exam 2 Flashcards
somatic S&S of a concussion
headache
cognitive S&S of a concussion
feeling in a fog
emotional symptoms of a concussion
changes in personality or mood
on-field assessment red flags
midline neck pain or tenderness, double vision, weakness or tingling/burning, severe or increasing headache, seizure or convulsion, loss of consciousness, deteriorating conscious state, vomiting, increasingly restless
observable signs of a concussion
lying motionless, balance issues, disorientation or confusion, blank look, facial injury
what tests memory assessment
maddock’s score
what is the Glasgow coma scale
eye response, verbal response, motor response
tests for cognitive screening
immediate memory, digits backwards, months in reverse
steps of the return to play protocol
symptom-limited activity light aerobic exercise sport specific exercise non-contact training drills full contact practice return to sport
symptom-limited activity
24-48 hours
daily activities that do not provoke symptoms
light aerobic exercise
walking, running, swimming, running, stationary bike
avoid resistance training
raise the HR
sport specific exercise
no concussion symptoms
movements without much decision making
no head impact activities
movement with increased HR
non-contact training drills
complex physical and cognitive demand
resistance training
exercise, cognition, coordination
full contact practice
normal team training activites
coaches assess for full return
return to replay
ready for return to play
return to school strategy
daily activities that do not recreate symptoms
school activities
return to school part time
return to school full time
daily activities that do not recreate symptoms
avoid screen time, reading and texting
gradual return to typical activities
school activities
homework, reading, other cognitive activities outside of classroom
increase tolerance to cognitive work
return to school part-time
gradual introduction
increase academic activities
return to school full-time
gradual process until a full day can be tolerated
return to full academic activities and catch up on missed work
what CNs are susceptible to trauma
3,4 and 8
how to begin a proprioception exam
distal to proximal
who recovers the quickest from concussions
professional athletes
symptoms of high school football players
migraine symptom cluster, reaction time, visual memory, verbal memory, dizziness
what is the 4th leading cause of mortality and chronic disability
cervical spine pain
risk factors for neck pain development
workplace psychosocial factors, high job strain with low support, self-perceived muscular tension
diffuse neck pain exacerbated by movements
mechanical neck pain, facet syndrome, muscle strain or sprain
pain in certain postures alleviated by positional change
upper cross postural syndromes
traumatic mechanism of injury, non-specific symptoms exacerbated by upright position and relieved when head and neck are supported
cervical instability
nonspecific neck pain with radiating symptoms into one arm
cervical radiculopathy
neck pain, bilateral upper extremity symptoms with occasional balance disturbance or coordination deficits
cervical myelopathy
disc derangement
end range loading, antalgia based criteria
joint dysfunction
palpation, extension-rotation, flexion-rotation
radiculopathy
brachial plexus tension, cervical rotation, distraction, foraminal compression