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on Campus College health脑震荡对校园大学健康ppt课件
Neurocognitive Testing Computer-based ImPACT, CogSport, HeadMinder Added tool for use in return-to-play decisions Avoidance of returning an athlete too soon Baseline testing Timing of testing Pros/cons of testing Formal “paper and pencil” testing Several hours Comprehensive Reserved for chronic/difficult cases Management in College Student/Family education Health Center Dean’s Office Disability Services Professors Athletics Coaches ATCs Accommodations Rest from class Frequent breaks Extra time for assignments Postpone tests/exams Note taking service Quiet environment DP Returns 48 hours later after complete cognitive and physical rest Symptom score goes from 35 to 10 Can he go to school? Can he go for a run? When would you expect all symptoms to clear? Return To School Guidelines (CHOP) Step 1 Complete cognitive rest: No TV, computer, text, etc. Step 2 Light cognitive activity, 5-15 min increments, frequent breaks, stop if symptomatic Step 3 Schoolwork at home, 30 min increments Step 4 if tolerating 1-2 hrs at home, can go half day *advance to next step if symptom-free x 24 hrs Graded Return to Play Rehab Stage Functional Exercises Objective at each stage 1. No activity Physical and Cognitive Rest Recovery 2. Light aerobic exercises Walking, swimming, stationary bike; intensity 70% maximum HR Increase HR 3. Sport-specific exercises Skating drills, running drills etc. No head impact. Add movement 4. Non-contact training drills Progression to more complex training (passing, etc.); May start resistance training Exercise, coordination, and cognitive load 5. Full contact practice Following medical clearance participate in normal training/practice Restore confidence and assess functional skills 6. Return to play Normal game play Recurrent Concussions Second impact syndrome: Brain swells rapidly, death near certain repeat injury w/o proper healing time Young people more vulnerable Few cases Post concussive syndrome Chronic Traumatic Encephalopathy Sports Legacy Ins
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