities
  3. return to school part time
  4. return to school full time
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12
Q

what are the 6 steps of return to play?

A
  1. symptom-limited activity (ADL)
  2. light aerobic exercise
  3. sport-specific exercise
  4. non-contact training drills
  5. full contacts training drills
  6. Return to play/sport
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13
Q

what is the minimum number of hours needed between each return to play steps?

A

24 hours

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14
Q

what is second impact syndrome?

A

A rare condition in which a second concussion occurs before a first concussion has properly healed

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15
Q

What is the mortality rate of second impact syndrome?

A

50%

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16
Q

At what return to play step must the athlete be cleared by managing physician?

A

Step 5, full contact practice