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Albany Park Community Center THE CONCUSSION CRISIS : What you don’t know can hurt you!! Presented by March 29, 2014 Copyright: Sports Brain, LLC 2014 1.

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Presentation on theme: "Albany Park Community Center THE CONCUSSION CRISIS : What you don’t know can hurt you!! Presented by March 29, 2014 Copyright: Sports Brain, LLC 2014 1."— Presentation transcript:

1 Albany Park Community Center THE CONCUSSION CRISIS : What you don’t know can hurt you!! Presented by March 29, 2014 Copyright: Sports Brain, LLC

2 Entire Presentation will be posted on our website: EVENTS DISCLAIMER: Nothing in this presentation shall be construed as or constitute medical advice or legal advice. Please consult with your professional advisors about how these issues may relate to your specific situation Copyright: Sports Brain, LLC

3 Goals Learn elements of concussions Learn elements of concussions Be aware of concussion signs Be aware of concussion signs Understand different baseline tests Understand different baseline tests Develop process for handling concussions Develop process for handling concussions Assist you in helping protect your athletes Assist you in helping protect your athletes Copyright: Sports Brain, LLC 20143

4 Concussion Management Concussion Management Cognitive Development and Training Cognitive Development and Training Mental Toughness Training Mental Toughness Training 500 Lake Cook Road, Suite 350 Deerfield, Illinois BRAIN ( ) Copyright: Sports Brain, LLC 20144

5 How many of you knew that concussions were a problem: 10 years ago 10 years ago 5 years ago 5 years ago 3 years ago 3 years ago Today Today Copyright: Sports Brain, LLC 20145

6 Concussion Management Training and educational programs Training and educational programs Parents, Coaches, Athletes, Athletic Trainers Parents, Coaches, Athletes, Athletic Trainers Presentations to youth organizations Presentations to youth organizations Comprehensive baseline testing Comprehensive baseline testing Neurofeedback treatment Neurofeedback treatment Help people who continue to experience symptoms Help people who continue to experience symptoms Consultations with parents/coaches Consultations with parents/coaches Copyright: Sports Brain, LLC 20146

7 Discussion At the conclusion we will be discussing:  What can be done to prevent concussions?  What steps your organization can take?  How should you manage/supervise the process? Copyright: Sports Brain, LLC 20147

8 Sports Brain Credentials National Council on Youth Sports Safety National Council on Youth Sports Safety Sports Legacy Institute Sports Legacy Institute National Concussion Management Certification Center National Concussion Management Certification Center Chicago Concussion Coalition Chicago Concussion Coalition NFL Alumni NFL Alumni Retired Professional Football Players Retired Professional Football Players Positive Coaching Alliance Positive Coaching Alliance Illinois Athletic Trainers Association Illinois Athletic Trainers Association Great Lakes Athletic Trainers Association Great Lakes Athletic Trainers Association US Indoor Facilities Owners Conference US Indoor Facilities Owners Conference Copyright: Sports Brain, LLC 20148

9 Concussions WHAT IS A CONCUSSION Dictionary.com Dictionary.com Injury to the brain or spinal cord due to jarring from a blow, fall Shock caused by the impact of a collision, blow, etc. The act of violently shaking or jarring. Google.com Temporary unconsciousness caused by a blow to the head. Also, loosely, aftereffects such as confusion or temporary incapacity. A violent shock as from a heavy blow Merriam-Webster A stunning, damaging, or shattering effect from a hard blow; especially : a jarring injury of the brain resulting in disturbance of cerebral function A hard blow or collision Copyright: Sports Brain, LLC 20149

10 WHAT IS A CONCUSSION DEFINITION DEFINITION Brain injury that changes the way the brain normally works. Brain injury that changes the way the brain normally works. Caused by a bump, blow, or jolt to the head. Caused by a bump, blow, or jolt to the head. Can also occur from a blow to the body that causes the head and brain to move rapidly back and forth. Can also occur from a blow to the body that causes the head and brain to move rapidly back and forth. Even what seems to be a mild bump to the head can be serious. Even what seems to be a mild bump to the head can be serious. Concussions can have a more serious effect on a young, developing brain and need to be addressed correctly.” Concussions can have a more serious effect on a young, developing brain and need to be addressed correctly.” Copyright: Sports Brain, LLC

