UPMC SPORTS MEDICINE CONCUSSION PROGRAM GUIDELINES FOR POST-CONCUSSION REHAB Micky Collins, Ph.D., Sean Learish, PT, Mark Lovell, Ph.D., et al. (updated 3/27//08) Stage of Rehabilitation Physical Therapy Program Recommended Exercises Stage 1 Target Heart Rate : 30-40% of maximum exertion-*(Max HR- Rest. HR X .30)+Rest. HR
Return to sport following concussion can be a complex decision-making process and should be approached with a multidisciplinary team approach. If a patient is not progressing as expected, they should quickly be referred to a concussion specialty clinic. The interventions included within this protocol are not intended to be an inclusive list.
Timing, modality, and protocol should be tailored to optimize safety and individual appropriateness. For patients who are highly symptomatic at rest, the symptom-guided, graded exertional toler- ... april 2020 | volume 50 | number 4 | journal of orthopaedic & sports physical therapy Concussion Clinical Practice uidelines of motor performance ...
EXERCISE PROGRESSION AFTER CONCUSSION Each course of action will have to be adjusted to the student’s individual needs. Revised 2/2018 STAGE OF REHABILITATION GOALS RECOMMENDED EXERCISES STAGE 1 Target Heart Rate: 30-40% of maximum exertion Recommendations: Exercise in a quiet and safe area; no impact activities; may
PHYSICAL THERAPY EVALUATION AND TREATMENT AFTER CONCUSSION/MILD TRAUMATIC BRAIN INJURY Journal of Orthopaedic & Sports Physical Therapy; April 2020: Volume 50 Issue 4. ANPT Knowledge Translation Task Force: Bara Alsalaheen, PT, PhD and Naseem Chatiwala, PT, DPT, MS (Co-chairs) Annie Fangman, PT; Michelle Gutierrez, PT, DSc; ...
This document is intended to provide the user with instruction and direction in the rehabilitation of PCS. The physiotherapist must exercise their best professional judgment to determine how to integrate this protocol into an appropriate treatment plan. As an individual’s symptoms and progress is variable, this protocol must be individualized.
Rehab Stage Objective Activity 1. No Activity Complete physical and cognitive rest Complete Rest from activity Limit stress including TV, computer, schoolwork 2. Light aerobic exercise Begin light aerobic activity 10-15 minutes of walking at home or at gym, or stationary bike 3. Moderate aerobic exercise and light resistance training
Physiotherapy assessment will guide rehabilitation : but can involve passive, active and active-assisted range of motion exercises Activities of daily living Activities of daily living: Activities of daily living. Steady-state exercise; Up to 60% HRmax with minimal movement of . head . e.g. moderate walk over flat ground or stationary . bike ...
concussion protocol is an organization’s set of policies, tools, and assessments for caring for a concussion. It outlines how the concussion care team ... concussion. • Rehabilitation professionals: Physical therapists, physiotherapists, occupational therapists, speech language pathologists, and others. They help target rehab for specific areas
Concussion symptoms typically fall into four major . categories: Note: This is not an exhaustive list of concussion signs and symptoms, and it may take . a few days for. concussion symptoms to appear after the initial injury. These symptoms can also be caused by other. conditions, such as depression or Post Traumatic Stress Disorder (PTSD).
Physical Therapy Intervention Following Concussion Janet Callahan PT, DPT, MS, NCS Objectives •The learner will: –Be able to identify appropriate physical therapy interventions post concussion –Understand dosing parameters for physical therapy interventions in individuals post concussion –Understand the components of exertional training
CLINICAL PRACTICE GUIDELINE: PHYSICAL THERAPY . Disclaimer . Progression is time and criterion-based, dependent on soft tissue healing, patient demographics and clinician . evaluation. Contact Ohio State Sports Medicine at 614-293-2385 if questions arise. Patient evaluated by physician and referred to: Physical Therapy . Occupational Therapy ...
Play Protocol following Concussion. Exertion plays a significant role in concussion management and once an athlete is release to begin exertional activities it ... During this protocol it is very important to have the athlete monitored by an individual who can detect if symptoms return (i.e. headache, dizziness, nausea.) If symptoms return at
proceed through the full rehabilitation protocol once they are asymptomatic at rest and with provocative exercise. If any post concussion symptoms occur while in the stepwise program, then the student should drop back to the previous asymptomatic level and try to progress again after a further 24-hour period of rest has passed.
If concussion symptoms are observed at any time during the five step process, the athlete should immediately be removed from the activity. The athlete must again be concussion symptom free for 48 hours before re-initiating the gradual five step return process. The athlete must always begin again at Step 1 whenever concussion symptoms occur in the
Interprofessional management of concussion in sport. Physical Therapy in Sport, 23, 123–132. From “A Conceptual Model for Physical Therapists Treating Athletes with Protracted Recovery Following a Concussion,” by M. Landblad, 2017, International Journal of Sports Physical Therapy,12, pp. 286–296.
Define concussion and typical course of recovery 2. Describe post concussion syndrome and potential risk factors 3. Discuss current diagnosis of concussion 4. Identify current consensus on rest vs. exercise and return to play/activity 5. Discuss physical therapy evaluation and evidence for intervention in concussion and post concussion syndrome
symptoms of concussion are completely gone. Then you can begin to slowly return to the mental and physical activities described below. Symptoms of concussion • headache • fogginess • trouble concentrating • light or noise sensitivity • trouble sleeping • mood swings. Step 1. How to get plenty of mental and physical rest
Concussion referral and clearance form. This form provides a clear and detailed process following a concussion incident of an individual. It has three (3) sections which provide a healthcare practitioner details of the concussion incident (including mechanism and symptoms), a section for the healthcare practitioner to sign following the initial consultation and examination, and a section for ...
