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robert sefcik

on 5 April 2016

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Transcript of 3d YSRC

About me?
Robert R. Sefcik, ATC, LAT
Executive Director, Jacksonville Sports Medicine Program
Dedicated to youth sports injury prevention
Concussion is a
BRAIN Injury
"Despite a significant increase in research dedicated to identifying and managing sports-related concussion, it remains one of the most complex injuries sports medicine professionals face."

Broglio et al 2014
Establishing your BEST Practice
Youth Sports-Related Concussion
I. Review the Awareness of the Sports
Related Concussion Diagnosis
1 Samuel 17
Concussion Slang
2. Concussion Legislation as a Minimal Standard
“This is an important moment for all young athletes and their parents."
- NFL Commissioner ROGER GOODELL
Education and consent
Immediate removal from play
NO return to play in 24 hr period
Must be cleared by a medical professional
Establishes a minimal expectation
Promotes safety
Creates awareness
Anticipates accountability
3. Regional Shortcomings in the Management of Youth Sports-Related Concussion
"the Zurich Guidelines, has become one of the cornerstone references regarding the diagnosis and management of concussion in sport" Craton, N., MD & Oliver, L, MD
Internal/Institutional Control
A "BEST" practice does not mean a "PERFECT" practice
Neurocognitive Testing
A Tool
A Standard?
Concussion rates per 100,000 exposures (Headcase; Headcase.com)
Cheerleading - 14
Concussion rates per 100,000 exposures (Headcase; Headcase.com)
Concussion rates per 100,000 exposures (Headcase; Headcase.com)
Concussion rates per 100,000 exposures (Headcase; Headcase.com)
Girls Soccer - 33
Football - 76.8
Gymnastics - 7
Discussion Guidelines

I. Review awareness of sports related concussion diagnosis.

II. Discuss relevant legislation as a means of a minimal standard.

III. Highlight regional shortcomings in the management of youth sports related

Congress of Neurological Surgeons (1966)

“...a clinical syndrome characterized by immediate and transient impairment of neural functions, such as alteration of consciousness, disturbance of vision, equilibrium, etc. due to mechanical forces.”

2012 Zurich Definition:

Concussion is a brain injury and is defined as a complex pathophysiological process affecting the brain, induced by biomechanical forces. Several common features that incorporate clinical, pathologic and biomechanical injury constructs that may be utilized in defining the nature of a concussive head injury include:

• 14 yo female soccer player
• Second concussion in 6 months
• Private club
• Goalie
• 16 yo male football player
• Multiple concussions over two seasons
• Under neurologic care but cleared for play
• Sustains a concerning injury
Why risk second impact syndrome?
Why legislation?
Concussion may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an “impulsive” force transmitted to the head.

Concussion typically results in the rapid onset of short- lived impairment of neurologic function that resolves spontaneously. However in some cases, symptoms and signs may evolve over a number of minutes to hours.

Concussion may result in neuropathological changes, but the acute clinical symptoms largely reflect a functional disturbance rather than a structural injury and, as such, no abnormality is seen on standard structural neuroimaging studies.

Concussion results in a graded set of clinical symptoms that may or may not involve loss of consciousness. Resolution of the clinical and cognitive symptoms typically follows a sequential course. However, it is important to note that in some cases symptoms may be prolonged.
Virginia Tech Star Rating Scale (USA Today 7.30.13)

5 Stars

Riddell 360; Rawlings Quantum Plus, Xenith XZ and the Riddell Revolution Speed
Part of the following presentation is paid for through grant proceeds.

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Full transcript