11 WHAT IS A CONCUSSION It is a BRAIN INJURY Remove word “concussion” from your vocabulary Remove word “concussion” from your vocabulary Insert the phrase “brain injury” Insert the phrase “brain injury” Which sounds more serious? Which sounds more serious? “mild brain injury” “mild brain injury” “mild concussion” “mild concussion” Copyright: Sports Brain, LLC

12 Common Symptoms Short Term: Short Term: Headaches Nausea or vomiting Sensitivity to noise Sensitivity to light Dizziness (loss of balance) Difficulty concentrating Amnesia (memory loss) Confusion (repeating questions) Irritability Depression Vision problems Difficulty thinking Long term: Long term: Headaches Headaches Memory loss Memory loss Difficulty sleeping Difficulty sleeping Slow processing of information Slow processing of information Some other short term symptoms can last too Some other short term symptoms can last too Copyright: Sports Brain, LLC

13 Concussion Symptoms WHEN DO THE SYMPTOMS SHOW UP? Concussion symptoms can take minutes, hours, days, or even longer to show up. Concussion symptoms can take minutes, hours, days, or even longer to show up. Most concussions occur without loss of consciousness. Most concussions occur without loss of consciousness. Some people have even reported little or no symptoms after sustaining a concussion Some people have even reported little or no symptoms after sustaining a concussion Copyright: Sports Brain, LLC

14 Concussion Symptoms THESE SYMPTOMS CONSTITUTE AN EMERGENCY One pupil larger One pupil larger Drowsiness Drowsiness Consistent headache gets worse Consistent headache gets worse Repeated vomiting or nausea Repeated vomiting or nausea Slurred speech Slurred speech Convulsions or seizures Convulsions or seizures Difficulty recognizing people or places Difficulty recognizing people or places Increased symptoms Increased symptoms Unusual behavior Unusual behavior Loss of consciousness Loss of consciousness Copyright: Sports Brain, LLC

15 Concussion Myths 1.Must involve blow to head 2.Involves losing consciousness 3.Can be prevented by helmets/headbands 4.Next one is always more severe 5.3 concussions signals end of career 6.Boys suffer more often than girls 7.Mouth Guards prevent concussions 8.Symptoms are obvious immediately Copyright: Sports Brain, LLC

16 Sub-Concussive Blows We still don’t have a lot of specific info about these but we do know that they can cause damage Copyright: Sports Brain, LLC

17 Concussions Difficulty in reviewing facts and statistics: Lots of conflicting information Lots of conflicting information Different studies Different studies Conflicting categorization of concussions Conflicting categorization of concussions Changing definitions of “what constitutes” a concussion Changing definitions of “what constitutes” a concussion Historically been only self-reported Historically been only self-reported There is a big gap: There is a big gap: When we speak to groups of players, we typically ask: When we speak to groups of players, we typically ask: How many “diagnosed” concussions? (at the time you suffered it) How many “diagnosed” concussions? (at the time you suffered it) How many estimated concussions? (based on what you know today) How many estimated concussions? (based on what you know today) Copyright: Sports Brain, LLC

18 Concussions FIVE PHASES PREVENTION PREVENTION Education, rules, equipment, safety, tackling techniques Education, rules, equipment, safety, tackling techniques BASELINE TESTING BASELINE TESTING Neurocognitive, Vision, Balance, Reaction, new technology Neurocognitive, Vision, Balance, Reaction, new technology DIAGNOSIS DIAGNOSIS Sensors, blood tests, sideline testing Sensors, blood tests, sideline testing TREATMENT AND RECOVERY TREATMENT AND RECOVERY Helping people recover from the injury Helping people recover from the injury Return to Learn/Return to Play Return to Learn/Return to Play Eliminate Symptoms Eliminate Symptoms MEDICAL RESEARCH MEDICAL RESEARCH Copyright: Sports Brain, LLC

