presented by Todd Arnold
This case-based course is aimed at preparing physical therapists for the Sports Certified Specialist advanced certification exam, but is appropriate for athletic trainers and strength & conditioning specialists looking to expand their knowledge of concussion in sport. In this course, Dr. Arnold, MD teaches therapists and trainers about the pathophysiology of concussion, how to recognize and manage concussion, as well as important considerations for return to sport and return to school decisions.
Dr. Todd Arnold is a primary care/sports performance physician with over a decade of experience caring for athletes of all levels from scholastic to professional. He serves as a sports performance scientist for USA Track and Field, and has worked extensively with over 50 athletes in preparation for the 2012 Olympic Games, where the team won 29 medals. He has served as head team physician at both Division I and Division II colleges. Todd has extensive training through the Titleist Performance Institute in the biomechanics of the golf swing, golf fitness and health care related to the golfer, and is the co-creator of Prescription Golf & Fitness™. He sees patients daily and is committed to increasing the public’s awareness of concussions. Dr. Todd Arnold is a board certified sports medicine specialist. He is currently licensed to practice medicine in Indiana. He received training at the Indiana University School of Medicine, Poudre Valley Hospital, and the University of Colorado Denver School of Medicine.
In this introductory chapter, Dr. Arnold describes the incidence of concussion, the importance of caring for the injury appropriately, and the pendulum of conservative care. The participant will be able to describe the current research related to concussion and how it has changed over the last decade.
Dr. Arnold describes the different mechanisms of injury, highlighting the importance of rotational injuries. The participant will be able to describe the differences in mechanism of injury, as well as the pathophysiology of a concussion on the neuron level.
Recognition and management of concussion happens on the field and in the clinic. This chapter covers the importance of standardized and objective assessments to diagnose concussion on the field, on the sideline, and in the clinic.
Symptom management of concussion focuses on managing headaches and sleep. This chapter describes the different methods to manage headache symptoms, remove aggravating disturbances that drive symptoms, and manage sleep in an effective manner.
Providing patients with appropriate education on concussion is key to concussion recovery. The athlete should know who to call and when to call if symptoms are worsening, how to mitigate factors that make concussion worse, and typical recovery timelines. Additionally, Dr. Arnold discusses the importance of proper equipment fit and how to work with teachers and professors to accommodate the concussion.
Dr. Arnold discusses the four criteria to return to play, based on the Zurich Return to Play Guidelines. He walks an athlete through a progressive exertion program before returning to sport.
To further your practice of concussion, we recommend you look through the following study materials. These materials will help you manage concussion and see the answers to the advanced case questions.