Cabitron

Around Town
Summer Guide 2014 - Out & About
Vote For Jacquie Lee
Firefly at the White Sands Opening Night
Ask The Experts
Ask The Experts: Dr. John M. Young
Ask The Experts - Premier Pain Centers - Peter S. Staats
Ask The Expert: Iris Lurie
Bay Wellness
Bay Wellness - Making Weight Loss a Family Affair
Bay Wellness - Welcome to our newest issue
Bay Wellness - Health After Menopause
Best Bets
The Guide 2014 - Coastal Plumbing Supply Co.
Best Bet - Elite Dental of Staten Island
The Guide 2014 - Ray Catena Motor Cars
Black Book
Cover Story
Susan Wigenton - United States District Judge
Still Kicking - Tab Ramos
John Green - ABC News Award-Winning Producer
Daytripper
Medieval Times
Daytripper:The New York Aquarium
Day Tripper - Lambert Castle Museum
Eats
Eats: Delfini Italian Gourmet
Eats: Asahi
Eats: Tuscany Italian Specialty Food
Etc
Etc - Aspirin...please.
Etc - Walking through Monmouth County
ETC - Beach Bias
Fall Guide
Fall Guide - Kids Enrichment
Fall Guide - Art of Wine
Fall Guide - Kids Party Entertainment
Featured Artist
Featured Artist - Molly Gaston Johnson
Featured Artist - John Kelly
Featured Artist - Sangita Phadke
Gift Guide
The Guide 2014 - Fit for Life
Gift Guide - ACD Custom Granite
Best Bet - John M. Young Jr., DDS
Health Talk
Why physicians and patients trust in Atlantic Medical Imaging
Health Talk - Maria Nadelstumph - Brandywine Senior Living at Wall
AMI Womenís Imaging Center in Brick Township
Health, Wellness & Beauty
Health 2014 - Taking your Workout Outside
Health - Caring for our Seniors
Health - Cunningham Orthopaedics
Homes
The Cutting Edge
The Berman Home
Life and Design
Letter
Spring has Sprung!
Warm Winter Wishes
Letter to Colts Neck: Falling Into Good Times
Living in Colts Neck
Writing a Legacy with Superintendent Dick Fitzpatrick
It's All in the Details
Home at Last
Newsletter Articles
Company Profile - BMW of Freehold
Eats: Asahi
Judy Serhus - NJAR Circle of Excellence Gold Award Winner
Our Picks
Our Pick - Atlantic Eye Physicians
theglambar
Our Pick - C & M Realty
People On The Move
People On The Move - Monica Vermeulen
Kids On The Move: Dave Burke
People On The Move - Cheryl Ann Cook
Summer Guide
Out & About - Summer 2013
Summer Guide 2014 - Out & About
Where Heritage Meets The Sea
The Bay
The Bay - National Stroke Awareness Month
The Bay - Healthier Heart
The Bay - Could I Have Diabetes and Not Even Know it?
The Guide
The Guide 2014 - JGS Insurance
The Guide 2014 - Cabitron Kitchen and Bath
The Guide 2014 - Architects Studio Inc. Northeast
The Home Guide
The Home Guide - King Remodeling
The Home Guide - T. Dorland Studio at Folio Art Glass
The Home Guide - Garage Floor Coatings of Greater NJ
Weigh In
Weigh In - Superheroes in Training
Weigh In - If you were president.....
Weigh In - What Would People Be Surprised To Know About You?

Ask The Expert - db Orthopedic Physical Therapy, PC
07/03/2012

Ask The Expert - db Orthopedic Physical Therapy, PC


David Bertone, PT, DPT, OCS
db Orthopedic Physical Therapy, PC
732 Newman Springs Road, Suite 300
Lincroft, NJ 07738
(732) 747-1262
www.concussionRXcare.com

db Orthopedic Physical Therapy, PC is the solo private practice of Dr. David Bertone, PT, DPT,OCS. Dr. Bertone has 24 years of experience specializing in orthopedic rehabilitation and resolution of musculoskeletal problems. He is Board Certified in Orthopedic  Physical Therapy, and is a Diplomate of the American Board of Physical Therapy Specialties. Dr. Bertone is a Sports Medicine consultant for Brookdale Community College Athletic Department and currently performs baseline concussion screening for the college and several youth sports organizations.



Many of our Living In readers have children in youth sports, either recreation, travel or playing for their respective high schools. Concussions have become more prevalent in soccer and other sports that you would not typically associate with concussions. Can you comment on what you see on the local level?

It is important to understand that concussions can occur with participation in any sport or recreational activity. Concussion is a complex process affecting the brain, induced by traumatic forces that occur by a direct or indirect blow to the head. According to the Centers for Disease Control, the top five activities for concussion-type injury for people under age 19 are bicycling, football, playground activities, basketball and soccer. Most of the injuries that I have seen in my practice for post-concussion rehab were from youth soccer and ice hockey.



Can you talk a bit about signs - are they easily spotted?

This is really the most critical component of any concussion prevention program. Parents and coaches must be able to easily recognize the  most common signs of a concussion to ensure the athlete is not put in further danger with return to play. The clinical symptoms may or may not involve a loss of consciousness, and the player should be evaluated using standard emergency procedures with special attention to exclude a neck injury. The typical symptoms are headache, feeling of being in a fog, dizziness, nausea, memory loss, irritability, slowed reaction times and drowsiness. The most important point is always when in doubt, sit them out! Returning to play too early and sustaining another head injury can increase the risk of Second Impact Syndrome, a devastating condition caused by repeated trauma to an injured brain.



What are your thoughts on the best course of action for respective levels of concussions?


The majority of concussions (80-90%) should resolve within 7-10 days after injury but can be slightly longer in children and adolescents, according to the 2004 International Conference on Concussion in Sport. For those concussions that donít resolve, it is important to ensure  the brain gets rest without over-stimulation from school activities, video games, loud noises, television or any physical exertion. Once the symptoms resolve, a supervised graduated return to play protocol under a physical therapist or athletic trainer is recommended, to monitor symptoms during physical exertion and sport specific activities.



When is the right time for a young athlete to return to their sport after a concussion?

This is why pre-concussion baseline testing is so critical, in order to know the athleteís prior level of function. Cognitive testing will  measure factors like memory, speed of processing and color recognition. Balance testing measures the bodyís ability to maintain stability  under several conditions. Both are objective tests that document brain function and are repeated after injury until the numbers return to preinjury baseline.



Some sports have no protection (i.e. basketball, soccer, etc...). What are your thoughts here?

Education is the most important factor in prevention and protecting players. Coaches and parents must be aware of symptom recognition since they are usually the ones on the sideline in youth sports. Teaching proper technique in sports and ensuring that safety rules are  followed can go a long way in preventing concussions. The future may involve sensors and other devices to monitor force absorbed by the head and brain during impact in sports.




Advertisers

Eagle Oaks




Powered by eDirectory™