Training Webinar
advancing
concussion management
TBI,
Concussions
& ImPACT
IDD
Traumatic Brain Injury,
Concussions and
ImPACT IDD Testing
Presenter:
Diana Toto, M.S.
Moderator:
Labiba Russo
Chief Training & Education Officer
ImPACT Applications, Inc.
Attendees must take completion quiz:
https://www.classmarker.com/onlinetest/start/?quiz=4bc56168fd830ac5
Copyright 2016 by ImPACT Applications, Inc. All rights reserved. No part of this publication may be
reproduced, stored or transmitted in any form by any means including electronic, mechanical, photocopy,
recording or otherwise without the prior written permission of ImPACT Applications, Inc.
2
Table of
Contents
Traumatic Brain Injury,
Concussions and ImPACT IDD
Table of Contents
Section 1
Course Description
P. 4
Section 2
Course Information
P. 5
Section 3
Speaker & Staff
Information
P. 7
Section 4
Special Olympics Return
to Play Guidelines
P. 10
Section 5
Presentation Handouts
P. 11
Section 6
Helpful Links and
Documents
P. 18
3
Traumatic Brain Injury,
Concussions and ImPACT IDD
Course Description
Section 1
Course
Description
This course will provide information on concussion,
concussion recovery and instruction on ImPACT IDD
testing for athletes with Intellectual and
Developmental Disabilities. Our presenter will also
cover proper use of the testing and safety
recommendations for recovery on and off the field.
Goals for this webinar include the following:
 To familiarize SONJ coaches with ImPACT IDD
Testing
 To define concussion and how to recognize signs
and symptoms
 To educate on proper steps to safe recovery from
concussion
Target Audience
This activity is targeted to SONJ coaches, nurses,
teachers, parents and athletes.
4
Section 2
Course
Information
Credit Designation
Completion Requirement
When applicable, number of hours actually completed is the amount
of time spent actually attending the workshop rounded to the closest
¼ hour.
Discipline
Continuing Education Credits
Athletic
Trainers:
ImPACT Applications, Inc. is recognized by the Board of
Certification, Inc. to offer continuing education for
Certified Athletic Trainers. This program has been
approved for a maximum 1.5 hours of Category A
continuing education. Certified Athletic Trainers are
responsible for claiming only those hours actually
spent participating in the continuing education activity.
Physical
Therapists:
ImPACT is not able to offer continuing education to
Physical Therapists for this webinar. If you are looking
for continuing education, ImPACT is approved for
Physical Therapist continuing education in several
states for video on-demand courses. Visit
https://www.impacttest.com/pdf/ITPTCEStates.pdf for
a complete list of approved courses by state.
Physicians:
At this time ImPACT is not able to offer CME Credits to
medical professionals but a certificate of attendance
will be issued and may be turned into a Category II
CME Credit.
Other
Healthcare
Professions:
At this time ImPACT is not able to offer continuing
education credits to occupational therapists,
psychologists, registered nurses, or other healthcare
professions. We are in the process of applying to be
able to offer credits to as many disciplines as possible
and hope to have the ability to offer credits at future
training events.
5
Section 2
Course
Information
Disclosure Statement
ImPACT Disclosure
The ImPACT Applications, Inc. software is a tool that
provides basic data related to neurocognitive functioning.
The software does not provide treatment recommendations or a specific medical
diagnosis with respect to any particular end user. Training provided or facilitated
by ImPACT Applications, Inc. on the use of its software is intended to provide
users with the ability to properly administer the tests embedded in the software
and to become familiar with the types of data generated by the software.
Treatment decisions that you and/or your organization make based on the data
generated by the software is in you and/or your organization’s sole and absolute
discretion. By participating in the training, you and your organization
acknowledge and agree that ImPACT Applications, Inc., its officers, directors,
employees, or agents and affiliates and their respective successors and assigns
will not be held liable for claims of medical malpractice, practicing medicine
without a license or similar claims made by you, your organization or any third
party. To the fullest extent permitted by applicable law, you and your
organization agree to hold ImPACT Applications, Inc., its officers, directors,
employees, agents, and affiliates and their respective successors and assigns
harmless and to indemnify ImPACT Applications Inc. and its officers, directors,
employees, agents, and affiliates and their respective successors and assigns
against any and all such claims.
