Physical Therapy and Concussions

By Deborah Holmes, PT

There are over two million sports and recreation concussive injuries annually in the U.S., and this is likely a huge underestimation.

A concussion is a brain injury that is caused by a bump, blow, or jolt to the head or body. It can change the way your brain normally works and can occur during practices or games in any sport or recreational activity. You don't have to be knocked out and it can be serious even if you have a dazed or stunned feeling. In fact few may have loss of consciousness.

All concussions are serious. Most people with a concussion get better, but it is important to give your brain time to heal.

Signs that can be observed

by staff

Appears to be dazed or stunned

Is confused about assignment

Forgets plays

Is unsure of game, score, or opponent

Moves clumsily

Answers questions slowly

Loses consciousness

Shows behavior or personality change

Forgets events before play

Forgets events after hit

Signs that can be observed

by athlete

Headache/nausea

Balance problems or dizziness

Double or blurry vision

Sensitivity to light or noise

Feeling sluggish or slowed down

Feeling foggy

Concentration or memory problems

Change in sleep patterns.

What Should You Do If You Think You Have a Concussion?

Never ignore a bump or blow to the head even if you feel fine. Tell your coach and parents right away if you think you have a concussion or if one of your teammates might have a concussion.

When a player shows any signs or symptoms of a concussion, they should not be allowed to return to play in the current game or practice. There should be regular monitoring and the player should be medically evaluated.

Furthermore, the player must demonstrate they are symptom free at rest, be symptom free with physical and cognitive exertion and have intact neurocognitive functioning. Most athletes recover spontaneously within three weeks of trauma.

How Can A Concussion

Be Prevented?

Every sport is different, but there are steps you can take to protect yourself. Use the proper sports equipment, including personal protective equipment. In order for equipment to protect you, it must be the right equipment for the game, position, or activity. It must be worn correctly and be the correct size and fit.

The equipment should also be worn every time you play or practice.

Remember, it is better to miss a game or two than to sit out the whole season.