Unraveling concussion assessment and treatment with Dr Daniel Brown
Mar 13, 2024
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Exploring concussion assessment and treatment with Dr Daniel Brown. Topics include measuring concussion, different systems and tests, duration of condition, impacts, and graded treatment approach. Emphasizes the importance of comprehensive assessments and personalized treatment strategies.
15:48
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Quick takeaways
Concussion diagnosis requires objective assessments like vestibular screenings and Buffalo Treadmill Test for tailored treatment plans.
Treatment for concussion involves a gradual return to physical and cognitive activities, avoiding prolonged rest for optimal recovery.
Deep dives
Understanding Concussion as a Form of Mild Traumatic Brain Injury
Concussion is explained as a form of mild traumatic brain injury caused by mechanical forces affecting the brain's function without necessarily showing up on standard imaging tests. Symptoms such as loss of consciousness, dizziness, headache, and fatigue can indicate a concussion, and only about 10% of cases involve loss of consciousness. Objective assessments are crucial in diagnosing concussions, especially considering the potential long-lasting impacts and the need for a nuanced approach to treatment.
Diagnostic Process and Objective Assessments
Diagnosing a concussion involves understanding the mechanism of injury, considering any confounding factors that may influence the presentation, and utilizing tools such as the Buffalo Treadmill Test for exercise tolerance assessment. Multiple objective assessments, including vestibular and oculomotor screenings, along with physiotherapy assessment batteries, are essential in determining the extent of injury and tailoring treatment plans.
Graduated Approach to Concussion Treatment and Return to Sport Guidelines
The treatment approach for concussion typically involves a graded and paced return to physical and cognitive activities, avoiding prolonged rest and integrating exercise early on to promote recovery. Return to sport guidelines focus on a stepwise progression from submaximal aerobic exercise to sport-specific drills, ensuring that symptoms do not exacerbate and gradually reintroducing contact and full-play scenarios over a three to four-week period for optimal recovery and readiness.
In this episode Daniel covers how we can measure concussion and the different system and tests we need to be aware of for concussion. We also go into how long the condition can last, it’s impacts and how to pragmatically treat it in a graded approach.
Dr. Daniel Brown is a research physiotherapist with an interest in sport-related injuries, including concussion. His central focus area is concussion symptomatology and the vestibular system and cervical spine complex among combat sport athletes. He has experience working in with musculoskeletal and sporting populations where he has worked in professional settings, including the Gold Coast Titans, QLD touch football association, and international combat sport athletes.
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Our host is Michael Rizk (@thatphysioguy)
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