Getting Started

Alright....let's get this thing started....for those of you with experience withImpact or the like, how well does the testing help with yoru decisions vis-a-vis return to play ? Are you shocked at the deficits still being found when your athlete would have otherwsie been cleared ? BFK

Comments
michele gilsenan's Gravatar We have started to use IMPACT on the high school
level and have found that we are keeping players
out a week longer than in the past. We use the tool
as an adjunct and many parents are expecting us to
use this tool.
# Posted By michele gilsenan | 11/9/09 12:39 AM
bernard king's Gravatar Thanks Michelle. I wonder what the future holds.....There was a $7.5 mill award for 2004 SIS case, NFL doing PSA's on concussions, and parents expecting
"testing".

Also, is anyone attending the 1/16 student sm conference in Philadelphia ?
# Posted By bernard king | 1/5/10 10:40 AM
michele gilsenan's Gravatar Yes, Bernie, I will be attending the Northeast conference. It looks like a strong line up.
Do I have to register ahead of time?

michele
# Posted By michele gilsenan | 1/5/10 12:10 PM
Rob Franks's Gravatar We have been using ImPACT at Cooper Hospital for over 5 years now. It is definitely an important adjunct in our concussion management scheme. It, however, is one part of many different pieces used to care for the concussed athlete, and at tiems has been a challenge to explain to parents that it is not the end all be all of management. It does give us a good piece of objective data however. In additon, we have seen deficits that have been borne out in research of those who have not cognitively recovered even though they had the classic "ding" where in the past we would have put them right back into competition. I think it is an important adjunct for concussion management.
# Posted By Rob Franks | 1/5/10 4:26 PM
Kate Quinn's Gravatar The NE Conference should be great! Cody Clinton, our NE Regional Student Representative has put together a great lineup for the day of Saturday January 16, 2010. The theme is "Upper Extremity Injuries." Student registration prior to January 9 is $20 and after that date is $25. Checks can be made payable to "PCOM SPORTS MEDICINE CLUB." Topics included will be diagnosis and treatment of common injuries, anatomy review, bracing, surgical treatment,and OMT. Breakfast and lunch are included. There will also be an opportunity to meet the Sports Medicine Fellowship Directors and participate in a question and answer session. Following the conference there will be a Happy Hour for all participants. Hope to see everyone there! Please email Cody at codycl@pcom.edu with any questions!
# Posted By Kate Quinn | 1/5/10 11:03 PM
bernard king's Gravatar Kate, Yes, Cody has done a great job putting together the conference. Hopefully the attendance will surpass last year. Do you guys need anything else ?

Rob, great comments. Thanks. What I haven't seen is normalization of the ImPact score (objective) prior to resolution of patient complaints (subjective).

Has anyone seen any issues (cancelations, disqualifications, etc.) with regards to H1N1 ?
# Posted By bernard king | 1/6/10 3:11 PM
Kate Quinn's Gravatar Thanks Bernie. I think Cody has everything set for the Conference. We just hope that we will have a good turn out from students, residents, and attendings! Hope everyone can make it! We appreciate all of your support!
# Posted By Kate Quinn | 1/7/10 9:39 PM
bernard king's Gravatar I am still using xeroxed patient education handouts. Does anyone have a good website, cd, or other source for patient education handouts ?
# Posted By bernard king | 1/8/10 11:13 AM
michele gilsenan's Gravatar Bernie: Our fellow, Beth Raleigh, did a survey research regarding handout exercise instructions versus web site
instructions and most preferred written handouts! Granted, our numbers were small..but the outcome was
surprising.
# Posted By michele gilsenan | 1/9/10 9:33 AM
MITCH STOREY's Gravatar Major league baseball has required IMPACT for several years now. We have found that using it infrequently only when we think they are ready to return keeps the reliability up because there is a certain amount of learning that occurs with frequent administration. Umpires are surprisingly slow to recover from getting beaned.
# Posted By MITCH STOREY | 1/13/10 7:17 PM
michele gilsenan's Gravatar Just a blast to all present fellows in osteopathic sports medicine fellowships. Please ask your program directors if they have registered you and your participation in the program for the academic year 2009-2010. You must be registered so the AOASM and AOA know that you are sitting for the fellowship and on track to sit for your CAQ. Your program director can obtain the form from www.aosmcee.com or call the exec director at AOASM.
# Posted By michele gilsenan | 1/26/10 2:03 PM
Stephen Daquino, DO's Gravatar Has anyone heard anything about a Babinski sign being a finding in distance runners? Someone told me today it's a common finding, especially in distance runners. Maybe just my ignorance, but I've never heard of it.
# Posted By Stephen Daquino, DO | 2/11/10 12:56 PM
Alan Stockard's Gravatar I need help from someone smarter then me (almost all of all of you). I have a 28 yo female in tiptop shape who is a runner/cyclist. after a 25 mile bike ride she invariably get severe upper abdominal pain. Her PCP and a GI doc dida a workup and found nothing. She is of Peruvian/Japanese decent (not Mediterranean). I did amylase/lipase, ESR, ANA CBC and Hb electeophoresis-all WNL. Her exam showed significant upper abd. TTP but no rebound or organomegaly. Any thoughts?
# Posted By Alan Stockard | 9/2/10 11:38 AM
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