Cancellation Policy
If you are unable to participate in an ImPACT Training Workshop that you have
paid for you may request: (i) a refund, but only if you provide lmPACT with at
least three (3) calendar days notice in advance of the workshop; (ii) reschedule to
participate in another workshop of equal or lesser value; or (iii) substitute
someone to participate in the workshop in your place. If you provide notice to
ImPACT fewer than three (3) calendar days in advance of the workshop, you may
reschedule to participate in another event of equal or lesser value or substitute
someone in your place, but you cannot receive a refund. All cancellations and
refund requests must be submitted by the purchaser to lmPACT Applications,
Inc. and emailed to training@impacttest.com
6
Speakers and Staff
Section 3
Speakers
and
Staff
Active Director
Mark Lovell, PhD, FACPN, D. Sci (Hon)
Chairman of the Board and Chief Scientific Officer
ImPACT Applications, Inc.
Pittsburgh, PA
Planning Committee Members
Active Director
Labiba Russo
Chief Training & Education Officer
ImPACT Applications, Inc.
Fort Lauderdale, FL
Hannah Eichelberger
Project Manager
Training and Education Department
ImPACT Applications, Inc.
Boulder, CO
Melinda Dietz
Project Manager
Training and Education Department
ImPACT Applications, Inc.
Iowa City, IA
Guest Faculty
Diana Toto, M.S.
Program Director,
Matthew J. Morahan III Health Assessment Center for Athletes
at Barnabas Health
7
Training & Education Department
Section 3
Staff Bios
Labiba Russo
Chief Training & Education Officer
After graduating from the University of Pittsburgh, Labiba worked
as VP of Marketing for a Pittsburgh financial planning firm. She
then became a Conference Planning Manager for the University
of Pittsburgh Medical Center’s Continuing Education in Health
Sciences Center. In 2002, Labiba joined the ImPACT team as the
Chief Sales & Marketing Officer before transferring to her current
role as the Chief Training & Education Officer. She is responsible
for ImPACT’s Training & Education Department.
Hannah Eichelberger
Project Manager
Hannah graduated from the University of Iowa in the Spring of
2015 with a degree in Communication Studies and a Certificate in
International Business. She joined the ImPACT team in 2012 as a
Support Specialist before transferring to her current role as a
Training & Education Department Project Manager in May 2014.
Her primary responsibilities are to plan and coordinate training
events and to assist in the development of new training programs
and curriculum.
Melinda Dietz
Project Manager
Melinda graduated from the University of Iowa with a Bachelors
of Business Administration in Management and Organizations in
the Spring of 2015. She joined the ImPACT team in November of
2014 as the Administrative Assistant to the Training and
Education Department before transitioning to her current role as
Project Manager in 2016. She primarily handles customer support
for the T&E Department. She also assists the Training and
Education Department in coordinating webinars and workshops.
8
Section 3
Speaker Bio
Speaker Biography
Diana Toto, M.S.
Program Director,
Matthew J. Morahan III Health
Assessment Center for Athletes
at Barnabas Health
Diana Toto is a masters prepared exercise physiologist with a special interest
in children and special populations. She has worked for nine years in the
health care industry with varying groups of patients to help develop
appropriate protocols that monitor, and improve patient quality of life and
management. She took a special interest in athletes and concussion
management when she became the Program Director of the Matthew J.
Morahan III Health Assessment Center for Athletes at Barnabas Health in
2011. With a focus on concussion and cardiac issues in youth athletes, the
program has evolved into a statewide effort to provide education, evaluation
and assessment of sports injury and sports related cardiac and concussion
screenings. Being at the forefront of a program that has provided education
across the state of New Jersey to over 9000 participants and that has
completed over 15,000 screenings, she continues to be fully committed to
spreading the program’s important message of playing it safe and is thrilled
to be able to offer specialized training with Special Olympics New Jersey.
9
Special Olympics
Return to Play Guidelines
Section 4:
Special
Olympics
Return to Play
Guidelines
A participant who has been removed from
practice, play or competition due to a suspected
concussion may not participate in Special
Olympics sports activities until either of the
following occurs (i) at least seven (7) consecutive
days have passed since the participant was
removed from play and a currently licensed,
qualified medical professional provides written
clearance for the participant to return to
practice, play and competition or (ii) a currently
licensed, qualified medical professional
determines that the participant did not suffer a
concussion and provides written clearance for
the participant to return to practice play
immediately. Written clearance in either of the
scenarios above shall become a permanent
record.”
10
© Copyright 2016 ImPACT Applications, Inc.
All rights reserved. No part of this publication maybe reproduced in whole or
in part or transmitted in any form or by any means without the prior written
permission of ImPACT Applications, Inc. For information regarding permission,
please write to ImPACT Applications, Inc., copyright@impacttest.com
ImPACT® and associated logos are trademarks of ImPACT Applications, Inc.
Traumatic Brain Injury,
Concussions and ImPACT IDD Testing
Trademarks
Speaker: Diana Toto, M.S.
Program Director
Matthew J.Morahan III Health Assessment Center for Athletes
at Barnabas Health
Moderator : Labiba Russo
Chief Training & Education Officer
ImPACT Applications, Inc.
ImPACT® and the ImPACT logos are trademarks of ImPACT Applications,
Inc. and may not be duplicated, removed or altered without ImPACT
Applications, Inc.’s express written consent.
impacttest.com
1
Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
Disclaimer
The ImPACT ®Applications, Inc. software is a tool that provides basic data
related to neurocognitive functioning. The software does not provide
treatment recommendations or a specific medical diagnosis with respect to
any particular end user. Training provided or facilitated by ImPACT Applications,
Inc. on the use of its software is intended to provide users with the ability to properly
administer the tests embedded in the software and to become familiar with the
types of data generated by the software. Treatment decisions that you and/or
your organization make based on the data generated by the software is in you
and/or your organization’s sole and absolute discretion.
By participating in the training, you and your organization acknowledge and agree
that ImPACT Applications, Inc., its officers, directors, employees, or agents and
affiliates and their respective successors and assigns will not be held liable for claims
of medical malpractice, practicing medicine without a license or similar claims made
by you, your organization or any third party. To the fullest extent permitted by
applicable law, you and your organization agree to hold ImPACT Applications, Inc., its
officers, directors, employees, agents, and affiliates and their respective successors
and assigns harmless and to indemnify ImPACT Applications Inc. and its officers,
directors, employees, agents, and affiliates and their respective successors and
assigns against any and all such claims.
impacttest.com
Best Practices and Health Care Providers
Copyright Notice
Copyright Notice :
•
This webcast is copyrighted by ImPACT Applications, Inc. for a one-time, private viewing
by individuals who registered to attend through the ImPACT website.
Group Viewing :
•
By registering to view the webcast through the ImPACT website you are confirming that
you are a single customer viewing our course. Group viewing is not available unless you
have ImPACT’s prior written consent. If you are interested in arranging for group viewing,
please contact the Training and Education Department at training@impacttest.com.
BOC Monitoring :
•
ImPACT is working closely with the BOC on monitoring BOC credits. If you have
questions about the BOC’s policy for offering group credits, please contact Jessica
Roberts at the BOC at JessicaR@bocatc.org.
Any other use of this webcast, or of any pictures, descriptions, or accounts of the training
found within the webcast, without ImPACT’s prior written consent, is strictly prohibited.
Recording this webcast is also prohibited.
4
Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
Provider Disclosure Statement
All Health Care providers should refer to the local, state,
and country laws in which they are licensed in order to
stay within their scope of practice.
In compliance with continuing education
requirements, all presenters must disclose any
financial or other associations with the
manufacturers of commercial products, suppliers
of commercial services or commercial supporters
as well as any use of unlabeled product(s) or
product(s) under investigational use.
