UNIVERSITY OF KENTUCKY CONCUSSION MANANGEMENT IN HORSE RACING PILOT INITIATIVE
INTRODUCTION 3.8 million concussions occur in the US every year during competitive sports and recreational activities 50% of concussions may go unreported US horse racing is the only organized competitive sport without a Comprehensive Concussion Management Protocol
PURPOSE This pilot initiative aims to provide continued care for jockeys suffering head injuries and establish a system for effective management.
WHAT IS A CONCUSSION Biomechanical disturbance to the brain Result of direct or indirect impact to the head Loss of consciousness does not always occur Can result in diminished brain functioning
WHAT IS A CONCUSSION Physical and emotional symptoms include but are not limited to: Headache Confusion Vomiting Changes in mood Sleep disturbance Memory loss
SCAT3 BASELINE Standardized cognitive and balance assessment Approximately 10-15 minutes Multiple components Symptom score Immediate memory recall Balance Baseline assessment provides “normal” score that can be compared to an assessment post-injury.
WHAT DOES THIS MEAN FOR YOU? Data collection is for your own safety, nothing you report is meant to be used against you Participate in data collection at Kentucky Racetracks Keeneland Churchill Downs Kentucky Downs Ellis Park Turfway Park
UPDATE ON PROGRESS Data collection will resume Spring 2017 Over 30 jockeys baseline tested in the state of Kentucky in 2016 Data has been added to Jockey Health Injury Database
ATHLETIC TRAINER A certified AT will be in attendance at KY Race Tracks In the event of an injury, ATC is trained in evaluation and management of injuries Additional Skillset; Taping Therapeutic Massage Stretching Wound Care Rehabilitation Techniques
MEDICAL MANAGEMENT FOLLOWING A FALL In the event of a fall, an ATC will be able to assess jockey if physician is not present. If warranted, a post-injury SCAT3 will be completed and compared to baseline assessment. ATC will be able to refer jockey to additional medical personnel if needed as well as follow-up evaluation.
FOR THE FUTURE Looking to expand baseline testing Future research to compile information for a comprehensive concussion management plan
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