NJ Ferrari Maserati

Around Town
Our Lady of Mt. Carmel School as National STEM Showcase School
Malvern School Hosts Seventh Annual Lemonade Day
Voyagers’ Community School Welcomes Dr. Nel Noddings
Ask The Experts
AskThe Expert - Frank LaRocca
Ask the Experts: Giulio Caruso, DC Total Care Chiropractic and Rehab, P.C.
Company Profile - Shrewsbury Vascular & General Surgery Associates
Bay Wellness
Bay Wellness - Genital Warts
Bay Wellness - Physician Focus: Steven R. Berkman
Bay Wellness - Making Weight Loss a Family Affair
Best Bets
The Guide 2015 - Ama Ristorante at Driftwood
The Guide 2014 - Paramount Oral Surgery
The Guide 2014 - Signature Design Group
Black Book
Cover Story
Captain David Harrison - Defending From The Jersey Shore
Sheer Genius
Joe Boyle – on the Road to Exceptional
Daytripper
Day Tripper - Staten Island Ferry Adventure
Day Tripper - Lakota Wolf Preserve
Day Tripper - Delaware Water Gap
Eats
Eats: Twin Lights Bakery Cafe
Dish - The Guide 2013
The Monmouth EatBeat - Trinity Restaurant
Etc
Etc - Walking through Monmouth County
Etc - The Endless Summer
Etc - Aspirin...please.
Fall Guide
Fall Guide - Pumpkins, Hayrides, & Orchards
Fall Guide - Art of Wine
Fall Guide - Kids Activity
Featured Artist
Featured Artist - Sangita Phadke
Featured Artist - Hazlet Artist Jim McKenzie
Featured Artist - Amy Puccio
Gift Guide
Gift Guide - Hazlet Pharmacy
Gift Guide - Pelican Pool, Spa, & Patio
Gift Guide - Gaetano’s Restaurant
Health Talk
Health Talk - David Lopez, M.D.
Health Talk - Ragui Sadek MD FACS
Dr. Peggy Avagliano Honored
Health, Wellness & Beauty
HWB 2014 - Women's Center
Health - The Samra Group
Health - Toetique Foot Spa
Holiday Buzz 2014
Bright Lights & Holiday Magic
Best Bet - David Burke’s Fromagerie
Give a Little - Get a Lot
Homes
The Perfect Nest - LaCorte
Holly House Restored
Turn-Key Comfort For The Canaricks
Letter
Spring has Sprung!
Warm Winter Wishes
Letter to Colts Neck: Falling Into Good Times
Living in Colts Neck
Impeccable Style
The Triple Crown
La Bella Vita!
Newsletter Articles
Christmastime Dream Routes Through Eastern Germany
Our Picks: H2O Bath & Kitchen Elegance
The Home Gallery - John Cortese Masons
Our Picks
Our Pick - Colonial Nursery
Our Pick - California Closet Company
Company Profile - Pizza Fusion™
People On The Move
People On The Move - Mitchell Remig
People On The Move - Lillie Hendry
People On The Move: Jill McCracken
Summer Guide
Summer Fun - Summer 2014
Weigh In - What Annoys You Most About The Beach?
Dish - Summer Guide 2014
The Bay
The Bay - Can The Weight Be Over?
The Bay - Could I Have Diabetes and Not Even Know it?
The Bay - A Body In Motion
The Guide
The Guide 2015 - Arena Steakhouse and Lounge
The Guide 2014 - Staten Island Mall
The Guide 2014 - Orrico Realty
The Home Guide
The Home Guide - Joey D’s
The Home Guide - Ace Aluminum
The Home Guide - Visit Brock Farms
Weigh In
Weigh In - What Annoys You Most About The Beach?
If you had one hour to be invisible...
Weigh In Marlboro: Dream a Little Dream

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 don’t 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 athlete’s prior level of function. Cognitive testing will  measure factors like memory, speed of processing and color recognition. Balance testing measures the body’s 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 OaksSussan Greenwald & Wesler




Powered by eDirectory™