Vol31N1 – Concussions


March-April 2018: Concussions

In the past few years, concussions have become a mainstay topic of conversation among the media, health professionals, and the general public.The last edition of the ODR that centered around the topic of concussions was in 2011. Since then, there have been many advancements in the area of diagnosis, treatment, rules of play, equipment, education and technology. These advancements have heightened the awareness surrounding concussions and the need to provide better protection for sports participants.


Report from Chair

We are currently gathering information for our strategic planning session. By now you all should have received an invitation to complete the member survey. The deadline for completion is March 28th and we value your opinion and appreciate your time in helping us with this planning process.



Resources available for clinicians, parents and coaches.


Clinical Tidbits

As physiotherapists working in an orthopaedic setting, inevitably we will encounter patients who are coping with persistent post-concussion symptoms (PPCS) regardless of whether they are athletes or sedentary office workers involved in motor vehicle accidents, for example.


Case Study

Patient G is a 17 y.o. female who is currently studying Nursing in university. She is also a lifeguard and swimming instructor.

On April 24, 2017, she was playing highschool rugby. She was tackled and fell backwards, and her head hit on the ground while her cervical spine was forcefully extended. G reported no LOC or anterograde/retrograde amnesia. G continued to play until her symptoms emerged one hour later. G went to the emergency room, where she was diagnosed with a concussion. She did not receive any diagnostic imaging and was advised to rest for two days. G returned to school gradually, beginning with half days of class, and was granted exemption from her Grade 12 exams. She did not return to rugby.


Featured Articles

A Physiological Approach to Prolonged Recovery From Sport-Related Concussion

John Leddy, MD, FACSM, FACP; John G. Baker, PhD;Mohammad Nadir Haider, MBBS; Andrea Hinds, PhD; Barry Willer, PhD


If You’re Not Measuring, You’re Guessing: The Advent of Objective Concussion Assessments

Steven P. Broglio, PhD, ATC; Kevin M. Guskiewicz, PhD, ATC, FNATA, FACSM; John Norwig, ATC


Physical Activity and Intermittent Postconcussion Symptoms After a Period of Symptom-Limited Physical and Cognitive Rest

Quinton Sawyer, MA, ATC; Brian Vesci, MA, ATC; Tamara C. Valovich McLeod, PhD, ATC, FNATA


Physiological, vestibulo-ocular and cervicogenic post-concussion disorders: An evidence-based classification system with directions for treatment

Michael J. Ellis, John J. Leddy & Barry Willer