Healthy Active Living

Question 1

what is the definition of concussion

Answer 1

functional brain injury with rapid onset of short-lived impairment of neurological function that resolves spontaneously

Question 2

majority of concussions are related to what

Answer 2

sports

Question 3

What is the concern with a second concussion

Answer 3

Second impact syndrome = fatal diffuse cerebral swelling – rare complication from disruption of autoregulation

Question 4

risk factors for prolonged sx of concussion

Answer 4

Younger age
History multiple concussions
May need to change to less risky sport/position
Learning disabilities
ADHD

Question 5

categories of features of concussion

Answer 5

behavioural changes
cognitive impairment
sleep disturbance

Question 6

Return to Learn protocol

Answer 6

1. Cognitive rest (limit cognitive tasks and screen time at home)
2. Increase cognitive tasks (tasks at home 15-20min at a time)
3. Resume modified school attendance (start w half days or certain classes and avoid gym, music, etc; limit homework to 15-20 min blocks)
4. Increase school attendance (increase to full days a sx allow)
5. Return to play

Question 7

REturn to play protocol

Answer 7

1) No activity
2) Light aerobic activity (increase HR)
3) Sport specific exercise (add movement)
4) Noncontact training drills (coordination, cognitive load)
5) Full contact practice
6) Return to play

Question 8

Persistent postconcussion symptoms

Answer 8

Persistent headache
Neck pain
Balance problems/dizziness
Sleep disturbances
Depression/anxiety

Question 9

Consequences to obesity

Answer 9

insulin resistance, T2DM, dyslipidemia, hypertension, OSA, fatty liver, low self-esteem, lower quality of life

Question 10

What are benefits of aerobic exercise

Answer 10

Reduce weight
Reduce BP
Reduce early atherosclerosis, insulin resistance, T2DM, NAFLD, OSA
Improved cardiovascular fitness
Stretching , especially for those with disabilities
High impact PA for bone health

Question 11

What are activity guidelines for 0-4yo

Answer 11

Infants – floor based tummy time several times a day
1-4 years – structured and unstructured activity 180min/day (any intensity) = play, games, transportation, recreation in a variety of environments
Screen time: None < 2y; 2-4 y = <1h/day
Reduce passive transportation in family

Question 12

What are activity guidelines for 5-11yo

Answer 12

Screen time: max 2h/day
Limit sedentary transport
60 min / day of moderate-vigerous PA
Vigorous activities at least 3d/wk
Muscle strengthening activities 3d/wk

Question 13

Strategies to Reduce sedentary activity

Answer 13

Remove TV/computer from room
Avoid eating in front of TV
Replace screen time with PA
Avoid prolonged sitting, increase active transportation
Use games that promote PA
Families should mentor young children on good PA

Question 14

Strategies to promote physical activity

Answer 14

Create an individual PA prescription
Posters in office promoting PA
Determine access to school PA, give resources for local activities
Increase incidental movement (breaks from sedentary activity, walk throughout day, take stairs)
Provide educational information in waiting rooms
CPS Active Kids, ParticipACTION

Question 15

What age does CPS recommend to start allow body checking

Answer 15

13-14yo

Question 16

Psychosocial consequences of obesity

Answer 16

Mental Health

Body Image

Self Esteem

Quality of life