Concussions: An Overview of the Injury and the Return to Activity Process. Rusty McKune, ATC Sports Medicine Program Coordinator The Nebraska Medical Center. Concussion…. The term and therefore, definition, diagnosis, and treatment of concussion is very dynamic.
Rusty McKune, ATC
Sports Medicine Program Coordinator
The Nebraska Medical Center
- Concussion may be caused by a direct blow to the head, face, or neck or elsewhere on the body with an “impulsive” force transmitted to the head;
- Typically results in the rapid onset of short lived impairment of neurological functioning that resolves spontaneously;
- Results in a graded set of clinical syndromes that may or may not involve the loss of consciousness;
- No abnormality on standard structural neuroimaging studies.
We now know that….
“What they tell us.”
“What we see/observe”
Recognition relies on Education
Preventing 2nd injury relies on Management
Diagnosis relies on Recognition
Management relies on Diagnosis
ALL ATHLETES ARE STUDENTS.
A return to activity plan is composed of two parts and should be considered a medical decision with input from all members of a schools concussion management team.
academic requirements implemented by the teaching staff.
the athletic staff.
Return to Learn
Step 1- Home- Relative Rest
Step 2- Home- Light Mental
Step 3 School- Part Time
Step 4 School Part Time
Step 5 School Full Time
Step 6 School Full Time
Return to Play
Step 1- No physical activity
while there are
Step 2- Light Aerobic Activity
Step 3- Sport-specific exercise
Step 4- Non-Contact Training
Step 5- Full Contact Practice
Step 6- Return to Play
Adapted from Oregon Concussion and Management Program and Slocum Sports Concussion Program
No prolonged classes and be aware of the class environment
No Texting, e-mails or computers/video games.
REST MEANS REST!
CDC Guidelines and the Concussion Awareness Act:
Coaches, Parents, Athletes, Officials
Concussion Recognition and Management
Policies and Guidelines Regarding Concussions
Safety Comes First
Never “Play Through” a Concussion
NE High School Lacrosse Concussion Awareness