Concussion what it is

Concussion what it is

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here we’re going to talk about
concussion we’re mostly going to talk about what it is I am going to mention
the six types but for more information on that go to the video that is on
specifically on that and we’ll show you a little bit more there I’m also not
going to talk too much about concussion and older adults maybe not at all
because there’s another video on that as well this is a great video from the CDC
that talks about concussion it says that concussion is a bump blow or jolt to the
head or body that results in changes and what they’re showing you here is that
when the brain hits regardless of what angle it hits on the opposite side of
the brain is also impacted because the brain is thrown around in the skull it
also talks about the fact that concussion is a functional injury versus
a structural injury and that means that there’s a there’s the chemicals what’s
in the the cells comes out and what’s out goes in and it’s a problem with
calcium and potassium and that there’s no real structural injury however
there’s new information that says that that that is true that their concussion
is very much a functional injury and this change in the chemicals this
chemical cascade in the brain is what’s responsible for producing the changes
however they’re very recent research that just came out at the time recent at
the time of this recording in October of 2019 in brain showed that there in some
there are micro Gleaves they’re real little and they came out on MRI so stay
tuned because we are just learning more and more about concussion daily my guess
is that we won’t be using the MRI so much to be that’ll be more experimental
no that’s all will probably look more at the
symptoms like we do now these symptoms and changes won’t show up on CT I’m a
cat scan because it is this functional chemical type of injury and so they just
used a cat scan or the CT to rule out a more significant injury or a a skull
fracture things like that so we’re probably going to continue to do that
would be my guess however there is some really interesting
studies being done on saliva and being able to detect through which what they
see whether it’s going to be prolonged symptoms and which symptoms are likely
to be seen so that’s really exciting and that’s probably where we would go next
in in diagnosis and so here are some common symptoms there are more of them
you can see our signs and symptoms tools for more information and in the
cognitive domain and communication we see things like feeling dazed or being
in a fog or finding problems which is probably due to attentional issues more
than anything slowed information processing that means
that I might be slow to take in information but I’m also slower to to
process my own thoughts and get my ideas out emotional behavioral realm we see
things like irritability quick to anger decreased motivation and someone crying
easily so this is typically someone who wouldn’t necessarily cry easily like
like let’s say a hardened teenager who doesn’t want to be crying and they are
so we’re looking for things like that you could see it in some girls who like
a younger child who does cry but we’re looking for that change in the physical
realm we see lots of headaches and changes in vision and sleep disturbance
as a hallmark fatigue balance dizziness issues and sensitivity to light and
sound those are very very common symptoms that we see a word
younger symptoms of a younger child even if you’re here to look at this video for
a different population a different age we put it in here because you may know
somebody who is younger who had maybe maybe a child or a grandchild or someone
that you know who may have an injury or have an injury at some time in the
future and so the symptoms are the same this is this is a fairly new research at
all also that says that we need to look for those symptoms in a different way so
we need to look for things like appetite changes we need to look for a behavioral
dysregulation and decreased engagement and just a word on those what they see
initially is decreased engagement there’s a pulling back there’s kind of a
quieter quietness about the child and after a while as they begin to heal we
often see a behavioral disregulation initially there’s probably some
excitement because it looks like the child is getting back to normal but then
it kind of goes beyond what’s normal and maybe they’re getting up and they’re
running around their preschool classroom or they’re hitting other children
pushing them things that they didn’t do before can’t sit still so we’re looking
for those things we’re looking for disrupted sleep continence issue this is
a crowd that tends to have continence issues but we’re looking for a change in
that maybe they were making it through the night and they’re not anymore
increased dependence on somebody and stomachaches are things that we can look
for now these are also symptoms that make intuitive sense I have not seen any
research yet but it makes intuitive sense that we can also look for these
issues in someone who does not use words to communicate who may be older so
somebody maybe who has a developmental disability or has had something happened
so that they they cannot speak we would so they can’t tell us what their their
problem is we’re going to be looking for things like this until we know more that
just makes intuitive sense so we might look for things like touching and
holding their hair being bothered by light or noise
forgetting routines changes in walking rolling grasping feeding potty train
anything that they used to do before we’re looking for a change in that being
more clingy emotional or withdrawn changing appetite or sleep more tantrums
more disruptive more stomach issues so this is a like I said I’m going to talk
a little bit about the six types of concussion there are six different types
that research has now identified and so we’re not thinking of it in the same way
that we used to it before or worse concussion was kind of a
unitary thing now we’re looking for symptoms to be presenting in one or more
of these tracks after a week during that first week that tend to be generalized
but more on that in the concussion video and then the other really exciting new
research is that there are active evidence-based treatments that help with
each one of these and you’ll see that exercise appears in all of them and in
in some cases it’s referring to specific exercises for that thing that issue
however exercise in general safe exercise like on a stationary bike
initially or a treadmill initially is being shown to improve outcome earlier
we’re seeing earlier change and that’s really exciting that exercise alone they
don’t know exactly why just yet it could be that that more oxygen is going to the
brain and that’s as a healing effect so interesting information there and that
means that what we need to be doing is referring and getting people treatment
there are a number of ways to go about this it depends on who the person is
what the symptoms are so specialized concussion treatment center if they are
in in a sport need to get back to that or
need to get back to something very very quickly most symptoms are going to go
away within the first four weeks so if you can wait it out they’ve made clear
within days a week two weeks but most people in say their symptoms clear within
four weeks so you might wait until four weeks to go get treatment or if there’s
a significant symptom or if there’s a reason like an elite athlete that needs
to get back to sport then they could go to a you could look into some of these
things a specialized concussion treatment center more are popping up
around the country as we learn more about how to treat these folks I could
go to a neurologist a symptom specific specialist like a neuroophthalmologist
for eye issues a physical therapist a chiropractor for some of the or a PT for
some of the the neck issues if things are out of alignment that was one of the
types of concussion a brain trauma Rehabilitation Center a neuro
psychological evaluation if they’re under three years old than the early
intervention system if they are three to five then it’s the school district you
go to and if they are over five years old they would they could be seen
through the school but could you the school and private or one versus the
other lots of ways to go but the point is that there is so much more
information and so many ways now that we can treat that we don’t want anybody
suffering long-term with concussion symptoms we want to get them treated we
want people to know that there are things to do about concussion so I hope
that helps to teach you a little bit more and again stay tuned because there
is more information coming out daily

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