19 BASELINE TESTING Why is baseline testing important? Helps establish a proper baseline in elements of: Helps establish a proper baseline in elements of: Neurocognitive function Neurocognitive function Vision Vision Balance Balance Reaction time Reaction time Helps guide the recovery process Helps guide the recovery process Identify which elements above are functioning properly Identify which elements above are functioning properly Help provide objective data for medical providers Help provide objective data for medical providers Copyright: Sports Brain, LLC

20 BASELINE TESTING WHERE DO I START? Copyright: Sports Brain, LLC

21 BASELINE TESTING Challenge of baseline testing Challenge of baseline testing Understanding the different testing platforms available Understanding the different testing platforms available Knowing the requirements of each test Knowing the requirements of each test Recognizing the limitations of each test Recognizing the limitations of each test Determining the feasibility of implementing on a large basis Determining the feasibility of implementing on a large basis Having the staff and expertise to administer the tests. Having the staff and expertise to administer the tests. Understanding the output from the tests/what results mean Understanding the output from the tests/what results mean Purchasing equipment to run the tests Purchasing equipment to run the tests Staying current on all testing platforms/requirements Staying current on all testing platforms/requirements Keeping up with new technologies Keeping up with new technologies Copyright: Sports Brain, LLC

22 TREATMENT AND RECOVERY PRIORITIES Helping athlete recover from the injury Helping athlete recover from the injury Getting students back to school Getting students back to school Return to participation in sports Return to participation in sports Resume normal life activities Resume normal life activities Avoid long term damage Avoid long term damage Copyright: Sports Brain, LLC

23 Post Injury Testing Common problems with post-injury testing Common problems with post-injury testing Given in very different environments than baseline tests Given in very different environments than baseline tests Determine whether athlete has recovered from concussion Determine whether athlete has recovered from concussion Importance of following graduated RTP Protocol Importance of following graduated RTP Protocol Many organizations, teams and medical professionals are using (or misusing) baseline tests as return to play tests Many organizations, teams and medical professionals are using (or misusing) baseline tests as return to play tests ACL MRI or broken bone x-ray/rehab recovery ACL MRI or broken bone x-ray/rehab recovery Would never take kid from doctor to practice field Would never take kid from doctor to practice field Why do we do it with these injuries? Why do we do it with these injuries? Copyright: Sports Brain, LLC

24 RETURNING TO LEARN (RTL) At school, parents should request : Rest breaks Rest breaks Fewer hours Fewer hours More time More time Help with homework Help with homework Less computer Less computer Copyright: Sports Brain, LLC

25 Return To Play (RTP) Decisions Should ONLY be made by medical professional Should ONLY be made by medical professional BUT medical professional MUST: BUT medical professional MUST: Have knowledge of concussions Have knowledge of concussions Have good/objective data and information Have good/objective data and information Get feedback from both athlete and parents, family, coaches Get feedback from both athlete and parents, family, coaches YOU are with athlete more than any physician YOU are with athlete more than any physician Keep an eye on how they are doing Keep an eye on how they are doing Have them assessed cognitively, vision, balance, reaction time Have them assessed cognitively, vision, balance, reaction time WARNING: Kids who have “returned” to cognitive baseline WARNING: Kids who have “returned” to cognitive baseline Often only 60-70% in vision, balance, reaction time Often only 60-70% in vision, balance, reaction time Copyright: Sports Brain, LLC

26 Graduated Return to Play Protocol Return-To-Play Policy (steps) Return-To-Play Policy (steps) 1. Stationary biking minutes 2. Cardio drills/Running/Sprinting 3. Sport specific drills-no contact 4. Full practice with contact 5. Full game clearance Copyright: Sports Brain, LLC

27 Graduated Return to Play Protocol What does this mean? Cannot return day of concussion Cannot return day of concussion Cannot start RTP until 3 requirements Cannot start RTP until 3 requirements Symptom free Symptom free Returns to baseline in ALL phases Returns to baseline in ALL phases Medical clearance Medical clearance BY DEFINITION: If a player suffers a concussion, player must remain out an absolute minimum of one week BY DEFINITION: If a player suffers a concussion, player must remain out an absolute minimum of one week Copyright: Sports Brain, LLC

