Return to Play Following a Concussion

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Presentation transcript:

Return to Play Following a Concussion Brian Richardson, PT, MS, SCS, CSCS Vanderbilt Orthopaedic Institute

Objectives Discuss the development of the Return to play (RTP) guidelines Discuss the referral process to VOI PT Discuss the RTP guidelines 4/25/2017

Guideline Development Collaborative effort VOI PT’s/ATC’s Physicians Evidence based Footer 4/25/2017

Referral Process Nontraditional sports Symptom free 24 hours Rodeo Club sports Junior high school Outside Metro/Williamson County Symptom free 24 hours Return to school PT evaluation within 24 hour period Schedule daily or every other day Vestibular involvement Refer to Pi Beta Phi Footer 4/25/2017

Return to play guidelines Day 1: Physical Therapy Evaluation History ROM Strength Balance Heart rate/Blood pressure If symptoms occur: Rest 24 hours and then repeat phase If symptoms recur again, refer back to physician Footer 4/25/2017

Return to play guidelines Day 1: Aerobic activities Bike or elliptical for 20 minutes Rest 15 minutes and monitor symptoms Treadmill for 20 minutes 70% max heart rate If symptom free, progress to next phase Footer 4/25/2017

Return to play guidelines Day 2: Functional activities Jogging/Sprinting Cutting/Lateral movements Situps/Pushups/Burpees Change in elevation/direction If symptom free, progress to next phase Footer 4/25/2017

Return to play guidelines Day 3: Sport Specific Activities More intensive Sport dependent Wide receiver: running routes If symptom free, progress to next phase Footer 4/25/2017

Return to play guidelines Day 4: Non–contact practice/drills Perform on the practice field Communicate with treating PT/ATC If symptom free, progress to next phase Footer 4/25/2017

Return to play guidelines Day 5: Full participation Communicate with the PT/ATC Resume full contact/previous activity level Communicate with physician Footer 4/25/2017

Conclusions VOI PT: RTP guidelines are a stepwise progression Symptom free 24 hours Return to school Scheduling: 343-9284 RTP guidelines are a stepwise progression 5 phases Footer 4/25/2017

Questions? Footer 4/25/2017