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CONCUSSIONS 
BrainOn! Concussion Testing
QuickTime™ and a 
decompressor 
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COMMON TERMS 
Concussion (blow to the head causing the brain to 
bounce/twist within the skull) 
TBI: Traumatic Brain Injury (Mild - Serious) 
Sub-Concussive Hits 
CTE: Chronic Traumatic Encephalopathy
WHAT HAPPENS INSIDE THE 
BRAIN
HOW DO YOU GET A 
CONCUSSION
PLAYGROUNDS
FOOTBALL
SOCCER
CHEERLEADING
Youth Sports
CONCUSSION FACTS 
Concussion: By the Numbers 
•CDC estimates reveal that 1.6 million to 3.8 million concussions occur each year 
•5-10% of athletes will experience a concussion in any given sport season 
•Fewer than 10% of sport related concussions involve a Loss of Consciousness (e.g., blacking 
out, seeing stars, etc.) 
•Football is the most common sport with concussion risk for males (75% chance for concussion) 
•Soccer is the most common sport with concussion risk for females (50% chance for 
concussion) 
•78% of concussions occur during games (as opposed to practices) 
•Some studies suggest that females are twice as likely to sustain a concussion as males 
•Headache (85%) and Dizziness (70-80%) are most commonly reported symptoms immediately 
following concussions for injured athletes 
•Estimated 47% of athletes do not report feeling any symptoms after a concussive blow 
•A professional football player will receive an estimated 900 to 1500 blows to the head during a 
season 
•Impact speed of a professional boxers punch: 20mph 
•Impact speed of a football player tackling a stationary player: 25mph 
•Impact speed of a soccer ball being headed by a player: 70mph 
Sports Concussion Institute
SYMPTOMS 
Headache 
Dizziness 
Confusion 
Memory loss 
Blurred or double vision 
Seeing “stars” 
Nausea 
Balance problems 
Change in balance, 
speed or movement 
Not paying attention 
Zoning out during game 
Light sensitivity 
Noise sensitivity 
Loss of consciousness 
(rare < 10%)
reasoning, planning, 
emotions, problem solving 
Parietal Lobe: perception 
of touch, pressure, 
temperature and pain; 
spatial processing 
Temporal Lobe: memory, 
perception of hearing; 
language; recognition 
Occipital Lobe: vision 
Cerebellum: balance, 
coordination, timing 
PARTS OF THE BRAIN 
Cerebellum: balance
WHAT TO DO 
Watch player after a hit to head 
IF THERE ARE ANY SYMPTOMS, REMOVE 
FROM PLAY 
Sideline Assessment--ask questions 
WHEN IN DOUBT, SIT THEM 
OUT 
Seek medical help if needed or if symptoms 
worsen
NO stimulation: no TV, 
computer, videos, school 
work, or sports 
Post-concussion testing 
Do not hide symptoms 
Second-Impact Syndrome 
AVOID A SECOND 
BLOW TO THE HEAD 
RECOVERY
BACK TO SCHOOL 
Communicate with teachers 
Start with 1-2 classes or 1/2 day 
WATCH OUT FOR: 
Sensitivity to bright lights or loud noise 
Decreased attention span; fatigue or distractions 
Irritability, emotional, less able to cope 
Inappropriate behavior 
Inability to remember or learn new things
RETURN TO PLAY 
Zurich Return to Play Guidelines 
Zurich Return to Play Guidelines 
Stage Activity Objective 
1. No activity Complete cognitive rest Recovery 
2. Light aerobic exercise Walk, swim, stationary bike Increase heart rate 
3. Sport-specific exercise Moderate running in sport; 
no head impact activities 
Add movement 
4. Non-contact training 
drills 
More complex drills Exercise, coordination, and use 
of brain 
5. Full contact drills 
Following medical 
clearance, normal training 
activitives 
Restore confidence and assess 
functional skills 
6. Return to play Normal game play
BrainOn! 
