Friday, November 19, 2010

Concussion and Sports - Balance assessment another tool in Management of the Athlete

Concussion in sports is a hot topic today and the sports physician needs to be aware of how to mange these cases.

You should be aware of the American Academy of Neurology's position Statement. As well as the consensus statement on concussions from Zurich.

Here is one of the pieces to the puzzle and it involves balance assessment take a look at this abstract as well.

Balance Assessment in the Management of Sport-Related Concussion

Although neuropsychological testing has proven to be a valuable tool in concussion management, it is most useful when administered as part of a comprehensive assessment battery that includes grading of symptoms and clinical balance tests. A thorough sideline and clinical examination by the certified athletic trainer and team physician is considered an important first step in the management of concussion. The evaluation should be conducted in a systematic manner, whether on the field or in the clinical setting. The evaluation should include obtaining a history for specific details about the injury (eg, mechanism, symptomatology, concussion history), followed by assessing neurocognitive function and balance, which is the focus of this article. The objective measures from balance testing can provide clinicians with an additional piece of the concussion puzzle, remove some of the guesswork in uncovering less obvious symptoms, and assist in determining readiness to return safely to participation.

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