Concussion Technology – Summer Ott

Concussion technology has come a long way in helping us understand and manage concussions. Dr. Summer Ott discusses some of the options available and who they best fit.

Concussion Technology, Summer Ott, Sandra Harris, Jeremy Jackson

What is a digital assessment?

  • Started in the ’90s,
  • Professional teams
  • Not meant to replace traditional assessments
  • A combination of tests is still being used

Pros:

  • Efficient
  • Easy access and use of mobile devices
  • Allow tracking
  • Remote testing

Cons:

  • What/which app  is reliable
  • Who is using/trained to use
  • Environment

Considerations when deciding on a digital tool

  • Budget
  • Feasibility
  • Is it comprehensive

Age range Considerations

Comparison / Contrast different tests available

  • Example: Impact, Axon, ANAM
    • 20 min to complete
    • Test Cognitive Skills and symptom
  • Ex. C3 Logic, Sway, King Devick
    • Used with Handheld devices
    • Quicker to complete 10-15 min
    • Offer Alternative stimuli
  • Important to look at “What is the cost?”
  • Does the cost correlate to the effectiveness

What tools and how many are practitioners using in assessing Concussions

How do you pick a digital tool? / What is the right choice?

What is VOMS?

Looking at: eye movements, eye tracking, convergence, and rating symptoms while performing assessments

Symptom Checklist-

Can be broken down into clusters: Physical, Emotional, Sleep, Cognitive,

Case Management example:

Natasha Law

  • The Law and UIL sports vs Club sports on concussion

Considerations for Special populations (504, at-risk)

  • The Law and Academic Accommodations/Recommendations
  • Reach out to @ATC_mojo for PDF of Academic Recommendations

Contact Us

Jeremy JacksonMrJeremyJackson on Twitter, SportsMedicineBroadcast on IG, FB

ATCorner Podcast

Ryan Collins

Joseph Eberhardt

Christina Fry

Bob Marley

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Concussion Technology

Return To Engaging Activity – 585

After a concussion, we need to focus on helping the patient Return To Engaging Activity. Dr. Summer Ott, PsyD presents at the Memorial Hermann Sports Medicine Update and joins us for a discussion on the ever-changing landscape of concussions.

Return to engaging activity, Summer Ott, Ray Olivo

What is a return to engaging activity?

Recognize common  physical, cognitive and emotional symptoms that affect academic performance

Identify potential roadblocks

Describe an Action Plan
Each school system is different in policies.
Parents need to ask the right questions.

Texas law- applies only to athletes, for return to learn – Natasha Law (HB2038

Return to Learn

It is a step-wise return to academics

Cognitive recovery often occurs after physical recovery has happened

Some students do not feel comfortable with accommodations (504 plan)

A 504 plan is NOT necessary in every case. Accommodations are meant for only short term for recovery

Not every physician is educated in academic accommodations, parents need to ask.

It is helpful to have the Concussion injury Coordinator to facilitate (CIC)

Want an Example?

Case study:

A full day of school is key in the early stage of recovery, may cause the return of symptoms, even though at rest and previous days stated NO symptoms. The cognitive load of school also helps in concussion evaluation.

Physical symptoms- Headache, Nausea, dizziness, balance issues, blurred vision, light and noise sensitivity, sleep deprivation.

Cognitive symptoms – Concentration,fogginess,recall, mental fatigue, slow processing

Emotional symptoms – irritability, anxiety, sadness.

Pair a symptom with an intervention/accommodation.

Visit with physicians, provide resources for sample academic accommodations, present to physicians.

https://www.biawa.org/support/support-for-pediatrics

Sample Academic accommodations

Live stream of the presentation.

https://www.facebook.com/sportsmedicinebroadcast/videos/319939082276861/

More about Dr. Summer Ott

Dr. Summer Ott is an Assistant Professor in the Department of Orthopedic Surgery at McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth). She also serves as the director of the Concussion Program at Memorial Hermann Ironman Sports Medicine Institute.

Dr. Ott is a Neuropsychologist specializing in sports-related concussions. She has extensive clinical and research experience with sports-related concussions. She currently serves as the team neuropsychological consultant for the Houston Texans and Houston Rockets, as well as many universities and school districts in Texas.  Previously, Dr. Ott served as a neuropsychology consultant for the Houston Dynamo and the Houston Aeros.

Her research efforts focus on proper baseline testing, concussion in female athletes, effects of physical exertion on cognition, and long-term consequences of repeated head injury in athletes. Dr. Ott has co‐authored publications on neuropsychological assessment in scholarly journals and frequently conducts presentations regarding the proper management of concussion.

Previous Episodes with Dr. Ott

Dr. Ott on Repetitive Concussions – 415

Psychological Factors with Concussion Recovery – 92

Concussion Management with Dr. Summer Ott – 25

Jeremy Jackson

Michael MacPherson – michael@sujibfr.com

Lisette Guerrero

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

ATCornerPodcastATCornerds@gmail.com

Joseph Eberhardteberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

THANK YOU PATRICK

Patrick Ohaver is a fan of the show and helping me improve the quality of the show notes. Email m and see how you can help too – info@sportsmedicinebroadcast.com

Sub-Symptommatic Post-Concussion Exercise – 199

National concussion authority Dr. Summer Ott, PhD brings Chris Shields, DPT to discuss a relatively new treatment option for concussions that are taking extended periods of time.  Keeping the heart rate below 60% of the max HR can improve patient function and help them move towards normalizing.

Discussion topics:
Contact Chris Shields
Twitter: @PHSSportsMed

Sideline CT scanners with Med-Logic and Dr. Summer Ott – 121

Sideline CT Scanner with MedLogic, Dr. Ott, and Brad Brown – 121

Dr. Summer Ott the Director of the Concussion Program for Memorial Hermann IRONMAN Sports Medicine joins us to figure how the Infrascanner from MedLogic can be used for high school sports setting.  With 29 years in the NFL Brad Brown has some great insight into professional sports and in his new role as Director of Sports Medicine for Memorial Hermann.  Janine McGowan and Pete Thompson did a great job answering questions and demonstrating this new technology.

Did you know a CT is as much radiation to the head as 300 – 400 chest X-rays?  This new technology could help reduce exposure to radiation and speed the triage process

Show Notes for episode 121

Link to all of the documents provided by MedLogic