1. Partners Physiotherapy Services 1049 7 th Ave. Hanover 519-364-7667 partnersphysio.ca

2.  What is a Concussion  Common symptoms  What is SHIFT  What does SHIFT include  Baseline testing  Concussion Management  Education and Resources  Stopconcussions.com  Importance of Programs  What Partners Physiotherapy Offers Guideline

3.  “a complex pathophysiological process affecting the brain, induced by traumatic biomechanical forces”  Health care providers have seen an increase in concussions, especially with contact sports (can be a great burden on Healthcare System)  Concussions can mean the end of a child’s (or anyone’s) participation in sport/physical activity for various lengths of time  No two people are affected the same by a concussion  Once an individual has sustained a concussion they are potentially more susceptible to them in the future  Increasing awareness, education and available treatment are becoming important in all sports (i.e. Mandatory Baseline testing upon registration) Concussions

4. Cognitive Poor concentration/focus  Easily Stimulated Poor memory/slight amnesia  Irritability/Confusion Physical Balance issue  Poor co-ordination Neck pain  Headache Various Dizziness  Nausea/vomiting Drowsiness/fatigue  Difficulty falling asleep Common Symptoms with Concussions

5.  Developed and run out of Guelph by Dr. Scott Haller  Innovative program designed to help manage and educate regarding concussions  Comprised of three different tests:  Neurocognitive (ImPACT)  Balance/Posture (Sway, BESS)  Visual Coordination What is SHIFT

6.  Assessment done prior to athletic participation using ImPACT (a computerized neurocognitive test)  Assessment of current balance and postural sway  Screening of visual co-ordination  IMPORTANCE: Provides valuable information if done early enough What does SHIFT Include: Baseline Testing

7.  Post-concussion injury education and resting strategies, recommendations for return to school/work and modifications needed  Manual therapy and physical rehabilitation techniques  Proper training and protocol for return-to-play  Monitoring progress using the ImPACT testing What does SHIFT Include: Concussion Management

8.  Information available online through SHIFT (shiftconcussion.ca) websites and other links (stopconcussions.ca)  Training for coaches, trainers and health professionals What does SHIFT Include: Education and Resources

9.  Founded by Keith Primeau and Kelly Goulet  Program designed in collaboration with SHIFT  Non-profit organization that helps increase concussion awareness  Four Pillars:  Education  Prevention  Management  Research Stopconcussions

10.  Brain injuries kill more children than all other causes combined  Canada reports 50,000 brain injuries per year (18,000 in Ontario alone)  Brain injury is the number one cause of disability under the age of 44  10% of athletes in contact sports suffer a concussion, with 19% of these going unreported Why are these Important

11.  OUR GOAL: Improving the management of concussions in Grey/Bruce by collaborating with local physicians and sports organizations  Assess and manage each athlete as a whole and tailor our rehabilitative strategies to the individual needs of each athlete  Offer group/team sessions to Baseline test all participants as quickly and as cost effective as possible  Offer post-concussion testing and rehabilitation for return- to-play What can we offer

12.  Our team consists of 3 Physiotherapists and 1 Kinesiologist who are trained with the SHIFT procedures  Heather Mighton, PT  Cherie Crous, PT  Dianna Lueck, PT  John Martin, R. Kin  Currently Hanover Minor Hockey has mandated that all participants must complete the baseline test Additional Info