Sports Rehabilitation

Sports Injury Assessment and Treatment

Participation in sport is great exercise and fun, but you need your brain for life

At HCRC Physiotherapists have advanced orthopaedic skills and experience assessing and treating injuries related to recreational and competitive dance, gymnastics, tennis hockey and golf. While all therapist at HCRC provide sports injury treatment we have a number of therapists with special sports interests. Let us know your sporting area and type of injury when you book your assessment visit at the clinic.

HCRC is proud to have Ms. Kathy Thompson as part of our team. Kathy is a skilled therapist who has trained for and completed two Iron Man races and a number of marathons including the Boston Marathon. Kathy is able to provide treatment and training for those athletes who are training for marathon, triathalon, or Iron Man races.

Concussion Screening

Concussions are a common occurrence in sport and concussions can result in permanent brain damage. Sport participation is an important part of our children’s development and it is our responsibility as parents, coaches and trainers to keep our children safe and help them excel as they continue to grow and progress in their sport.

Why should I consider concussion baseline testing?

If an athlete sustains two concussions in a short period, it can cause permanent brain damage. A baseline test allows your health professional to understand your current cognitive abilities. In the unfortunate event that you do sustain a concussion during your season, you will be returned to play once your post-concussion test scores match your baseline. Then we know your brain is fully recovered and it is safe for you to play.

Should all athletes have a concussion baseline test?

It is recommended that any athlete participating in contact sport have a concussion pre-season baseline test, once per year to every other year. Both recreational athletes and competitive athletes are susceptible to sustaining a concussion.

Options for Baseline testing:

  • IMPACT test – 30 minute neurocognitive computer test (age 9 and up) Cost $30.00
  • SCAT3 test – Internationally used for baseline testing and post-concussion assessment (all ages). Measures memory function, balance, and co-ordination. Cost $60.00
  • Both IMPACT test and SCAT3 – cost $90.00 (Ideal, but at minimum use the IMPACT test)

NOTE: Baseline assessments can be covered by extended health insurance under physiotherapy.
NOTE: Discounts available for team bookings of more than 10 players.


How does my concussion baseline test get used if I sustain a concussion during my season?

In the unfortunate event that you sustain a concussion, the first step is to visit your family physician who will oversee your care. At minimum you may be asked to repeat your concussion tests to see if you match your baseline. If you have sustained a mild to moderate concussion you may be asked to seek treatment, which includes treatment for concussion symptoms like headaches, loss of balance, neck pain, and dizziness. You will also receive guidance with progression for return to play using the five stages of return to play protocol. Once you are at the stage where you have no symptoms and would like to return to full practice, your concussion test will be repeated, and if you match your baseline, it is recommended that you return to play. Your physician always has final clearance for return to play.

 

HCRC is committed to helping kids, their parents and coaches recognize the signs and symptoms of a concussion through education and concussion screening.

The pocket SCAT (Pocket Concussion Recognition Tool) is a great quick field assessment for coaches to use to assess for concussion and for post-injury monitoring.

HCRC provides Baseline Testing.

The SCAT 3 for children is an excellent tool for baseline testing and for post-injury monitoring.

HCRC is an ImPACT affiliated clinic.

The Impact Test is the current standard in pre and post-concussion cognitive testing for children ages 9 and up.

HCRC also provides Post-Concussion Testing and Treatment.

HCRC can assist you to understand concussion and to follow current standards regarding concussion assessment and treatment. Current guidelines recommend all athletes be removed from play if they exhibit ANY signs and symptoms of concussion. Current guidelines also recommend a step-wise return to sport and a minimum of 24 hours between each step.

The post-injury assessment of symptoms such as confusion, amnesia and other mental status changes as well as physical symptoms like vomiting, headache etc., help us to evaluate the severity of the injury. Medical referral to a family physician/sports physician is essential, and working with a physiotherapist who treats concussion is also extremely helpful. Along with your physician a physiotherapist will help to guide the five stages of return to play. Your physiotherapist will provide treatment for neck pain, headaches, dizziness, loss of strength or balance, and will provide re-testing before return to game play. Once you have reached your original baseline measures, a final visit to your family physician will allow you to return to game play.

Most athletes, in fact 80% usually have symptoms that resolve within 7-10 days. It can take children longer to recover, and they are more susceptible to concussion than adults. As children age, deficits that were more subtle, can become more evident. Returning to play too soon after a concussion can result in a worsening of symptoms and slow recovery. With more than one concussion the effects are cumulative, worse with each concussion. Returning to play too soon can result in permanent brain injury causing chronic headaches and fatigue, difficultly with balance, coordination, and thinking (memory, concentration, fatigue, behavioural problems) and other changes so that your child could no longer be involved in sport and may have difficulty with recreation, completing school work and becoming employed in the future.

If one of our athletes fall within the 20% that do not resolve, it is imperative that the athlete is followed by a health professional, with the aim for full recovery, which could take several weeks, to several months.

 

Contact Us

Phone: 905-876-1515

Fax: 905-876-3737

Email: admin@hcrc.ca

 

 

Concussion Baseline Testing

HCRC offers concussion baseline testing.

CLICK HERE for details