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44. Return To Play Protocol After A Concussion with Dr. Brandon Eck, D.O. and PT, AT Michael Keenan [PART 2]
1:18 What are the parameters for a student-athlete to return to play?
2:00 Return to play protocol is a graded 6-phase progression for return to exercise necessary before returning to competition
2:38 “Asymptomatic at school, they have to clear that before we can even talk anything field related.”
3:00 Athletes typically don’t usually start going to physical therapy with Mike Keenan until phases 2 and 3 of the Return to Play protocol.
The phases of the Return-to-Play protocol for concussions.
3:46 There is always a conversation between the physical therapist and the sports medicine physician so that a student can be cleared to continue in the return to play progression.
5:00 How Dr.Eck approaches the Return-to-play protocol with the physical therapist, the athletic trainer, and the parents.
“What I want parents or athletes to do is, if they’re doing better before our second evaluation, call me. There’s no reason to delay it, just because of the schedule.
5:50 “I can’t emphasize enough how important it is for physical therapists to communicate with and offer our observations to the physician or sports medicine doctor, knowing we don’t call the shots”- Mike Quintans
7:45 The importance of the athletic trainer in later phases.
8:05 The role the athletic trainer plays as the student returns.
9:15 What a follow-up evaluation looks like with Dr. Eck.
9:50 Does the sport a student plays change Dr.Eck’s evaluation?
13:00 Dr. Eck sites a study from March 2021, “Musculoskeletal Injuries And The Association With Previous Concussion History: A Prospective Study of High School Volleyball and Soccer Players” that found that if a student had a concussion in the last twelve months, they are 87% more likely to have an acute noncontact lower extremity injury.
16:00 Q urges better holistic testing to mitigate the overall risk of injury
“This comes down to a holistic approach to return to play. Are we clearing a concussion to return to play, or are we clearing a student-athlete to return to play?” - Q
Lighting Round
21:20 What are we doing right in regards to concussions?
23:00 What could we be doing better in sports medicine regarding concussions?
24:00 What is your biggest takeaway from recent research in concussion management?
25:00 How do we mitigate the risks and severity of concussions?
29:45 What needs to happen for us to reduce the risk of concussions overall?
32:35 Their take on the 70-30 breakdown.
34:50 “It’s very rare that I see an individual and they’re not going to get some sort of referral.”
34:50 “It’s very rare that I see an individual and they’re not going to get some sort of referral.”
36:50 Often times concussions will lead physicians to uncover underlying conditions that have gone unrecognized, especially in teenagers.
37:40 How many visits does a PT usually see the average concussion for?
38:40 “The faster you get in [to PT], the faster you get better.”
CONTACT
Dr. Brandon Eck
Orthopedic Associates of Lancaster.
Michael Keenan
PTW Ardmore
View all episodes
By Mike Quintans, PT, DPT, OCS, TPI
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1:18 What are the parameters for a student-athlete to return to play?
2:00 Return to play protocol is a graded 6-phase progression for return to exercise necessary before returning to competition
2:38 “Asymptomatic at school, they have to clear that before we can even talk anything field related.”
3:00 Athletes typically don’t usually start going to physical therapy with Mike Keenan until phases 2 and 3 of the Return to Play protocol.
The phases of the Return-to-Play protocol for concussions.
3:46 There is always a conversation between the physical therapist and the sports medicine physician so that a student can be cleared to continue in the return to play progression.
5:00 How Dr.Eck approaches the Return-to-play protocol with the physical therapist, the athletic trainer, and the parents.
“What I want parents or athletes to do is, if they’re doing better before our second evaluation, call me. There’s no reason to delay it, just because of the schedule.
5:50 “I can’t emphasize enough how important it is for physical therapists to communicate with and offer our observations to the physician or sports medicine doctor, knowing we don’t call the shots”- Mike Quintans
7:45 The importance of the athletic trainer in later phases.
8:05 The role the athletic trainer plays as the student returns.
9:15 What a follow-up evaluation looks like with Dr. Eck.
9:50 Does the sport a student plays change Dr.Eck’s evaluation?
13:00 Dr. Eck sites a study from March 2021, “Musculoskeletal Injuries And The Association With Previous Concussion History: A Prospective Study of High School Volleyball and Soccer Players” that found that if a student had a concussion in the last twelve months, they are 87% more likely to have an acute noncontact lower extremity injury.
16:00 Q urges better holistic testing to mitigate the overall risk of injury
“This comes down to a holistic approach to return to play. Are we clearing a concussion to return to play, or are we clearing a student-athlete to return to play?” - Q
Lighting Round
21:20 What are we doing right in regards to concussions?
23:00 What could we be doing better in sports medicine regarding concussions?
24:00 What is your biggest takeaway from recent research in concussion management?
25:00 How do we mitigate the risks and severity of concussions?
29:45 What needs to happen for us to reduce the risk of concussions overall?
32:35 Their take on the 70-30 breakdown.
34:50 “It’s very rare that I see an individual and they’re not going to get some sort of referral.”
34:50 “It’s very rare that I see an individual and they’re not going to get some sort of referral.”
36:50 Often times concussions will lead physicians to uncover underlying conditions that have gone unrecognized, especially in teenagers.
37:40 How many visits does a PT usually see the average concussion for?
38:40 “The faster you get in [to PT], the faster you get better.”
CONTACT
Dr. Brandon Eck
Orthopedic Associates of Lancaster.
Michael Keenan
PTW Ardmore