1. Concussion Management
athletico.com

2. Concussion

3. In a Nutshell Prevention Baseline Evaluation Communication
Return to Participation
Vestibular Physical Therapy
Event Coverage

4. Specifics Defining “in Conjunction with”
SCAT3 vs. SAC vs GSC vs others
ImPACT (or other testing) Recommendations
Better for every body.

5. Tools Provided SCAT 3 Graded Symptom Checklist
Concussion Information Sheet
Concussion Timeline Checklist
Concussion Physician Letter Template
Physician Update Form
Better for every body.

6. Return to Participation
B - Bike
R - Run
A - Agility
I – In Red
N – No Restriction Practice
G – Game Play
Better for every body.

7. SCAT 3 Scenario
Better for every body.

8. Concussion Management… It’s A Team thing!
Team Physician Primary Care Physician Neuropsychologist Athletic Trainer Physical Therapist Coach Parents School Administrators Educators
Better for every body.

9. SB 007 Concussion Oversight Team – Consisting of:
Physician (MD/DO); AND
*Athletic Trainer; AND/OR
*School Nurse; AND/OR
Advanced Practice Nurse; AND/OR
Neuropsychologist; AND/OR
Physician Assistant
Other Licensed Healthcare Providers
Better for every body.

10. Role of the Concussion Management Oversight Team
Create a Return to Play Policy that is evidence based
Create a Return to Learn Policy that is evidence based
Better for every body.

11. Athlete May Return to Play When:
Have completed Return to Learn (RTL) and Return to Play(RTP) program
Written script from a physician stating that the athlete is cleared to return to play
Signed Parental Consent Form
Informed of returned to participation in accordance to RTP and RTL policies
Understands the risks of returning to participation
Consents to proper medical disclosures
Better for every body.

12. Compliance
Superintendent, or designee, shall be responsible for the compliance of with the RTP and RTL policies
Designee may not coach any interscholastic sport
Better for every body.

13. Education Coaches and game officials – 2 hour education
Nurse serving on Concussion Oversight Team
Any Game officials
Physician serving on Concussion Oversight Team
ATC serving on Concussion Oversight Team
Any other member of Concussion Oversight team
Education must be completed by 9/1/2016
Proof of training must be kept by school
Better for every body.

14. Emergency Action Plan School Specific In Writing
Reviewed by the Concussion Oversight Team
Approved by the Superintendent
Distributed to all personnel
Posted conspicuously at all venues utilized by the school
Reviewed annually by all ATC’s, coaches, nurses, first responders, AD’s, volunteers
Better for every body.

15. Concussion work at Athletico
Lectures
A Step aHead
BNA
Many other opportunities to get involved!
Better for every body.

16. BNA Testing
Brain Network Activity (BNA) Testing is taking Brain wave activity while performing a simple cognitive task
Computer interprets this into Network activity, which can be used following brain alteration (such as concussion), and compared to either a benchmark test, or to normative data.
Better for every body.

17. Closing the Gap with BNA™ Technology Revealing Brain Networks Activity (BNA™) for Better Clinical Decisions
Structure – Metabolism – Neuronal Function – Function
CT/ MRI
DTI
PET
fMRI
Function
Behavior
Symptoms
BNA™

18. When is it “safe” for him to return to play?
Demonstration of BNA™ Clinical Utility 17 Year Old High School Football Player Case Report
Head to head collision
Many on field symptoms:
Disorientation, Headache, Dizziness, Balance problems, Visual Changes, Fatigue, Sensitivity to light/Noise, Migraine
Diagnosed with concussion
When is it “safe” for him to return to play?

19. Current Practice Standard Clinical decision is based on subjective measures
Neuro-Imaging
Symptoms
Neuropsychology
CT Scan Normal
Resolved within
3 weeks
Computerized tests
non conclusive
Week
Week
Based on limited information available through current methods:
Physician Decision: Return to Play after 3 weeks

20. The BNA Difference
Baseline
1 Week
2 Weeks
3 Weeks
4 Weeks
Delta (1-4HZ)
Theta (3-8HZ)
Alpha (7-13HZ)
Beta (12-30HZ)
Connectivity
24%
1 Week
2 Weeks
3 Weeks
4 Weeks
BNA demonstrates that, while symptoms are gone, brain recovery is only at 24%. Return to Play in 3 weeks may not be the right decision

21. Thank You!
Better for every body.