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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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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Window 1: ImPACT Test – Brain Function and Concussion Management

ImPACT Testing and Concussion Management    The following is an adaptation from a presentation by Micky Collins, Ph.D., Management of Sports Concussion and The ImPACT Program. The following information is intended to help those who have taken the ImPACT test understand how the composite scores are derived. It is not intended to be used as a substitute for a medical evaluation or treatment. This blog and the other blog “windows” into brain function are not intended for anybody to make any diagnosis or determine treatment for anybody. It is simply intended to help patients...

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Window 2: Balance / Posturography for Concussion Management

Balance testing with advanced technologies rather than simply “eye balling” it,  is the best way to accurately gain a “window” into the vestibular or “balance” system. Thankfully, new technology like the CAPS force plate from Vestibular Technologies, provides a very fast and valid assessment tool for detecting even low grade concussions. Sophisticated force plate technology, like the CAPS unit, can identify postural stability deficits lasting approximately 72 hours following sport-related concussion. “It appears that postural stability testing...

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