28 Players Returning Too Early Returning to play too early poses multiple risks 2 nd impact syndrome 2 nd impact syndrome Greatest risk for long term damage Greatest risk for long term damage Potential==DEATH Potential==DEATH More prone to a subsequent concussion More prone to a subsequent concussion Vision, balance, reaction time not up to par Vision, balance, reaction time not up to par Copyright: Sports Brain, LLC

29 Impact on youth athlete’s lives Hear sad stories at every conference we attend National Council on Youth Sports Safety National Council on Youth Sports Safety United Nations Concussion Summit-Super Bowl United Nations Concussion Summit-Super Bowl U. Miami Concussion Clinic--Ashley Quintero U. Miami Concussion Clinic--Ashley Quintero National Soccer Coaches Association of America National Soccer Coaches Association of America Internet/Blogs Internet/Blogs Parents Parents Athletes Athletes Copyright: Sports Brain, LLC

30 TREATMENT AND RECOVERY Why is this receiving so little attention? Why is this receiving so little attention? Few tangible answers Few tangible answers Lack of long term scientific studies Lack of long term scientific studies More difficult to find solution More difficult to find solution Harder to train all treatment providers than provide general education materials Harder to train all treatment providers than provide general education materials Most groups treat it almost like a hospice model Most groups treat it almost like a hospice model “We don’t really know if we can do anything for you but we will make you as comfortable as we can in the meantime” “We don’t really know if we can do anything for you but we will make you as comfortable as we can in the meantime” “You just have to accept that was part of the price of playing professional football” “You just have to accept that was part of the price of playing professional football” Copyright: Sports Brain, LLC

31 TREATMENT AND RECOVERY Study with former NFL players in conjunction with chapters of : Study with former NFL players in conjunction with chapters of : NFL Alumni NFL Alumni The Retired Professional Football Players of Chicago The Retired Professional Football Players of Chicago What does Sports Brain do? What does Sports Brain do? Create virtual map of your brain Create virtual map of your brain Use neuro-feedback to help you re-establish pathways in brain Use neuro-feedback to help you re-establish pathways in brain Individual appointments Individual appointments Customized treatment Customized treatment Consultations with other professionals (as needed) Consultations with other professionals (as needed) Copyright: Sports Brain, LLC

32 TREATMENT AND RECOVERY Copyright: Sports Brain, LLC

33 TREATMENT AND RECOVERY How does it work? How does it work? LENS system (Low Energy Neurofeedback system) LENS system (Low Energy Neurofeedback system) Create virtual map of brain Create virtual map of brain Place electrodes at 21 sites around the head Place electrodes at 21 sites around the head Measure brain amplitude and frequency Measure brain amplitude and frequency Helps brain heal itself Helps brain heal itself Approved by FDA Approved by FDA Most clients complete course of treatment within 12 weeks Most clients complete course of treatment within 12 weeks Many see results within 4-6 weeks Many see results within 4-6 weeks Some see results as soon as 3 weeks Some see results as soon as 3 weeks Copyright: Sports Brain, LLC

34 TREATMENT AND RECOVERY Does it work? Does it work? YES, we have helped people with many different situations YES, we have helped people with many different situations Former professional football players with concussions Former professional football players with concussions Former professional hockey players with concussions Former professional hockey players with concussions War veterans with PTSD War veterans with PTSD Car accident victims with head injuries Car accident victims with head injuries Children with ADHD Children with ADHD Adults with migraine headaches Adults with migraine headaches People with sleep disorders and difficulties People with sleep disorders and difficulties Individuals suffering from depression Individuals suffering from depression Entrepreneurs and business owners needing better performing brains Entrepreneurs and business owners needing better performing brains Copyright: Sports Brain, LLC

35 Risk Management and Litigation Can never stop all lawsuits Can never stop all lawsuits Focus on health and safety of players Focus on health and safety of players Follow procedures and protocols Follow procedures and protocols Make sure that athletes recover before being allowed back on field Make sure that athletes recover before being allowed back on field Which parent lawsuit would you rather fight?? Wrongfully holding out child Wrongfully holding out child Catastrophic injuries/death Catastrophic injuries/death Copyright: Sports Brain, LLC

