Next Level… In Concussion Care

As an athletic trainer – an opinionated one at that – I struggle with all the “bells-and-whistles” in this conundrum that is the concussion issue.  If you have visited here or heard me speak you undoubtedly know that mismanagement of concussions is the true issue of this complex paradigm.  Yes, we need to know when a concussion occurs to begin the process in the right direction; however, this can be accomplished by simply making sure you have a trained medical professional on hand when the need arises.  Getting an athletic trainer to cover the most at risk sports at the most at risk times is a great start (and in the authors opinion is the only choice if you want to have collision sports).  Short of that, education over-education is necessary for everyone: players, coaches, parents, officials, teacher etc. to properly identify and accept the nature of concussion in sport – it is a risk.

Even having an allied medical professional, like an athletic trainer (AT) at practices and games does not stop the injury from occurring.  In fact, many products that may claim reduction in concussions or “possible concussions” are toying with fraud; at the very least they are practicing deceptive marketing.  The point being, once we identify a concussion how do we and who do we send the injury to, to avoid the rest of the iceberg lurking under the surface of the water?  Moreover, what tools do we have that can help get the right prognosis, treatment and recovery for the injured (and there are many out there)?

I feel there is a new product (I am not a paid endorser, nor have I been given compensation for this article/opinion) now hitting the market that may get us closer to the panacea that we are all hoping for (note I said “closer”).  Although it may have been presented as some big secret; the C3 Logix: Comprehensive Concussion Care system is not a secret rather it is something I feel is a “game changer” for concussion care.  It is Continue reading

Advertisements

Balance Assessment: key in detection and rehabilitation

So last night in the 1st quarter of the junior varsity game our team was fielding a punt, the returner bobbled the ball and started to lean forward to recover it.  He was then drilled in the chest/head by two oncoming defenders.  He laid there for a second, and about a second later I was standing over him.

He attempted to sit up but could not muster the energy, nor wherewithal to complete this easy task.  After the routine checking of neck and gross neurological issues it was time to stand him up.  With the aid of me and another coach he was brought to his feet and it was time for his first and most important concussion test, balance assessment.

One nanosecond after the coach and I released stabilization he grabbed me like I was the rock in his world.  FAIL.  As we turned to the sideline he started walking not in the direction we were pointed. FAIL.  I didn’t need sophisticated tests to tell that this player was “possibly” suffering from a concussion.

Gross and fine balance are easily disrupted with any head trauma.  Not only are your bearings in your head messed up, the inner ear is affected, along with vision.  That is why, in my professional opinion, Continue reading