Impact Baseline Forms, Information and Player Physical Evaluation form
Concussions are a risk associated with any sport, physical activity or accident. It is important that everyone understands the symptoms, risks, and management of a suspected brain injury. Please take the time to review the below information and view the below links. It is information everyone needs to understand.
Every year, players of all ages in all sports receive concussion injuries during games and practice.
“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:
1. 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.
2. Concussion typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously. However, in some cases, symptoms and signs may evolve over a number of minutes to hours.
3. 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.
4. 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.”
It is very important that coaches, parents and players understand the symptoms and have clear communication about expected and appropriate steps. Once a concussion is suspected, it is the responsibility of the family to follow-up with a health care professional and provide your child's coach with information from the doctor.
YOUR DAUGHTER will NOT be allowed to return to play without a signed and dated medical release from a Doctor!
Concussion Management Plan Guidelines for U-19 Programs per US Lacrosse:
Return to Physical Activity
Athletes diagnosed with a concussion should rest both physically and cognitively until they are back to their baseline level of symptoms. A graduated return to activity program should be used when the athlete has been cleared to do so by an appropriate healthcare professional. The athlete should gradually increase their level of exertion and risk for contact and be followed for the development of any new symptoms or complications.
The following return to activity program is provided as an example. The return to play progression is an individualized one that should incorporate the individual’s past medical history related to the specific injury (e.g. the nature, burden and duration of symptoms, prior concussion history, history of migraines, learning disabilities, depression/anxiety) as well as how the athlete responds to each step of the progression.
There is no definitive timeline for return-to play.
Step 1: Rest
Step 2: Return to school and/or daily activities (non-athletic)
Step 3: Begin Aerobic Exercise
Step 4: Sport Specific Training, catching and throwing
Step 5: Non-Contact Drills, line drills, star drills, etc
Step 6: Controlled Full Contact Activity, scrimmage
Step 7: Full Return to Play – Game /Competition
Return to School
Student-Athletes who sustain a concussion should receive the necessary support from their school for classes, exams, and schoolwork that may be affected as a result of a sustaining concussion and post-concussive symptoms. Parents and their healthcare provider should inform their child’s school requesting appropriate support. Types of academic support could include extended time on tests, reduced workload, limited homework time, decreased computer use, testing in a distraction free environment, etc.
Recognition and Diagnosis of Concussion and Post-Concussion Management:
Return to Play:
Reducing Head Trauma Exposure Management Plan:
Efforts will be made to reduce exposure to head trauma. Examples of methods to minimize head trauma exposure include but are not limited to:
Please see the below links for helpful information regarding concussions:
Video for parents and players:
Training for COACHES: