![]() Pretty cool stuff when that happens! At this point things differ for athletes and non-athletes:Īthletes are not off the hook. Passing the BCTT simply means you are now ready for non-contact practice and non-contact sport-specific training. The goal is that you should be able to increase exercise intensity weekly until (often sooner than you’d predict) you can complete the entire BCTT to full exertion or without symptoms flaring up. If your doctor has not performed a treadmill test (or another form of autonomic testing) EARLY in your management, find a new doctor.įrom here, you will re-up your results weekly based on your unique exercise tolerance. What does this look like over time? Your doctor should be getting your BCTT (or another form of autonomic testing) within the first week after your concussion. One of my teachers and mentors in the neurology world had a beautifully practical way for you to approach exercise from home, during the quarantine. And so the cycle goes until you can perform at your maximal intensity without symptoms. For rehab, we have you exercise at a steady 70-80% of that heart rate for 20-30min each day, and then re-test. Generally speaking, we can say that it is at that intensity (heart rate) where your “symptom threshold” exists. This is a test where we have you walk on the treadmill and then slowly increase the incline over time to see if and/or when your concussion symptoms start to get worse. In-office we can perform something called the Buffalo Concussion Treadmill Test (BCTT). How can you find your physical activity “sweet spot?” ![]() Here’s a simple analogy… Let’s break your arm.įor those of you wanting the jargon and details, be sure to check out the references at the end of the article. By doing this, we see that you recover faster and, thus, get to return to your sport or life faster. The goal is a “graded” or “progressive” reintroduction of exercises and rehabilitation exercises. This means that if an activity (mental or physical) makes your symptoms worse, then we should probably pull back a bit and stick to lighter or easier activities. If you read that whole quote, you’ll notice that your activity should stay below symptom-exacerbation thresholds. The exact amount and duration of rest is not yet well defined in the literature and requires further study.” - Berlin Consensus 2016 The goal is to find YOUR unique sweet spot for activity. It is reasonable for athletes to avoid vigorous exertion while they are recovering. After a brief period of rest during the acute phase (24–48hours) after injury, patients can be encouraged to become gradually and progressively more active while staying below their cognitive and physical symptom-exacerbation thresholds (ie, activity level should not bring on or worsen their symptoms). “There is currently insufficient evidence that prescribing complete rest achieves these objectives. When I say “we,” I’m saying that the leading consensus statement on concussion care suggests this based on conclusions made from interpreting lots of research: We’re finding that 24-48hrs is about all you really need. Just sit in a quiet and dark bedroom, wear sunglasses, and hermit until you miraculously recover. ![]() Hibernating after concussion… could delay your recovery.Īfter a concussion, most people assume the following are mandatory:
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