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Concussions are a very common injury to the brain that generally occur as a result of direct trauma to the head or trauma to the body that causes a whiplash type motion to the head and neck.  It is estimated that 1.6 to 3.8 million sports related concussions occur annually in the US.  There is a 12% incidence rate of concussion in youth sports and in addition many concussions in children occur during recreational activities such as biking, horseback riding, and playing on the playground. Girls in sports are 1.5 times as likely to sustain a concussion than boys when participating in the same sport.   In addition to sports and recreational activities adults often experience concussions due to falls, car accidents, or work- related incidents.  In the military concussions also often occur as a result of a blast.  It is estimated that symptoms from concussion resolve in 80% of people within 3 weeks but that means that 1 out of 5 people continue to suffer from the symptoms of concussion for greater than 3 weeks.

The most common symptom of concussion is a headache but many people will also experience symptoms such as nausea, light or noise sensitivity, fatigue, dizziness, memory loss and moodiness/depression. Attempts at increasing physical activity or returning to activities which require increased levels of concentration such as work or school will often cause an increase in symptoms.  Historically concussions were treated with strict rest but it has been discovered that this can actually cause a delay in recovery.  Typically, rest is prescribed for the first 24-48 hours with a gradual and graded return to physical and mental activity being the next step.  Patients need to listen to their symptoms and gradually increase activity levels with periods of rest as needed.

Physical therapy may be able to help in the recovery process.  Certain eye and vestibular exercises as well as exercise and manual therapy for the cervical spine may help with headaches and dizziness.  Gradual increases in aerobic exercise may also help to speed recovery.  Physical therapy can also address any balance disturbances that may be present.  There is some evidence that neck strength can play a role in reducing your concussion risk.  It has also been reported that following a concussion people are at increased risk for a lower extremity injury for up to a year.  Physical therapy may be able to address this increased risk through strengthening and balance exercises.  Your physical therapist can also help to guide you through the return to sport process which will include gradual return to sport specific drills, return to non-contact practice, full practice, and finally full return to competition. 

If you or a loved one has experienced a concussion and the symptoms have not resolved the physical therapists at Great Northern Physical Therapy may be able to help.  We have specialized equipment and training to assess your condition and apply appropriate treatment techniques to speed recovery and reduce the risk of recurrence.  Don’t think you have to continue to suffer or assume there is nothing you can do, take an active role in your recovery and contact us today.

Keeping Young Athletes Safe

Keep Young Athletes Safe: Your Guide to Preventing Sports Injuries

School is back in session, and so are fall sports! Whether your child plays soccer, football, volleyball, or is running cross country, keeping them injury-free should be your top priority. The good news? Most youth sports injuries can be prevented with the right approach.

Start with Smart Conditioning
Conditioning is the foundation of injury prevention. Young athletes should begin training at least 4-6 weeks before their sport starts. This gives their bodies time to adapt slowly.

Start with the basics like jogging, jumping jacks, and bodyweight squats. Add sport-specific drills gradually. A soccer player might begin with light ball work, while a runner starts with short, easy distances. The key word here is “gradually” – adding too much too soon leads to injuries.

The Power of a Proper Warm-Up
Never skip the warm-up! A good warm-up is like starting your car on a cold morning. It gets everything moving smoothly. Spend 10 – 15 minutes doing light cardio and dynamic stretches. Think leg swings, arm circles, and gentle lunges. Save static stretching (where you hold the stretch) for after practice.

Recovery is Not Optional
Here’s what many parents don’t realize: rest days are as important as training days. During rest, muscles repair and grow. Young athletes need at least one full rest day per week. They also need 8-9 hours of sleep each night.

Watch for signs your child needs more rest. Are they more tired than usual? Getting sick often? Complaining of aches and pains? These are red flags that they’re overdoing it.

Fuel the Machine
Good nutrition powers performance and prevents injuries. Make sure your young athlete eats regular meals with plenty of fruits, vegetables, lean proteins, and whole grains. Don’t forget hydration! Water should be their go-to drink, save the sports drinks for when they’re exercising for over an hour.

Listen to Their Body
Teach your child that pain is not normal. The old saying “no pain, no gain” is dangerous for young athletes. Some muscle soreness after hard workouts is normal, but sharp pain or pain that doesn’t go away needs attention. Help your young athlete learn to pay attention to their body, and to understand the difference.

When to See a Professional
If your child has pain that lasts more than a few days, affects their daily activities, or keeps them from playing their best, it’s time to see your physical therapist. Early treatment prevents small problems from becoming big ones.

Remember, the goal is to keep sports fun while building lifelong healthy habits. With proper preparation and smart training, your young athlete can have a safe and successful season!

NEURO PT

A cornerstone to treating the whole person in physical therapy is providing patient-
centered care. This is true for all forms of physical therapy, and perhaps more profound
when applied to those who’ve experienced a neurologic injury or disease. But
regardless of your reasons for seeking physical therapy services, we all want to be
seen, understood, and valued in our care.
Patient-centered care relates to understanding and honoring your unique situation and
goals. We value shared decision-making between yourself and your physical therapist,
and ensure that your physical therapy is tailored to align with your goals. We strive to
have a strong therapeutic-alliance with our patients, establishing an effective working
relationship and empowering our patients to become active participants in their care,
leading to more meaningful outcomes.
Our approach to understanding your unique situation and goals includes the use of a
biopsychosocial model of care. This model emphasizes the interconnectedness of our
biological, psychological, and socio-environmental factors in our lives. When this model
is applied to physical therapy care, we work to understand, assess, and intervene in
varied domains of your health to improve your overall well-being and to achieve your
goals.
In neurologic physical therapy, we may look at a variety of aspects of your health to
better understand how we can work together to reach your goals. This may include
assessing and treating one or more of the following:
– Physical limitations; including strength, range of motion, neural dynamics, joint
integrity, and biomechanics.
– Motor control; including our bodies ability to utilize and integrate multiple systems
to produce a movement or complete a task.
– Sensory systems; including vestibular, proprioceptive, tactile and visual systems
that impact our ability to use our bodies effectively.
– Autonomic nervous system; including the regulation of our internal processes to
help improve your functional abilities.
– Lifestyle; including understanding your sleep, nutrition, stress, and substance use
as it relates to your health and function.
– Psychosocial; understanding your self-efficacy, or confidence, in your condition
and abilities, how behavioral health may affect your physical health and function,
and your needs for autonomy and motivation in your care.

If you’d like to learn more about neurologic physical therapy and how it may be of
benefit to you in your journey, please contact us at Great Northern PT!
Phone: (406) 586-4678
Email: rita@greatnorthernpt.com

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