This is a test where we have you walk on the treadmill and then slowly increase the incline over time to see if and/or when your concussion symptoms start to get worse. In-office we can perform something called the Buffalo Concussion Treadmill Test (BCTT). How can you find your physical activity “sweet spot?” Here’s a simple analogy… Let’s break your arm.įor those of you wanting the jargon and details, be sure to check out the references at the end of the article. By doing this, we see that you recover faster and, thus, get to return to your sport or life faster. The goal is a “graded” or “progressive” reintroduction of exercises and rehabilitation exercises. This means that if an activity (mental or physical) makes your symptoms worse, then we should probably pull back a bit and stick to lighter or easier activities. If you read that whole quote, you’ll notice that your activity should stay below symptom-exacerbation thresholds. The exact amount and duration of rest is not yet well defined in the literature and requires further study.” - Berlin Consensus 2016 The goal is to find YOUR unique sweet spot for activity. It is reasonable for athletes to avoid vigorous exertion while they are recovering. After a brief period of rest during the acute phase (24–48hours) after injury, patients can be encouraged to become gradually and progressively more active while staying below their cognitive and physical symptom-exacerbation thresholds (ie, activity level should not bring on or worsen their symptoms). “There is currently insufficient evidence that prescribing complete rest achieves these objectives. When I say “we,” I’m saying that the leading consensus statement on concussion care suggests this based on conclusions made from interpreting lots of research: We’re finding that 24-48hrs is about all you really need. Just sit in a quiet and dark bedroom, wear sunglasses, and hermit until you miraculously recover.
Return to play: As long as there are no symptoms or issues following practice and a final evaluation, the athlete is cleared for competition.Hibernating after concussion… could delay your recovery.Īfter a concussion, most people assume the following are mandatory:.Full-contact practice: Before being allowed to return to competition, with the doctor’s OK, the athlete takes part in full-contact training and practice and is carefully monitored after each practice.Noncontact drills: Once it’s safe to do so, athletes begin to engage in more strenuous drills and start strengthening and resistance training.This might mean noncontact activities like running sprints or doing skating drills. Sport-specific exercise: Gradually, exercises associated with the specific source are reintroduced.This might mean walking, swimming, or using a stationary bicycle for 20 minutes at 70% of your maximum heart rate. Light aerobic exercise: Once light activity is reincorporated and symptoms subside further, the aim is to do exercise to boost heart rate.The aim is to return to physical activities that aren’t risky, such as short, 10-minute walks. Once you’re clear to return to school or work, screen time should be limited. Rest and return to limited activity: Ensuring adequate rest and avoiding exertion is the first stage.
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