A concussion is a mild brain injury that causes a change in mental status that can occur with direct insult to the head. A concussion may also occur with movement of the body that cause acceleration/deceleration forces to the head.
What are the symptoms of a concussion?
- Headache
 - Dizziness
 - Loss of consciousness
 - Amnesia
 - Difficulty concentrating
 - Confusion
 - Nausea and/or vomiting
 - Difficulty balancing
 - Sensitivity to light
 - Sensitivity to noise
 - Ringing in the ears
 - Drowsiness
 - Irritability
 - Sadness
 
- A healthcare provider should evaluate every child or adolescent suspected of a concussion.
 - If this occurs during a sporting event, the child should sit out the rest of the game
 - Your provider may conduct a standardized neuropsych assessment to help guide return to activities/sports
 
- Rest, rest and more rest!
 - Absence from school may initially be necessary until one can concentrate on a task without exacerbating symptoms
 - Avoid excessive time texting, on the computer, watching television, playing video games or listening to loud music
 - Return to activity too soon can lead to worsening and prolonged symptoms. A second injury to the brain while the brain is healing can lead to severe brain injury that is life-threatening
 
A person with a concussion should not return to play until they no longer have symptoms at rest for at least 24 hours. Return to play should then be a step-wise progression. The child/adolescent should be symptom free for 24 hours before progressing to the next level of play:
- Light aerobic exercise (e.g.: walking)
 - Sport-specific exercise
 - Non-contact training drills
 - Full contact practice
 - Return to play (Must first be cleared by a provider)
 
Swedish’s Spine, Sports and Musculoskeletal Medicine team has developed a Sports Concussion Clinic with the following resources:
- Baseline neurocognitive testing with a computerized exam called ImPACT can be done prior to playing a sport to assess changes and recovery if a concussion occurs.
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Comprehensive concussion management, including clearance for return-to-play
 
Click here to learn more about the Sports Concussion clinic. The team includes sports medicine physicians, psychiatrists, an athletic trainer, physical therapists and a neuropsychologist that can deliver individualized care for every athlete.





