Only Health Care Providers that are authorized by
their local, state, and country laws should make
return-to-play decisions.
All of our presenters are compensated for
presenting their materials during this webinar.
ImPACT firmly believes in a multi-disciplinary team to
manage concussions. We have a Best Practices
document on our website to assist in creating this multidisciplinary team.
© Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
5
© Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
6
11
Presenter Disclosure Statement
ImPACT Applications, Inc. does not discriminate on the
basis of race, color, national origin, religion, sex, disability,
military status, sexual orientation, or age. ImPACT
Applications, Inc. is committed to accessibility and
nondiscrimination in all aspects of its continuing
education activities. Participants who have special needs
are encouraged to contact program organizers so that all
reasonable efforts to accommodate these needs can be
made.
The statements and opinions contained
in this program are solely those of the
presenter.
7
© Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
Non-Discrimination Statement
8
© Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
Traumatic Brain Injury,
Concussions and ImPACT IDD Testing
SONJ Custom Courses
SONJ - Administration and Baseline Testing
This course will discuss information needed for administration of the ImPACT
test. Included will be an overview of the ImPACT IDD test and a review of basic
concussion information.
Objectives:
SONJ Concussion/mTBI for Coaches
This course will help Special Olympic coaches learn to recognize and respond
to concussions, help athletes return to learn and play, and recognize the
importance of baseline testing.
https://www.impacttest.com/training/events/page/special_olympics_new_jers
ey
© Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
Course Description
This course will provide information on concussion, concussion
recovery and instruction on ImPACT IDD testing for athletes with
Intellectual and Developmental Disabilities. Our presenter will also
cover proper use of the testing and safety recommendations for
recovery on and off the field.
9
• To familiarize SONJ coaches with ImPACT IDD Testing
• To define concussion and how to recognize signs and symptoms
• To educate on proper steps to safe recovery from concussion
Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
10
Diana Toto, M.S.
Diana Toto, M.S.
Disclosure Statement
Program Director,
Matthew J. Morahan III Health
Assessment Center for Athletes
at Barnabas Health
Diana Toto is a masters prepared exercise physiologist with a special interest in
children and special populations. She has worked for nine years in the health care
industry with varying groups of patients to help develop appropriate protocols that
monitor, and improve patient quality of life and management. She took a special
interest in athletes and concussion management when she became the Program
Director of the Matthew J. Morahan III Health Assessment Center for Athletes at
Barnabas Health in 2011. With a focus on concussion and cardiac issues in youth
athletes, the program has evolved into a statewide effort to provide education,
evaluation and assessment of sports injury and sports related cardiac and concussion
screenings. Being at the forefront of a program that has provided education across the
state of New Jersey to over 9000 participants and that has completed over 15,000
screenings, she continues to be fully committed to spreading the program’s important
message of playing it safe and is thrilled to be able to offer specialized training with
Special Olympics New Jersey.
Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
11
Diana Toto is an employee of Saint
Barnabas Medical Center.
Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
12
12
Traumatic Brain Injuries (TBIs):
An Overview
Traumatic Brain Injury,
Concussions and ImPACT IDD Testing
Presenter: Diana Toto, M.S.
Program Director,
Matthew J.Morahan III Health
Assessment Center for Athletes
at Barnabas Health
Moderator: Labiba Russo
Chief Training & Education Officer
ImPACT Applications, Inc.
What is a Concussion?
• Type of TBI caused by a bump, blow or jolt to the head
or by a hit to the body that causes the head and brain to
move rapidly back and forth
• 1.7 million people in the US seek
medical attention as a result of a TBI
• Almost 500,000 occur in children
under the age of 14
• 275,000 require hospitalization
• 52,000 deaths per year
• Over 1 million Americans visit the ED
with TBIs annually
• 4.5 million Americans live with TBIrelated disabilities
Concussion
• Disturbance of brain function vs.
structure
– (software vs. hardware problem)
– Acceleration / Deceleration injury
• Results in physical, cognitive, emotional, and sleep
related symptoms
• May or may NOT involve loss of consciousness
• Symptoms may last from several minutes, to days,
weeks, months, or even longer in some cases.
• Typically results in the rapid onset
of short-lived impairment of
neurologic function that resolves
spontaneously within 10 days.
• 95% of patients are symptom free
within one month.
• Every concussion is different.
Concussion
Signs and Symptoms
Signs Observed
Signs Reported by Athlete
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Appears to be dazed or stunned
Is confused about assignment
Forgets plays
Is unsure of game, score, or
opponent
Moves clumsily
Answers questions slowly
Loses consciousness (even
temporarily)
Shows behavior/personality
change
Forgets events prior to hit
(retrograde amnesia)
Forgets events after hit
(anterograde amnesia)
•
Headache
Nausea
Balance problems or dizziness
Double or fuzzy vision
Sensitivity to light or noise
Feeling sluggish or slowed down
Feeling "foggy"
Irritable
More emotional
Concentration or memory
problems
Change in sleep pattern
Concussion
Signs and Symptoms
• Symptoms: somatic (headache), cognitive (feeling like
in a fog), or emotional (sadness)
• Physical signs (loss of consciousness, amnesia)
• Behavioral changes (irritability)
• Cognitive impairment
(slowed reaction time)
• Sleep disturbance (drowsiness)
13
Gender Differences
• More incidence of concussion in females.
• Noted anatomical difference in musculature between
men and women.
• Some studies suggest stronger muscles in the neck are
better able to absorb force and lessen forces on the
brain.
• Reporting of symptoms may be a factor.
• Women found to report symptoms more honestly.
Cumulative Effects of Concussions
Raising the Bar on Concussion
• State laws have raised the bar on
concussion management causing
increased attention to concussion
management and an influx in
concussion research.
• The NCAA and professional
sports organizations now support
multiple studies for testing.
• It has been nationally recognized that symptom reporting
is unreliable and cannot be the only method of
assessment.
Consequences of Concussions
• Second Impact Syndrome
• Having had a previous concussion is associated with a
higher chance of sustaining a concussion in the future.
• The severity of concussions and their symptoms may
worsen with successive injuries even if subsequent injury
occurs weeks or years after the initial concussion.
• Sustaining three or more concussions means a five times
greater risk of developing Alzheimer’s disease early, and
a three times greater risk of developing memory deficits.
Second Impact Syndrome (SIS)
• Second Impact Syndrome occurs when
an athlete returns to play too early
after suffering from an initial
concussion.
• Minimal force can cause irreversible
damage.
• Results in increased cerebral blood
volume, which can result in brainstem
herniation and death.
• The pressure to the brain increases
rapidly causing brain death in as little
as 3 to 5 minutes.
Second Impact Syndrome
• Brain swells dangerously after a minor blow.
• Seen in people who receive a second blow days or
weeks after an initial concussion before its symptoms
have gone away.
• Brainstem can fail within 5 minutes.
• Rare condition: 4-6 people under the age of 18 will die
per year.
• Do NOT ignore post-concussive symptoms!
• High fatality rate in young athletes.
14
Second Impact Syndrome
Uninjured Brain
Effects of SIS
Post Concussion Syndrome
• Chronic headaches
• Fatigue
• Sleep difficulties
• Personality changes (e.g. increased
irratability, emotionality)
• Sensitivity to light or noise
• Dizziness when standing quickly
• Deficits in short-term memory, problem solving and
general academic functioning
• May take weeks to months to resolve!
The Buzz on Brains
Quick Tips for the Coach
What we’ve learned?
• Know the signs and symptoms of concussion
• Brain rest beyond 48 hours is controversial.
• Remove from play if you “suspect” a concussion
• A progressive return to learning is encouraged sooner rather
than later for brain recovery.
• Monitor closely for any worsening of symptoms
• PCS patients can commonly develop depression, PTSD, or
other syndromes. Pulling a child out of their environment can
at times increase these symptoms/prolong recovery.
• There is currently no diagnostic tool or biomarker for
concussion.
