1. UNIVERSITY OF KENTUCKY
CONCUSSION MANANGEMENT IN HORSE RACING PILOT INITIATIVE

2. 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

3. PURPOSE
This pilot initiative aims to provide continued care for jockeys suffering head injuries and establish a system for effective management.

4. 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

5. WHAT IS A CONCUSSION
Physical and emotional symptoms include but are not limited to:
Headache
Confusion
Vomiting
Changes in mood
Sleep disturbance
Memory loss

6. SCAT3 BASELINE Standardized cognitive and balance assessment
Approximately minutes
Multiple components
Symptom score
Immediate memory recall
Balance
Baseline assessment provides “normal” score that can be compared to an assessment post-injury.

7. 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

8. 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

9. 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

10. 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.

11. FOR THE FUTURE Looking to expand baseline testing
Future research to compile information for a comprehensive concussion management plan

12. THANK YOU