Concussion is a Mild Traumatic Brain Injury.

Concussions – Written by Kimberley Pilbrow (BHSc Physiotherapy)

With the start of another Winter Sports season now upon us, now is a good time for athletes, parents, coaches, officials & supporters to increase their knowledge about concussion.

Concussion is a Mild Traumatic Brain Injury which occurs when someone receives impact to the head or body causing a force to be transmitted to the brain, ie ‘shaking’ inside the skull. In a concussion injury there is no change to the macro-structure of the brain. Ie there is no permanent damage to the brain. However, there are changes at a micro level, meaning it may take some time to re-access the areas of the brain that were affected.

Historically people believed that to sustain a concussion you must be “knocked out” (loss of consciousness), this is not true- 90% of concussion occur without any loss of consciousness AND Loss of consciousness does not relate to their long-term outcomes. Ie someone who is knocked out may return safely to sport in 3-4 weeks, where as someone who is not may take 3months to recover- there is no relationship between “severity” of concussion and length of recovery.

As Concussion is a brain Injury- there is a wide range of symptoms such as:

Visible Signs:
-loss of consciousness
-slow to get up
-unsteady on feet/poor balance
-poor coordination or inappropriate playing behaviour (eg. standing out of position)
-clutching or grabbing at head
-dazed or confused
-vomiting (>once is of greater concern-take to Emergency Department)
-irritability/changes in emotions

Symptoms:
-dizziness
-headache
-nausea
-drowsiness
-“don’t feel right”
-blurred vision
-difficulty concentrating/remembering

If you (or your child) have an incident like this and have one or more of the following symptoms you should:
1) Be removed from sport immediately
2) Monitored by an adult
3) Seek Medical Attention from your GP or Concussion Trained Physiotherapist (Click here for our team)

A full list of symptoms can be found HERE– the Concussion Recognition Tool is a great resource for parents & coaches

Assessment and Treatment of Concussion:
A concussion must be diagnosed by a health professional. Examination from your Physiotherapist will include a group of tests as required including; SCAT5 or SCAT5 Child Assessment (Symptoms, Neurocognitive processing, Balance), Assessment of neck pain and movements, Neurological Exam, and Eye & Head Movements.
Treatment of each concussion is individual- REST IS NOT BEST!!
Your Physiotherapist will work with you on starting appropriate activities EARLY to aide a gradual return to daily activities (highly supported by research), followed by return to work/school and then return to sport. Your treatment plan may include; education about pacing activities, treatment of the neck joints and muscles, relearning eye tracking movements and gradual exercise progressing back to full function including work and sport specific tasks.

Key Points:
-90% of concussions occur without being knocked out
-If you suspect a concussion, remove the athlete from play IMMEDIATELY
-Seek Medical Assessment from someone trained in Concussion
-Rehabilitation is INDIVIDUALISED
-REST IS NOT BEST!
If you have had a concussion, Bureta Physiotherapy will work with you, your family and your doctor to take you through the required steps for full return to function-including sport, school or work.
Early Diagnosis is important for monitoring symptoms and guiding appropriate rehabilitation, contact us TODAY to book an appointment or discuss if our acute concussion service is right for you.

 

 

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Pregnancy Massage – Is it safe/ what are the benefits?

Debbie McNamee – Massage Therapist @ Bureta Physiotherapy explains the benefits of pregnancy massage

We all know that pregnancy is a beautiful but often trying time for expecting mothers. The changes to our bodies are not always pleasant. Luckily pregnancy massage is a proven safe and effective complementary therapy designed to help expecting mothers feel more comfortable while their bodies are going through all those pregnancy changes. It is generally performed from the second trimester onwards, right up until the birth for uncomplicated, low risk pregnancies. For women with higher risk pregnancies such as, cardiac, pulmonary or liver disorder; chronic hypertension and previous pregnancy problems, should consult with their doctor or mid-wife first.

Pregnancy massage uses long gentle effleuraging strokes to help relieve uncomfortable pregnancy side effects such as aches and pains, cramp, swollen hands and feet, stress and insomnia. Internally pregnancy massage helps to steady your pulse and blood pressure; help with regular blood flow to the uterus, placenta and foetus; reduce fear and anxiety and ease built up fluid in your lower limbs.

Muscular back aches and pain during pregnancy primarily occurs due to the weight gain on the front of the body. As the weight on your front grows, you naturally lean backwards to accommodate this new weight. This lean causes a change in your centre of gravity which places greater stress on your lower spine and can bring about achy lower backs.

Pregnancy massage can be performed sitting on a massage chair, side-lying on a massage table and in our case, lying on your stomach thanks the addition of our holo which accommodates and supports your stomach and lower back. Pregnant woman deserve to be massaged…so don’t be shy!

To book an appointment with Debbie call now

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