lecture 3+4: concussion and fencing response Flashcards
true or false: any athelete with suspected concission should not be removed from paly
false
they should be removed
the therepist should be able to
1) recognize, remove aand eveulate
2) rule out sever neurology inkiry or cervical spine injury
3) know symtoms and track
what is the defintion of concussion
any transcient post traumatic alteration in mental staus of indivuals
what is a sports related convisou
traumatic brain injury induced by biomechanical formces
concussion symtoms are instant
no they can also be delayed
what is the MOI of concussion
direct blow to the head face neck or elwhere on the body with the force transmitted to the force (indirect)
the right side of the brain controls the…
left side of the body (creativeity, msuic art)
left side of rbain control…
right side of body
reasioning
language
etc
true or false: to have a concussion you need to be unconcous
false
absolute rest is the best stragery
false
what is scat 5
standarized tool for evualitedconcussions (in less than 10 mins)
do most concussion happen in teenagers?
yes
what are signs
reported by others
what are symptoms
reported by athelte
what are some signs that you can see when assessing concussion
slow answeres
lose consiou
cant remember things
what are some common symptoms reported by athelte
headache
pressure
double vision
foggy
what are the 4 factors that need to be evaluated fror accute concussion
cognitize
physical
behaviro/sleep
emotional
what are the 4 cathergoeies that symtoms fall into
thinking/remembereing
physical
emotional/mood
sleep/behavior
what are the 4 symptoms in thinking and remmebr
difficult thinking clearly
feeling slow
cant concentrate
cant remeber new info
what are the 4 symtpoms of physical
headache or blurry vision
nausea/vomit/dizzy
sensitive to light with balance problem
tired
what ar the 4 symtpoms of emotional/mood
irritiablity
stress
emotiona
nervous/anxious
what are the 3 symptoms of sleep/behavior
sleeping more or less than usual
trouble falling asleep
physical signs of acute concussion
LOc headhache poor condination seizures balance slow neausau vacant stare slurrted speak dizzy
cognitive symtpms of accute concussion
unaware score/time/place/period
confused/slug
amneia
LOC
emotional symtoms of consision
anxiety
irritable
sad
mood change
what are the 3 most reported symtoms and pecentages
headache 75
concentration 57
fatigue 52
what are the 3 red falgs (danegr signs in adults)
neck pain/tenderness
weakness tenderning tingling in arms and legs
deterioting LOC
is assessing cervical spine injuries importants in concission
yes because it is reported alot in head injuries
what does SCAT stand for
sport consussion assessment tool
there is only an adult scat?
false, child scat for 5-12 years
explain baseline testing
must do preinjury testing to compare
performance variablity may be a key meSURE OF ACCUTE concussion diagnorsos
what is assessment of concussion ON FIELD
witness (know the MOI) see transcient Symtpmos know athlete personality be able to discern variation knowledge of previous medical histroy
what is the clincal assessment with a doctor of a concussion
relying on atherly self report
relying on at assessment
need scat 5 and notes
what are other tests besides scat 5
vestibular ocular motor screen
king devick test
what is return to learnand play
steps before brain can be used to learn and play
true or false: you need to return to play before learn
false
learn first
what is second impact syndrome
when a player is not fully recovered from first consussion suffers a second blow to the head
what does second impact syndrome cause
loss of autoregulation of the circualtion to the brain
=brain edma and increased pressire
=can lead to cerebral herniation
true or false: athlete must not return to play until properly assessment and followed by HCP
truw
what are the signs and symtpoms of second impact syndrom
stoned no LOC you will see serious symtoms 15s-sev minutes loss of eye movement resp. failure dialed pupils
study scat 5
kefk
what are the steps for head injury assessment
1) PPE and 911 if uncnous
2) stab head
3) LOC and ABC
4) rule out conission, rule out spinal
what is orientation x 4T
time palce person even
what are some orientation querstion
what month
what is the date/day of the week
what year
what time
true or fals: ahtlete should be filling out the scat themselved
true
what are the 2 types of amnesia
retrograde and anterograde
what is retrogade amnesia
does not remeber anuthinh BEFORE trauma
ask: what day, score, how did they get here, where are we
what is anterograde amnesia
athelte does not remmeber anything that happened after the trauma
what is another name for anterograde amnesia
post traumatic amnesia (PTA)
what questions can you use to assess anterograde amnesia
what happned/ how did you get hurt
words from scat
are the vision ttests off field or on field
off
can you check for CSF on field
yes
how do you rule out spinal>
palpate c spine cord signs tingling burning number vitals (can be done off field) re assess sings and symptoms
what are the red flags for head injury
unconcous open skull fracure csf unrepsonsive pain on movement abnomral vitals increasing headache
what is a mild GSC score
14-15
what is a moderate GSC score
9-13
what is a secore injury is gsc
3-8
do you have to treat for shock with concussion
yes
what is the rhomberg test
off field
feet together
arms at the side
close eyes
if swaying: ppstove
what is the graducate removal for the field without spian l
supine all fours back on heels on knee standing and walking
what happens if there is an increase in symtpms
return to previous postioon
true or false: you cna only use spinal board for spinal injiury
no
if spinal injury, when do you remove equip
before boarding
if not spinal, when do you remove equip
sidelines
WHAT IS IMPORTANT FOR SIDELINE ASSESSMENT
recheck vitals/ SS finger to nose concnetraion balance exercise tests rhombert
is explanation important for concussion
yes
explain concussion eduation
what is it
SS
steps
home moinotoring
explain home monitoring
instructions printed out to relative
okay to sleep
what to watch out for
its bad for a cunssion person to sleep
false
what are some signs to watch for at home in conussion terms
worsening headache
vomittied
slurred speach
seizures
what is imporatnt for initial rest
avoid alcohol
aboild drugs and sleeping tablets
do notnuse adbsil
what is the fencing response
unatural position of arms immediately following a concussion
if you see fencing response, you should wait to call 911
false you need to call 911
how is fencing respnse triggered
an acceleration/decleateion injury to the brain
fencing response comes severol seconds before consission or after
after