CONCUSSION 
TESTING 
CONCUSSION 
TESTING
REFERENCES 
CDC - Center for Disease Control 
Heads Up Concussions in Youth Sports 
ImPACT Testing and Computerized 
Neurocognitive Assessment Tools 
4th International Conference on Concussion in 
Sport. Zurich, 2013

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Concussion slideshow

  • 2. QuickTime™ and a decompressor are needed to see this picture.
  • 3. COMMON TERMS Concussion (blow to the head causing the brain to bounce/twist within the skull) TBI: Traumatic Brain Injury (Mild - Serious) Sub-Concussive Hits CTE: Chronic Traumatic Encephalopathy
  • 5. HOW DO YOU GET A CONCUSSION
  • 11. CONCUSSION FACTS Concussion: By the Numbers •CDC estimates reveal that 1.6 million to 3.8 million concussions occur each year •5-10% of athletes will experience a concussion in any given sport season •Fewer than 10% of sport related concussions involve a Loss of Consciousness (e.g., blacking out, seeing stars, etc.) •Football is the most common sport with concussion risk for males (75% chance for concussion) •Soccer is the most common sport with concussion risk for females (50% chance for concussion) •78% of concussions occur during games (as opposed to practices) •Some studies suggest that females are twice as likely to sustain a concussion as males •Headache (85%) and Dizziness (70-80%) are most commonly reported symptoms immediately following concussions for injured athletes •Estimated 47% of athletes do not report feeling any symptoms after a concussive blow •A professional football player will receive an estimated 900 to 1500 blows to the head during a season •Impact speed of a professional boxers punch: 20mph •Impact speed of a football player tackling a stationary player: 25mph •Impact speed of a soccer ball being headed by a player: 70mph Sports Concussion Institute
  • 12. SYMPTOMS Headache Dizziness Confusion Memory loss Blurred or double vision Seeing “stars” Nausea Balance problems Change in balance, speed or movement Not paying attention Zoning out during game Light sensitivity Noise sensitivity Loss of consciousness (rare < 10%)
  • 13. reasoning, planning, emotions, problem solving Parietal Lobe: perception of touch, pressure, temperature and pain; spatial processing Temporal Lobe: memory, perception of hearing; language; recognition Occipital Lobe: vision Cerebellum: balance, coordination, timing PARTS OF THE BRAIN Cerebellum: balance
  • 14. WHAT TO DO Watch player after a hit to head IF THERE ARE ANY SYMPTOMS, REMOVE FROM PLAY Sideline Assessment--ask questions WHEN IN DOUBT, SIT THEM OUT Seek medical help if needed or if symptoms worsen
  • 15. NO stimulation: no TV, computer, videos, school work, or sports Post-concussion testing Do not hide symptoms Second-Impact Syndrome AVOID A SECOND BLOW TO THE HEAD RECOVERY
  • 16. BACK TO SCHOOL Communicate with teachers Start with 1-2 classes or 1/2 day WATCH OUT FOR: Sensitivity to bright lights or loud noise Decreased attention span; fatigue or distractions Irritability, emotional, less able to cope Inappropriate behavior Inability to remember or learn new things
  • 17. RETURN TO PLAY Zurich Return to Play Guidelines Zurich Return to Play Guidelines Stage Activity Objective 1. No activity Complete cognitive rest Recovery 2. Light aerobic exercise Walk, swim, stationary bike Increase heart rate 3. Sport-specific exercise Moderate running in sport; no head impact activities Add movement 4. Non-contact training drills More complex drills Exercise, coordination, and use of brain 5. Full contact drills Following medical clearance, normal training activitives Restore confidence and assess functional skills 6. Return to play Normal game play
  • 18. BrainOn! CONCUSSION TESTING CONCUSSION TESTING
  • 19. REFERENCES CDC - Center for Disease Control Heads Up Concussions in Youth Sports ImPACT Testing and Computerized Neurocognitive Assessment Tools 4th International Conference on Concussion in Sport. Zurich, 2013