Concussion Evaluation with SCAT2

The article below points out the short coming of concussion management in the NHL and the lack of validity of sideline measures like the SCAT2. It is my opinion that the SCAT2 is more appropriately used as a means of identifying progression of recognized concussion and not necessarily as a means of identifying concussion. The importance of recognizing the progression of a traumatic brain injury, that is the deterioration of function suggesting more serious injury, and need for emergency transport is obvious.  I concur with the author and the latest research that the SCAT2 should not be...

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Duel for Concussion Testing?

Dual tasking? Am I talking about a medieval sword fight? No that is “duel”. A dual task involves performing two things at once, from a clinical standpoint it means to engage or challenge a motor function (e.g. walking) at the same time as you perform a cognitive challenge (e.g. counting backwards by 7’s from 100). One would think that walking is automatic and that thinking would not impact it at all. Walking does take up some of your brain power and if the mental task is too heavy a load for your brain because of a concussion or other brain health reasons, than you might see...

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“Which Way Is Up?” Post Concussion

When I talk to patients or even healthcare providers about the approach at Brain Centers NW, there is at times an erroneous belief that what I am suggesting is simply Dr. Burns’ philosophy and maybe has merit. To quote one of my teachers, “Nay, nay, we say”. Brain Centers NW’s clinical applications stem from present day research. The clinical recommendation that we should be paying attention to how well the brain is working versus simply symptom management is not just a nice daydreamed idea, it is sound clinical advice based off the research. If you or someone you...

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Concussion News

The article below was posted in the Idaho Statesman and is just another call for us all to become more conscious of concussions and their prevalence. Despite all the information regarding concussions that has been in the media we somehow, as a community, continue to ignore the prevalence of concussions and just how serious they really are. The tools and knowledge to help protect our children are available but for some reason they are ignored. The research clearly shows that all athletes in contact sports should have baseline testing. Moreover, as far back as 2007  researchers advocated for...

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Children’s Concussions Go Beyond Symptoms

   “At Brain Centers NW we have been advocating a functional perspective to concussion management. Here is more evidence that simply tracking symptoms is not enough and puts our children at greater risk.” Dr. David Burns       Concussions Affect Children’s Brains Even After Symptoms Subside Dec. 11, 2012 — Brain changes in children who have sustained a mild traumatic brain injury, or concussion, persist for months following injury — even after the symptoms of the injury are gone, according to a study published in the December 12 issue of The...

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Concussions and Brain Disease

CONTACT KILLER New evidence ties repeat head injuries to brain disease Monday, December 3, 2012 Published in The Daily PHOTO: Wesley Hitt/Getty Images Jovan Belcher was being treated for debilitating football-related head injuries before he killed himself on Sunday. PHOTO: Frank Eltman/AP Yamiesse Lawrence, left, and Quaresha Boston, center, a cousin and niece of Belcher, read a statement in West Babylon, N.Y., yesterday. Just two days after an NFL linebacker with a history of head injuries committed a shocking murder-suicide, a new study links more athletes than ever...

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