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The Fragile Brain – handle with care

Orthopaedic Sport Institute is an official Complete Concussion Management™ clinic. Concussions have become the focus for both professional and amateur athletes around the world, and OSI will continue to be at the forefront of concussion diagnosis, management, and rehabilitation with this collaboration. We utilize a comprehensive, multi-modal approach to concussions, based on current advances in concussion research.

What is a concussion?
A concussion can be simply defined as a disruption in neurological functioning following a significant impact to the head or elsewhere on the body. This causes a biochemical imbalance within brain cells as well as decreased blood flow and temporary energy deficits within the brain.

Following a suspected concussion, a player should be immediately removed from play, assessed and placed on complete rest in order to recover from the energy deficit. Studies have shown that any activity, both mental and physical, in the immediate days following concussion can delay the process of recovery and should be avoided until the athlete is completely symptom free.

What is baseline testing?
The biggest concern surrounding concussions comes from the energy deficit that occurs in the brain following injury. When the brain is in this low energy state, it has been well established that the brain is extremely vulnerable to additional trauma, where even smaller impacts can lead to another concussion. These second concussions can cause severe brain injuries with potentially permanent or fatal outcomes.

The problem is that symptoms (meaning how someone feels) do not coincide with brain recovery. The only way to know when the brain has fully recovered and out of this “vulnerable period” is to compare current brain function to when the individual was healthy – this is what is known as a “baseline test”. Symptom recovery quite often occurs prior to brain recovery – this increases the risk of secondary brain injuries in athletes.

A baseline test is a battery of tests that measures every area of brain function that could potentially become affected following a concussion (you need more than computer tests!!). The reason that the test is termed a “baseline” is because it is done BEFORE the athlete gets injured. In order to know when an athlete has fully recovered, we first have to know where they were when they were healthy. Without having this information, there is no way to truly know when an athlete has fully recovered and is safe to return to their sport.

Services:

  • Comprehensive baseline testing
  • Post-injury diagnosis and injury management
  • Concussion rehabilitation for Post-Concussion Syndrome
  • Coach & trainer education and certification programs (online)
  • Concussion Tracker Smartphone application

Concussion Tracker Smartphone Application
Athletes and concussed patients can now log in to view their baseline test results as well as receive rehabilitation exercises, diet plans, and other recovery tips to help them along the way. The app also allows the injured patient (or their parents) to have around the clock communication with the treating clinician as well as provide an update on their symptoms and progress every single day…all from your phone.

 

Darryl Novotny

Physiotherapist

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