lecture 3+4: concussion and fencing response Flashcards

1
Q

true or false: any athelete with suspected concission should not be removed from paly

A

false

they should be removed

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2
Q

the therepist should be able to

A

1) recognize, remove aand eveulate
2) rule out sever neurology inkiry or cervical spine injury
3) know symtoms and track

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3
Q

what is the defintion of concussion

A

any transcient post traumatic alteration in mental staus of indivuals

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4
Q

what is a sports related convisou

A

traumatic brain injury induced by biomechanical formces

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5
Q

concussion symtoms are instant

A

no they can also be delayed

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6
Q

what is the MOI of concussion

A

direct blow to the head face neck or elwhere on the body with the force transmitted to the force (indirect)

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7
Q

the right side of the brain controls the…

A

left side of the body (creativeity, msuic art)

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8
Q

left side of rbain control…

A

right side of body
reasioning
language
etc

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9
Q

true or false: to have a concussion you need to be unconcous

A

false

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10
Q

absolute rest is the best stragery

A

false

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11
Q

what is scat 5

A

standarized tool for evualitedconcussions (in less than 10 mins)

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12
Q

do most concussion happen in teenagers?

A

yes

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13
Q

what are signs

A

reported by others

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14
Q

what are symptoms

A

reported by athelte

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15
Q

what are some signs that you can see when assessing concussion

A

slow answeres
lose consiou
cant remember things

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16
Q

what are some common symptoms reported by athelte

A

headache
pressure
double vision
foggy

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17
Q

what are the 4 factors that need to be evaluated fror accute concussion

A

cognitize
physical
behaviro/sleep
emotional

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18
Q

what are the 4 cathergoeies that symtoms fall into

A

thinking/remembereing
physical
emotional/mood
sleep/behavior

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19
Q

what are the 4 symptoms in thinking and remmebr

A

difficult thinking clearly
feeling slow
cant concentrate
cant remeber new info

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20
Q

what are the 4 symtpoms of physical

A

headache or blurry vision
nausea/vomit/dizzy
sensitive to light with balance problem
tired

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21
Q

what ar the 4 symtpoms of emotional/mood

A

irritiablity
stress
emotiona
nervous/anxious

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22
Q

what are the 3 symptoms of sleep/behavior

A

sleeping more or less than usual

trouble falling asleep

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23
Q

physical signs of acute concussion

A
LOc
headhache
poor condination
seizures
balance 
slow
neausau
vacant stare
slurrted speak
dizzy
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24
Q

cognitive symtpms of accute concussion

A

unaware score/time/place/period
confused/slug
amneia
LOC

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25
Q

emotional symtoms of consision

A

anxiety
irritable
sad
mood change

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26
Q

what are the 3 most reported symtoms and pecentages

A

headache 75
concentration 57
fatigue 52

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27
Q

what are the 3 red falgs (danegr signs in adults)

A

neck pain/tenderness
weakness tenderning tingling in arms and legs
deterioting LOC

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28
Q

is assessing cervical spine injuries importants in concission

A

yes because it is reported alot in head injuries

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29
Q

what does SCAT stand for

A

sport consussion assessment tool

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30
Q

there is only an adult scat?

A

false, child scat for 5-12 years

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31
Q

explain baseline testing

A

must do preinjury testing to compare

performance variablity may be a key meSURE OF ACCUTE concussion diagnorsos

32
Q

what is assessment of concussion ON FIELD

A
witness (know the MOI)
see transcient Symtpmos
know athlete personality 
be able to discern variation
knowledge of previous medical histroy
33
Q

what is the clincal assessment with a doctor of a concussion

A

relying on atherly self report
relying on at assessment
need scat 5 and notes

34
Q

what are other tests besides scat 5

A

vestibular ocular motor screen

king devick test

35
Q

what is return to learnand play

A

steps before brain can be used to learn and play

36
Q

true or false: you need to return to play before learn

A

false

learn first

37
Q

what is second impact syndrome

A

when a player is not fully recovered from first consussion suffers a second blow to the head

38
Q

what does second impact syndrome cause

A

loss of autoregulation of the circualtion to the brain
=brain edma and increased pressire
=can lead to cerebral herniation

39
Q

true or false: athlete must not return to play until properly assessment and followed by HCP

A

truw

40
Q

what are the signs and symtpoms of second impact syndrom

A
stoned
no  LOC
you will see serious symtoms 15s-sev minutes 
loss of eye movement
resp. failure
dialed pupils
41
Q

study scat 5

A

kefk

42
Q

what are the steps for head injury assessment

A

1) PPE and 911 if uncnous
2) stab head
3) LOC and ABC
4) rule out conission, rule out spinal

43
Q

what is orientation x 4T

A

time palce person even

44
Q

what are some orientation querstion

A

what month
what is the date/day of the week
what year
what time

45
Q

true or fals: ahtlete should be filling out the scat themselved

A

true

46
Q

what are the 2 types of amnesia

A

retrograde and anterograde

47
Q

what is retrogade amnesia

A

does not remeber anuthinh BEFORE trauma

ask: what day, score, how did they get here, where are we

48
Q

what is anterograde amnesia

A

athelte does not remmeber anything that happened after the trauma

49
Q

what is another name for anterograde amnesia

A

post traumatic amnesia (PTA)

50
Q

what questions can you use to assess anterograde amnesia

A

what happned/ how did you get hurt

words from scat

51
Q

are the vision ttests off field or on field

A

off

52
Q

can you check for CSF on field

A

yes

53
Q

how do you rule out spinal>

A
palpate c spine
cord signs 
tingling burning number
vitals (can be done off field)
re assess sings and symptoms
54
Q

what are the red flags for head injury

A
unconcous
open skull fracure 
csf
unrepsonsive
pain on movement
abnomral vitals 
increasing headache
55
Q

what is a mild GSC score

A

14-15

56
Q

what is a moderate GSC score

A

9-13

57
Q

what is a secore injury is gsc

A

3-8

58
Q

do you have to treat for shock with concussion

A

yes

59
Q

what is the rhomberg test

A

off field
feet together
arms at the side
close eyes

if swaying: ppstove

60
Q

what is the graducate removal for the field without spian l

A
supine
all fours
back on heels
on knee 
standing and walking
61
Q

what happens if there is an increase in symtpms

A

return to previous postioon

62
Q

true or false: you cna only use spinal board for spinal injiury

A

no

63
Q

if spinal injury, when do you remove equip

A

before boarding

64
Q

if not spinal, when do you remove equip

A

sidelines

65
Q

WHAT IS IMPORTANT FOR SIDELINE ASSESSMENT

A
recheck vitals/ SS
finger to nose 
concnetraion
balance 
exercise tests
rhombert
66
Q

is explanation important for concussion

A

yes

67
Q

explain concussion eduation

A

what is it
SS
steps
home moinotoring

68
Q

explain home monitoring

A

instructions printed out to relative
okay to sleep
what to watch out for

69
Q

its bad for a cunssion person to sleep

A

false

70
Q

what are some signs to watch for at home in conussion terms

A

worsening headache
vomittied
slurred speach
seizures

71
Q

what is imporatnt for initial rest

A

avoid alcohol
aboild drugs and sleeping tablets
do notnuse adbsil

72
Q

what is the fencing response

A

unatural position of arms immediately following a concussion

73
Q

if you see fencing response, you should wait to call 911

A

false you need to call 911

74
Q

how is fencing respnse triggered

A

an acceleration/decleateion injury to the brain

75
Q

fencing response comes severol seconds before consission or after

A

after