36 National Council Youth Sports Safety Convened by former Surgeon General David Satcher Discussed risks of concussions Discussed risks of concussions Concussions will NEVER be eliminated Concussions will NEVER be eliminated Risk must be managed in advance Risk must be managed in advance Treatment and care must change after injury Treatment and care must change after injury Biggest risk IS NOT suffering a concussion Biggest risk IS NOT suffering a concussion Biggest risk is in how concussions are managed afterwards Biggest risk is in how concussions are managed afterwards Copyright: Sports Brain, LLC

37 National Council Youth Sports Safety SO SHOULD WE STOP ALL IMPACT/COLLISION SPORTS?? NO!! Much bigger risk for society if we eliminate physical activity and competition Much bigger risk for society if we eliminate physical activity and competition Obesity much more of a risk for most kids than the concussions Obesity much more of a risk for most kids than the concussions Copyright: Sports Brain, LLC

38 ACTION STEPS So now we are ready to get started!! What can we do to help fight concussions? EDUCATION Parents Athletes Coaches BASELINE CONCUSSION TESTING Neurocognitive Vision Balance CONCUSSION MANAGEMENT POLICY If in doubt, sit them out Written policy for organization to follow RISK MANAGEMENT Copyright: Sports Brain, LLC

39 Discussion  What can be done to prevent concussions?  What steps can you take as coach?  What steps can you take as athlete?  How should you manage/supervise the process? Copyright: Sports Brain, LLC

40 FAVOR PLEASE COMPLETE NATIONAL CONCUSSION BASELINE TESTING SURVEY Copyright: Sports Brain, LLC

41 BACKGROUND INFORMATION Copyright: Sports Brain, LLC

42 Who are we? Roy Kessel Roy Kessel University of Wisconsin, Finance and Marketing University of Wisconsin, Finance and Marketing Northwestern University School of Law Northwestern University School of Law Private law practice Private law practice Representing many entrepreneurs and small business owners Representing many entrepreneurs and small business owners SportsLoop—sports consulting 1997 to present SportsLoop—sports consulting 1997 to present Adjunct Professor Northwestern University Adjunct Professor Northwestern University Masters in Sports Administration Program Masters in Sports Administration Program Founder Founder Sports Philanthropy Foundation Sports Philanthropy Foundation Jewish Sports Foundation Jewish Sports Foundation Kick Start (collections of used sports equipment) Kick Start (collections of used sports equipment) Copyright: Sports Brain, LLC

43 Who are we? Robert Kauffman Robert Kauffman Critical Thinking for Success Critical Thinking for Success Cognitive training and development Cognitive training and development Teach and develop thinking skills Teach and develop thinking skills Train coaches Train coaches Neurofeedback Neurofeedback Vets with PTSD Vets with PTSD Children with ADHD Children with ADHD Former NFL players recovering from concussions Former NFL players recovering from concussions Social work Social work Copyright: Sports Brain, LLC

44 Cognitive Training and Development Sports Brain Academy Sports Brain Academy Critical Thinking for success Critical Thinking for success Individual training/Group programs Individual training/Group programs Cognitive skill development Cognitive skill development Emotional intelligence Emotional intelligence Overall improvement in quality of life Overall improvement in quality of life Copyright: Sports Brain, LLC

45 Mental Toughness Mental Toughness Academy Online Program Mental Toughness Academy Online Program Individualized training Individualized training School, group, team trainings School, group, team trainings Parent and coach training Parent and coach training Visualization, Motivation, Intensity, Determination, Mastering Pressure, Focus, Emotional Intelligence Visualization, Motivation, Intensity, Determination, Mastering Pressure, Focus, Emotional Intelligence Copyright: Sports Brain, LLC

46 Concussion Management Concussion Management Cognitive Development and Training Cognitive Development and Training Mental Toughness Training Mental Toughness Training 500 Lake Cook Road, Suite 350 Deerfield, Illinois BRAIN ( ) Copyright: Sports Brain, LLC


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