Quick Tips for the Parents
• Inform parents/siblings of signs, recommend follow-up
with appropriate healthcare professional trained in
concussion management
• Upon return to sports, slowly progress intensity of
participation over 5 days
• Remove athlete if any signs or symptoms return after
re-reengaging in activity
Supporting Athletes with
Concussion
• Monitor closely for worsening of symptoms, if
symptoms worsen contact physician or ED
• Shortened school/workday
• Allow good nights sleep
• Rest breaks during the school/workday
• Encourage and maintain good nutrition and hydration
• Reduced homework/coursework, allow extra time as
necessary
• Limit screen time, avoid busy places, avoid activities
that worsen symptoms
• Follow-up with appropriate healthcare professional
who is qualified in concussion management
• No testing/assessments during recovery
• Work on comprehension of smaller amounts of material
• Break larger tasks into smaller parts
• Develop schedule for completing critical assignments
15
Zone Concept of Class
Participation Status
Zone 1
Zone 2
Zone 3
Zone 4
Zone 5
How Teachers Can Help
• Look for changes in…
– Classroom behavior
– Social behavior
– Academic performance
– Symptoms
Student resting at home, no school work
Partial school attendance, instructional strategies in place
Full school day attendance, modified class participation, instructional strategies in place
Full class attendance and mental/physical participation, instructional strategies in place
Full classroom participation, no instructional strategies, ready to return to play • Teacher observations of student provide insightful
information
• Engage in ongoing communication with counselor,
school health nurse, health room aide,
parent/guardian
*Zone designation based on the class in which symptoms are most
prevalent
When is it Safe
to Return to Sports?
• Return to play decisions should be left to appropriate
healthcare providers trained in concussion management
• Athletes should be asymptomatic with cognitive and
physical exertion
• Athletes should progressively increase activity over
several days while being closely monitored for any return
of symptoms
• Athletes should rest it any symptoms return with exertion
Zurich Graduated RTP Protocol 2012
Rehabilitation Level
1. No activity, minimum 24 hours
following the injury where
managed by a medical
practitioner, otherwise 14 days
following the injury
• Baseline testing logistics?
• How often should it be repeated?
Complete physical and cognitive rest without
symptoms
Recovery
Walking, swimming or stationary cycling
keeping intensity, <70% maximum predicted
heart rate. No resistance training. Symptom
free during full 24-hour period.
3. Sport-specific exercise during
the 24-hour period
Running drills. No head impact activities.
Symptom free during full 24-hour period.
4. Non-contact training drills
during 24-hour period
Progression to more complex training drills,
e.g. passing drills. May start progressive
resistance training. Symptom free during full
24-hour period.
Increase heart rate
Add movement.
Exercise, coordination, and
cognitive load.
5. Full contact Practice
Following medical clearance participate in
normal training activities
Restore confidence and
assess functional skills by
coaching staff
6. After 24 hours return to play
Player rehabilitated
Recovered
Immediate Post-Concussion Assessment
& Cognitive Testing (ImPACT) IDD

• Why baseline testing is important?
Objective of Each
Stage
2. Light aerobic exercise during
24-hour period
Baseline ImPACT IDD Testing
• What is baseline ImPACT IDD Testing?
Functional Exercise at each Stage of
Rehabilitation
IDD (Intellectual and Developmental Disability)
Variables that differ from regular ImPACT
• One on One testing vs group testing
• Test time is half that of testing for ages 10 and up
• Skip Module Option
• Yes or No questions vs Rating Scale
• Parent can be present for testing
• Game Style Modules/iPad Touch Screen
• All instructions read aloud
16
Why ImPACT Test
Special Olympics Athletes?
• Concussion is overall the most
common type of traumatic brain
injury
• Yearly incidence of 6/1,000
people
• Accuracy of reporting symptoms
• Emphasis on the severity of the injury can be evaluated without
direct Q & A
• Baseline values are important to determine processing speed,
memory, etc.
