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Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS). |
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02-22-2012, 05:33 PM | #1 | ||
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I found this story today. Haven't had a chance to read the whole thing yet, but it looks informative.
http://www.momsteam.com/health-safet...ome?page=0%2C0 *Whose not Who's
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43 yr young female, suffered a mTBI with PCS August 2011 while playing ice hockey. Symptoms included dizziness, nausea, exertion headaches, trouble sleeping, fasciculations, sensitivity to light and noise, occasional numbness to extremities. Last edited by Lagr; 02-22-2012 at 06:16 PM. Reason: grammatical error |
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02-22-2012, 06:51 PM | #2 | ||
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Legendary
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I have read the entire article. It is a very long read and does not state anything that has not already been discussed on NT.
This has many good examples of what not to do. This mom spend the entire time trying to micromanage her daughter's concussion. She started memory and other cognitive exercise almost immediately, to her daughter's detriment in my opinion. The home-study during medical leave was also a poor decision. Unfortunately, she makes anecdotal claims to various therapies based on the standard claims of those specialties and not based on a comparison of the specific treatment and the specific result. Heidi was treated by a chiropractic neurologist (Dr. K.), a Cranial Sacral Therapist, and a sports medicine specialist (Dr. S.). None appear to have changed her outcome measurably. She was never informed of the value of avoiding caffeine as evidenced by the walks to Starbucks. She also was never informed of the impacts caused by walking, especially strenuous walking as the foot plant shocks all the way to the head. She does not comment about any nutritional regimens to help with recovery. She still has belief in the value of neuro-cognitive sports testing (ImPACT and such) without any discussion of its limits. What she does do in quite good emphasis is comment about the need to have been more cautious and determined about return to play pressures and decisions. So, the important issues presented are these. Err on the side of caution after any concussion. Use that caution when evaluating any subsequent concussion or sub-concussive impact. Don't waste time, effort and money imaging something that is not imageable. Learn enough to properly present the student's case to faculty. Don't let faculty try to run the show from the dark of ignorance. She alludes to the need to avoid any activities that can cause any form of impact. Halls with out-swinging doors are especially dangerous. She recognized the need to forgo any tracking of symptoms on a daily basis instead using week to week as the time line. She notes incompletely the need for: Rest physically Rest cognitively Rest emotionally And, when you think there has been adequate rest, repeat the rest cycle some more. It would have been good to see a condition report months later. Other than a decision to discontinue contact sports, no comment on academic recovery was made.
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