Cabitron

Around Town
Twin Brook Golf Center
National September 11 Memorial & Museum
Bright Lights & Holiday Magic
Ask The Experts
Ask The Expert - Ann Hughes, M.D.
AskThe Experts - Dance Attitudes
Ask The Expert - Beth Thomas-Edwards
Bay Wellness
Bay Wellness - Health After Menopause
Bay Wellness - How Can An Ultrasound Help?
Bay Wellness - Making Weight Loss a Family Affair
Best Bets
The Guide 2014 - Grand Glass Inc.
Best Bet - Privé
Best Bet - Lifestyles Medical
Black Book
Cover Story
Dana Canedy - A Gift For Jordan
Forward Progress - Wayne Chrebet CN
Dutchess of Dearborn
Daytripper
Daytripper:The New York Aquarium
Day Tripper - Delaware Water Gap
Day Tripper - Staten Island Ferry Adventure
Eats
Eats: Red
Eats: Sam Vera
Staten Island EatBeat - Ninos Restaurant
Etc
Etc - The Endless Summer
Etc - School Daze
Etc - Tired, Busy, Distracted, and Resigned
Fall Guide
Fall Guide - Performing Theatre
Fall Guide 2014 - Activities
Fall Guide 2014 - Fall Events
Featured Artist
Featured Artist - Taylor Franzreb
Featured Artist - John Kelly
Featured Artist - Grace Your Space
Gift Guide
Gift Guide - Atlantic Age Management
Best Bet - Massage Envy Spa
Best Bet - Aquaspa Day Spa & Nail Boutique
Health Talk
Health Talk - Falguni Patel, MD
Company Profile - Advanced Surgical Health Associates
Health Talk - Anthony Sparano, M.D.
Health, Wellness & Beauty
Health - Retina Consultants
Physician Profile: Dr. Hiren Patel
Company Profile - fostermd
Holiday Buzz 2015
Chanukah Traditions In Transition
Holiday Buzz: Out & About in NYC & PHL
Holiday Buzz - Sights & Sounds of the Season
Homes
A Seductive Re-Imaging - The Keeleys
Romancing the Tudor - The Haverlins Brighten Tradition with a Personal Touch
All The Pretty Horses
Letter
Letter to Colts Neck: Falling Into Good Times
Warm Winter Wishes
Spring has Sprung!
Living in Colts Neck
Impeccable Style
Writing a Legacy with Superintendent Dick Fitzpatrick
Feels Like Home
Newsletter Articles
Our Pick - Baymar Farms
Travel Feature - DESTINATION: BELIZE
Our Pick: Jaeger Lumber
Our Picks
Company Profile - Center for Sleep Medicine at Raritan Bay Medical Center
Our Pick - Terrazza
Our Pick - Fashion Classes of New Jersey
People On The Move
People On The Move - Barbara Marro
People On The Move - Robert Jaeger
People On The Move - Mimi Chang
Summer Guide
Summer Guide 2014 - Out & About
Where Heritage Meets The Sea
Summer Guide 2014 - Our Jersey Shore
The Bay
The Bay - Could I Have Diabetes and Not Even Know it?
The Bay - National Stroke Awareness Month
The Bay - One Stop Womens Health
The Guide
The Guide 2015 - Bentley Edison
2016 Guide - Contemporary Motor Cars
Company Profile - Sussan, Greenwald & Wesler
The Home Guide
The Home Guide - triSpace interiors
The Home Guide - ACD Custom Granite
The Home Guide - Troost Bros., Inc.
Weigh In
If you had one hour to be invisible...
Streat Beat - Who Would You Invite To Dinner?
Weigh In - What famous person would you invite to your holiday table?

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 dont 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 athletes prior level of function. Cognitive testing will  measure factors like memory, speed of processing and color recognition. Balance testing measures the bodys 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™