Assessment
Maintaining comfortable, static gaze
What is gaze fixation?
Prioritize, Plan, Pace, Position
What are the 4 P's (of managing cognitive impairment)?
Symptoms lasting 7-14 days
What is the typical recovery time for adults?
Patient able to smoothly track back and forth accurately and efficiently
What are smooth pursuits?
Maintaining a regular sleep schedule, healthy diet, no screens in bedroom
What is sleep hygiene/management?
Symptoms lasting up to 30 days
What is the recovery time for adolescents?
Maintaining a fixed position of the head and quickly shifting gaze between 2 targets
What are saccades?
Using a laser mounted on the patient's head to treat proprioception deficiencies
What is Joint Position Error?
Sustaining a concussion before a previous concussion has healed completely
What is Second Impact Syndrome?
Maintaining a fixed gaze while nodding "yes" or shaking head "no"
What are Vestibular-Ocular Reflex / Vestibular-Ocular Movements?
Increasing speed of exercises, increasing distance between targets, adding a balance/cognitive task
What are exercise progressions?
Reduced supply of energy/glucose to the brain post-concussion.
What is an energy crisis?
Standing with arms outstretched, maintaining gaze on thumbs and rotating through the trunk from side to side
What is visual motion sensitivity testing?
This protocol follows Parachute Canada's guidelines, which states that parents must sign off when moving from one phase of recovery to the next.
What is the Ontario Physical Education Safety Protocol?
This law states that coaches/trainers become educated in concussion awareness resources on an annual basis before working with a sports organization or school
What is Rowan's Law?