mild tbi out of sight but not out of mind n.
Skip this Video
Loading SlideShow in 5 Seconds..
Mild TBI: Out of Sight, but not Out of Mind PowerPoint Presentation
Download Presentation
Mild TBI: Out of Sight, but not Out of Mind

Loading in 2 Seconds...

play fullscreen
1 / 37

Mild TBI: Out of Sight, but not Out of Mind - PowerPoint PPT Presentation

  • Uploaded on

Mild TBI: Out of Sight, but not Out of Mind. Ronald C. Savage, Ed.D. The CDC’s definition of MTBI

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'Mild TBI: Out of Sight, but not Out of Mind' - bradley-walter

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

The CDC’s definition of MTBI

“An MTBI or concussion is defined as a complex pathophysiologic process affecting the brain, induced by traumatic biomechanical forces secondary to direct or indirect forces to the head. MTBI is caused by a jolt to the head or body that disrupts the function of the brain. This disturbance of brain function is typically associated with normal structural neuroimaging findings (i.e. CT Scan, MRI). MTBI results in a constellation of physical, cognitive, emotional and/or sleep-related symptoms and may or may not involve a loss of consciousness (LOC). Duration of symptoms is highly variable and may last from several minutes to days, weeks, months, or longer in some cases.”

(Aubry et al., 2002; McCrory et al., 2005).

defining mtbi
Defining mTBI

mTBI is more “neuro-chemical” than it is “physio-mechanical”

mtbi concussion facts
mTBI/Concussion Facts
  • Most mTBI/concussions do NOT involve loss of consciousness
  • A direct blow to the head, face, and neck can cause a mTBI/concussion
  • An indirect blow elsewhere on the body can transmit an “impulsive” force to the head, causing a mTBI/concussion

How many Sports and Recreation concussions occur each year?An estimated 1.6 to 3.8 million sports- and recreation-related concussions occur in the U.S. each year, including those for which no medical care is sought. This range includes both concussions with and without loss of consciousness (LOC) and is based on studies that suggest that injuries involving LOC may account only for between 8% and 19.2% of sports concussions. This estimate supersedes that from an earlier CDC study that reported 300,000 sports- and recreation-related concussions per year which was based only on those injuries with LOC.


Examining Relevance of “Bell Ringers” in High School Athletes

Lovell, Collins, Iverson, Field, Podell, Cantu, Fu; J Neurosurgery; 98:296-301,2003

Lovell, Collins, Iverson, Johnston, Bradley; Amer J Sports Med; 32:47-54,2004


National Pediatric Trauma Registry

Mechanism of Injury for mTBI (B-19 years) N = 8016

follow up for a sprained ankle
Follow-up for aSprained Ankle
  • Ice to reduce swelling
  • No or limited weight bearing
  • Elevate and rest
  • Use of crutches, bracing, wrapping
  • Lessen activities / modify environment
  • Slow return to activity
  • Rebuild strength
follow up for sprained brain
Follow-up for Sprained Brain
  • Allow time for “chemistry” /swelling to subside
  • No or limited cognitive activities
  • Rest and more rest
  • Use of modifications, compensatory strategies
  • Lessen activities / modify environment
  • Slow return to activity
  • Rebuild strength
adoption of computerized neurocognitive testing for mtbi concussion
Adoption of Computerized Neurocognitive Testing for mTBI/Concussion





other factors to consider
Other Factors to consider
  • Age of the child…younger is not always better
  • Symptoms that persist for longer than 6-8 weeks
  • Cumulative effects of multiple mTBI/concussions
when can an athlete return to play
When Can an Athlete Return to Play?
  • When medically cleared
  • No cognitive or physical activity of any kind while still symptomatic, including headaches
  • If symptom free with light “activity”, progress to increased activity
  • ALWAYS respect the brain and the time it needs to heal
learning thinking changes
Confused, “foggy”

Mixed up about time and place

Can’t attend or concentrate

Forgetful, trouble remembering things

Difficulty organizing words or thoughts

Misunderstands things

Slow processing

Takes longer to do homework

Learning/Thinking Changes
behavioral emotional changes
Restless, irritable or fussy

Acts without thinking

Becomes easily upset, angry or loses temper

Sad, depressed or withdrawn

Anxious or nervous

Gets into arguments with friends / peers

Cries easily or for no reason

Behavioral/Emotional Changes
physical changes
Has headache, is dizzy or lightheaded

Vomits or feels sick

Parts of body tingle or feel numb

Loses balance, trips or stumbles a lot

Feels worn out or exhausted

Tires easily

Drowsy or sleepy

Needs extra sleep

Hard to fall and stay asleep

Sensitive to light and noise

Blurry vision

Ringing in ears

Physical Changes
tips for helping the student
Monitor w/ checklist

Reduce assignments

Build in rest periods

Give more time to complete work

Outline and order steps for big tasks

Give written directions or template

Use notebook check off “to do” list

Write down schedules w/places, times, etc

Meet with Teacher to review home work at end of day

Inform school nurse, counselor, sp edu

Tips for helping the Student
mtbi concussion communication p p
mTBI/Concussion Communication P&P
  • Coach / AT alerts school official
  • Nurse / Counselor alerts teachers
  • Nurse / Counselor meets with student
  • Nurse / Counselor tracks student with “Teacher Progress Reports”
  • Significant changes or ongoing symptoms reported to Coach/AT, Family, Physician…
  • Possible referral to other specialists
  • Learning supports and modifications
no head injury is too severe to despair of nor too trivial to ignore

No head injury is too severe to despair of, nor too trivial to ignore

Hippocrates, 4th Century, B.C.