• Normative Data very variable
ImPACT
Recommendations
• Retest 24-72 hours post injury no matter the severity of
symptoms
– Then at minimum weekly intervals until complete recovery
depending on individual case
• Testing more than twice in a week may effect validity
***Post injury testing should return to baseline values
prior to returning to competition.
REMEMBER…
Missing a game or a
season is better
than missing out on
the rest of your life.
ImPACT IDD Test
Components include:
• Reaction time
• Working memory
• Sustained and selective attention time
• Response variability
• Non-verbal problem solving
Testing and Administration
Recommendations
• Well Lit Room
• Spaced out seating
• 1-to-1 ratio
• Parents allowed in the room to answer demographic
questions
Main objective: Encourage participation not frustration!
Skipping sections may be more appropriate in some cases.
Completion Quiz
https://www.classmarker.com/onlinetest/start/?quiz=4bc56168fd830ac5
© Copyright 2016, ImPACT Applications, Inc. All Rights Reserved.
17
Section 6
Additional
Information
Additional Information
•
•
•
Useful Links
Helpful Clinical
Documents
Copyright & Trademark
Moderator
Labiba Russo
Chief Training & Education Officer
ImPACT Applications, Inc.
Copyright 2016 by ImPACT Applications, Inc. All rights reserved. No part of this publication may be
reproduced, stored or transmitted in any form by any means including electronic, mechanical, photocopy,
recording or otherwise without the prior written permission of ImPACT Applications, Inc.
18
Helpful
Links
Helpful Links
Item
Description
Link
Peer Reviewed
Reference Articles
A list of ImPACT’s Peer Reviewed References
www.impacttest.com/References.pdf
ImPACT Abstracts
A list of ImPACT Abstracts
www.impacttest.com/pdf/7BImPACTAbst
ractspdf.pdf
ImPACT’s Client
Resource Center
A wealth of information from downloadable
forms to helpful links.
http://impacttest.com/support
client password: ImClient2011
Mobile ImPACT
Customer
Center™ app
With this app for iPhone, iPad and iPod Touch,
ImPACT’s customers can access their account
from an iOS device.
http://itunes.apple.com/us/app/impactmobilecustomer-center/id555073365
Post-Concussion
Sideline Inventory
With this app for iPhone, iPad and iPod Touch,
breakthrough inventory has undergone rigorous
scientific study to objectively measure symptoms
commonly reported by athletes.
With this app for iPhone, iPad, and iPod Touch,
Sideline ImPACT is a brief cognitive test designed
to help identify signs and symptoms of
concussion via the convenience of a mobile app
for immediate administration when the
suspected injury occurs.
Like us on Facebook for updates and news.
https://itunes.apple.com/us/app/pcsi/id6
60023511
ImPACT’s Best
Practices
For Schools and Teams
https://www.impacttest.com/pdf/improt
ocol.pdf
ACSM Position
Statement on
Concussions
Revised consensus statement better guides team
physicians in concussion management
http://www.acsm.org/aboutacsm/mediaroom/news-releases/2011/
11/16/same-dayreturn-to-play-no-longeran-option-forconcussed-athletes
AMSSM’s
Consensus
Statement on
Concussions
Concussion (Mild Traumatic Brain Injury) and the
Team Physician: A Consensus Statement
http://www.amssm.org/MemberFiles/TP
CCStatement2006.pdf
CDC’s Heads Up
Concussion
Program
The Centers for Disease Control and Prevention
is a great resource to gather additional
information regarding concussions.
http://www.cdc.gov/concussion/headsup
/
NATA’s
Concussion
Position
Statement
NCAA Concussion
Awareness
National Athletic Trainers’ Association Position
Statement: Management of Sport-Related
Concussion
http://www.nata.org/sites/default/files/M
gmtOfSportRelatedConcussion.pdf
Direct link to the NCAA Concussion Awareness
Website
http://www.ncaa.org/health-andsafety/medical-conditions/concussions
NFHS Concussion
in Sports
E-Learning Course for High School Coaches
http://www.nfhslearn.com/electivedetail.
