Member Resources

  • Proceedings from the Ice Hockey Summit on Concussion: A Call to Action.
    • The objective of this proceeding is to integrate the concussion in sport literature and sport science research on safety in ice hockey to develop an action plan to reduce the risk, incidence, severity, and consequences of concussion in ice hockey. Methods A rationale paper outlining a collaborative action plan to address concussions in hockey was posted for review two months prior to the Ice Hockey Summit: Action on Concussion. Focused presentations devoted specifically to concussion in ice hockey were presented during the Summit and breakout sessions were used to develop strategies to reduce concussion in the sport. This proceedings and a detailed scientific review (a matrix of solutions) were written to disseminate the evidence-based information and resulting concussion reduction strategies The manuscripts were reviewed by the authors, advisors and contributors to ensure that the opinions and recommendations reflect the current level of knowledge on concussion in hockey. Results Six components of a potential solution were articulated in the Rationale paper and became the topics for breakout groups that followed the professional, scientific lectures. Topics that formed the core of the action plan were: metrics and databases; recognizing, managing and return to play; hockey equipment and ice arenas; prevention and education; rules and regulations; and expedient communication of the outcomes. The attendees in breakout sessions identified action items for each section. The most highly ranked action items were brought to a vote in the open assembly, using an Audience Response System (ARS). The strategic planning process was conducted to assess: Where are we at?; Where must we get to?; and What strategies are necessary to make progress on the prioritized action items? Conclusions Three prioritized action items for each component of the solution and the percentage of the votes received are listed in the body of this proceeding. ABSTRACT FROM AUTHOR
  • Protective Equipment and the Prevention of Concussion - What Is the Evidence?
    • The complex nature of the evaluation and management of concussion lends to controversy, and the immediate and long-term implications still are being investigated. Various types of protective equipment have been used as a means to prevent concussions, and protective equipment is being used more frequently in different sports. Recent investigations have suggested that a protective, but not preventive, effect may be afforded by mouthguard use in rugby players, headgear use in soccer players, and customized mandibular orthotic use in football players. The use of faceshields has not shown a proven benefit in preventing the incidence of sport-related concussion in ice hockey or field hockey participants. Further studies are needed to clarify the role of protective equipment in the prevention of sport-related concussion. ABSTRACT FROM AUTHOR
  • Clinical Outcomes Assessment for the Management of Sport-Related Concussion.
    • Patient Scenario: An adolescent female youth soccer athlete, with a previous concussion history, suffered a second concussion 4 wk ago. Her postconcussive symptoms are affecting her school performance and social and family life. Clinical Outcomes Assessment: Concussion is typically evaluated via symptoms, cognition, and balance. There is no specific patient-oriented outcomes measure for concussion. Clinicians can choose from a variety of generic and specific outcomes instruments aimed at assessing general health-related quality of life or various concussion symptoms and comorbidities such as headache, migraine, fatigue, mood disturbances, depression, anxiety, and concussion-related symptoms. Clinical Decision Making: The data obtained from patient self-report instruments may not actively help clinicians make return-to-play decisions; however, these scales may be useful in providing information that may help the athlete return to school, work, and social activities. The instruments may also serve to identify issues that may lead to problems down the road, including depression or anxiety, or serve to further explore the nature of an athlete's symptoms. Clinical Bottom Line: Concussion results in numerous symptoms that have the potential to linger and has been associated with depression and anxiety. The use of outcomes scales to assess health-related quality of life and the effect of other symptoms that present with a concussion may allow clinicians to better evaluate the effects of concussion on physical, cognitive, emotional, social, school, and family issues, leading to better and more complete management. ABSTRACT FROM AUTHOR
  • The Neurophysiology Behind Concussion Signs and Symptoms
    • The recognition and management of concussions is often made difficult by the variety and often subtle nature of clinical signs and symptoms. Athletic trainers and therapists (ATs) need to accurately recognize both typical and less common signs and symptoms resulting from mild traumatic brain injury (TBI). The purpose of this report is to provide ATs with neuroanatomic and neurophysiologic explanations for typical postconcussion signs and symptoms. A framework for understanding mild TBI symptoms is presented as an aid to the recognition and evaluation of the concussed athlete. The management of the concussed athlete will be facilitated by this knowledge, as the AT will be better prepared to provide effective education to the athlete regarding his or her injury and to make a sound return-to- play decision that is based on symptom resolution.