3. Concussion can be
caused by a direct or
indirect hit to the head
or body (for example, a
hard check)
A player does not need
to be “knocked out” to
suffer a concussion.
4. Impact magnitude
delivered by youth
hockey players aged
13-15 was similar to that
of college football
players
Average was around 20
Gs of force
High surpassed 100 Gs
6. Concussion can cause functional damage to
brain cells, i.e. how they work.
In minutes to days following a concussion,
brain cells remain in a vulnerable state.
There is no visible injury to the structure of the
brain, meaning that tests like MRI or CT scans
appear normal
7.
8. Concussion typically results in the rapid onset
of short-lived impairment that resolves
spontaneously over time
You will be told to rest until you are fully
recovered (that means resting your body and
your mind)
Expect gradual resolution 7-10 days
9.
10. Important that those involved with the game have current
knowledge to recognize signs and symptoms
A suspected concussed player should be immediately removed
from the game or practice
Without proper management, a concussion can result in permanent
problems and seriously affect one’s quality of life
11. patent pending
SIDELINE EVALUATION OF ACUTE CONCUSSION - POCKET S.C.A.T. 2
{NOTE}: Abbreviated testing are designed for rapid concussion screening on sidelines are not meant to replace
comprehensive neuropsychological testing. Sideline testing should not be used as a stand-alone tool for
the ongoing management of sports concussions.
TEST 1: SYMPTOMS TEST 2: MEMORY FUNCTION - MODIFIED MADDOCKS QUESTIONS
Presence of any one or more of the following signs & symptoms may suggest a concussion. Have the athlete answer the following questions to the best of their ability:
(Check those that are present)
ANSWERED UNANSWERED
Loss of consciousness Feeling slowed down At what stadium are we at today?
Seizure or convulsion Feeling “in a fog” Which period/half is it now?
Amnesia Difficulty concentrating
Who scored last in this match?
Headache Difficulty remembering
“Pressure in head” Fatigue or low energy What team did you play last game?
Neck Pain Confusion Did your team win the last game?
Nausea or vomiting Drowsiness
Dizziness More emotional
Blurred vision Irritability
Balance problems Sadness
Sensitivity to light Nervous or anxious
Sensitivity to noise
TEST 3: BALANCE TESTING - PERFORM EACH TEST FOR 20 SECONDS. IF AN ERROR IS MADE, HAVE ATHLETE RESTART.
ONLY 5 ERRORS SHOULD BE ALLOWED FOR EACH. NOTE HOW MANY ERRORS ARE MADE BELOW.
A. TANDEM STANCE B. ONE-FOOT BALANCE C. FINGER-TO-NOSE TEST
Stand heel-to-toe with your Balance on the right foot Stand up straight and
non-dominant foot in back with hands on hips and eyes balance evenly. Start with
and hands on hips. Weight closed. Balance for 20 your arms straight out to the
should be evenly dispersed seconds. Perform the routine sides. Alternating each hand,
across both feet. Make sure again on the opposite foot. touch finger to nose. Once
eyes are closed. Maintain again, eyes should be closed
balance for 20 seconds. during test. Repeat for 20
seconds.
ATTEMPT SECONDS ATTEMPT SECONDS ATTEMPT SECONDS
1 1 1
2 2 2
3 3 3
4 4 4
5 5 5
Any athlete with a suspected concussion should be IMMEDIATELY REMOVED FROM PLAY,
urgently assessed medically, and not be left alone and/or drive a motor vehicle.
12. Properly educate our athletes
Rules are enforced
Respect for the mutual safety of fellow players
Protective equipment
13. The full version of this presentation is available on DVD and can
be purchased by visiting:
www.shockwaveimpact.com
To schedule a speaking engagement for your team or
organization please contact:
Dr. Paul Plaskett, DC, DACO
docplaskett@gmail.com