aspx?courseid=15000
Vienna
Concussion
Guidelines
Summary and Agreement State of the 1st
International Symposium on Concussion in Sport,
Vienna 2001
http://www.impacttest.com/pdf/7CVienn
aConcussioninSportpdf.pdf
Sideline ImPACT
ImPACT’s
Facebook Page
https://itunes.apple.com/us/app/sidelinei
mpact/id660066713
https://www.facebook.com/pages/ImPAC
T-Test-Concussion-ManagementProgram-for-Athletes/172173736183751
19
Helpful Clinical Documents
Helpful
Clinical
Documents
All the documents that are described below can be found on ImPACT’s
Website at www.impacttest.com/support in the Client Resource Center. To gain access to
these documents, use this client login: ImClient2011.
Item Document Title
Brief Description
A.
Baseline Worksheet
B.
Clinical Protocol & Heath History
To be used to gather specific demographic
and background information on the test
taker.
For use by medical professionals to gather
information regarding the current injury.
C.
Follow-up Interview
D.
Post-Concussion Symptom Scale
(Multi-Day)
E.
F.
Post-Concussion Symptom Scale
(Single Day)
Clinic Exertion Form
Use this form to rate each symptom for a
single day.
To be used to show the limits of the injury
athlete’s exertion
G.
Academic Accommodations
Used to explain to school officials some of
the symptoms a student-athlete may be
experiencing during recovery of injury and
recommend course of action the school
should take to help that student-athlete.
H.
Clinic Physical Education Notes
I.
Clearance Form
School excuse form for missing either
classes and/or any sporting activity
including gym.
Student-athlete has been cleared to return
to play without limitations
J.
Rest and Recovery Article
Use this form to continually gather
information from the injury post-first
clinical evaluation.
Use this form to rate each symptom based
on multi-days
Featuring concussion recovery and
physical rest guidelines
20
Helpful Clinical Documents
Helpful
Clinical
Documents
All the documents that are described below can be found on ImPACT’s
Website at www.impacttest.com/support in the Client Resource Center. To gain access to
these documents, use this client login: ImClient2011.
Item Document Title
Brief Description
K.
Sample CIC (UPMC) PostConcussion Rehabilitation
Guidelines
ImPACT Best Practices Concussion
Management Protocol
Discusses stages of rehabilitation
M.
Center for Rehab Services:
Dizziness Handicap Inventory
N.
O.
MRI Script
Vestibular Script
Recap of on how the injured person may
be feeling about certain social settings or
day-to-day activities
Form to obtain MRI Test
Form to obtain Vestibular Test
P.
Employer Accommodations
L.
Q.
R.
S.
Concussion management protocol for
schools and teams
Excuse document informing the employer
on the limitation of an injured employee
Physical Therapy Rehabilitation
This document allows the medical
Form
professional to take into consideration
symptoms of the injured person as they
start physical rehabilitation
Academic Accommodations Return This document will explain the different
to Learn Stages
stages that a student-athlete needs to
return back to learning.
VOMS Exam Video
This video will show the proper techniques
on how to conduct a VOMS test.
T.
VOMS Exam & Instructions Form
Use this document as you are conducting
your VOMS test.
U.
VOMS Guidelines
This article details the VOMS test and how
to best utilize it.
V.
Clinical Trajectories and Treatment This article discusses the six clinical
Pathways
trajectories and how to identify them in a
clinical setting.
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Additional
Information
Thank you for attending
our webinar!
For more ImPACT Training, visit
our website at
www.impacttest.com/training.
Contact us at 877-646-7991
with any questions.
Copyright 2016 by ImPACT Applications, Inc. All rights reserved. No part of this publication may be
reproduced, stored or transmitted in any form by any means including electronic, mechanical, photocopy,
recording or otherwise without the prior written permission of ImPACT Applications, Inc.
ImPACT and the ImPACT Logos are trademarks of ImPACT Applications, Inc. and are used herein with the
express written permission of ImPACT Applications, Inc. and may not be duplicated, removed or altered
with ImPACT Applications, Inc.’s written consent.
22