Concussion Assessment & Management
Midwest Orthopaedics at Rush Concussion Assessment & Management Elizabeth M. Pieroth, PsyD, ABPP, MPH July 23, 2021 Director of the Concussion Program MOR/Rush Disclosures for Dr. Pieroth: Consult to (no personal income derived): Chicago Bears Chicago Blackhawks Rockford IceHogs Chicago White Sox Chicago Fire National Womens Soccer League Chicago Steel Elizabeth M. Pieroth, PsyD, ABPP, MPH Midwest Orthopaedics at Rush | 7/22/2021 2 Disclosures for Dr. Pieroth: Volunteer consultation to: Brain Injury Association of Illinois Board of Directors National Advisory Board, US Football Heads Up Football Committee US Soccer Sports Medicine Research, Education & Advisory Panel Amateur Hockey Association of IL Safety Committee NFL Head, Neck and Spine Committee NFL Co-Director Neuropsychology Consultant Program Elizabeth M. Pieroth, PsyD, ABPP, MPH Midwest Orthopaedics at Rush | 7/22/2021 3 Objectives: Review: 1. Brief review of Pathophysiology 2. Initial Assessment 3. Initial Recommendations 4. Treatment Course 5. Treatment for Persistent Symptoms (PPCS) 6. Repetitive Concussions/ Retirement Issues Elizabeth M. Pieroth, PsyD, ABPP, MPH Midwest Orthopaedics at Rush | 7/22/2021 4 Pathophysiology Elizabeth M. Pieroth, PsyD, ABPP, MPH Midwest Orthopaedics at Rush | 7/22/2021 5 Recognition Data from the NFL, NHL and NRL (rugby) demonstrate the value of using observable signs. • Gait ataxia/motor incoordination • Vacant stare • Unresponsiveness/lying motionless • No protective action • Getting up slowly and clutching the head were not useful (Davis et al, 2019; Garnder et al, 2017; Echemendia et al, 2018, Echemendia et al, 2016) Elizabeth M. Pieroth, PsyD, ABPP, MPH Midwest Orthopaedics at Rush | 7/22/2021 6 Initial Evaluation (on the sideline) • Most of the time there is a clear mechanism of injury, but not always.
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