Circle Infiniti

Around Town
12th Annual AMI Foundation Golf Classic
Bentley Edison Service Clinic
Colts Neck Cares 1st Annual Benefit for Bella
Ask The Experts
Ask The Expert - Ann Hughes, M.D.
Company Profile - Shrewsbury Vascular & General Surgery Associates
AskThe Expert - Jack Giglio
Bay Wellness
Bay Wellness - Health After Menopause
Bay Wellness - Don't Forget
Bay Wellness - Welcome to our newest issue
Best Bets
The Guide 2014 - Atlantic Eye Physicians
Best Bet - Family Focus Financial Group
The Guide 2015 - The Libraty Group -UBS Financial Services
Black Book
Cover Story
PIX11 Anchor Sukanya Krishnan
Paul Pilcz - Marlboro's Gleek
John Green - ABC News Award-Winning Producer
Daytripper
DayTripper: Northlandz
Daytripper: Hunter Mountain
DayTripper: Laurita Vineyards & Winery
Eats
Eat Beat - Birravino
Dish - The Guide 2013
Eats: Grape Beginnings
Etc
Etc - The Endless Summer
Etc - The Facebook Situation
Etc - Tired, Busy, Distracted, and Resigned
Fall Guide
Fall Guide 2014 - Pick Your Patch
Fall Guide 2014 - The Art of Wine
Fall Guide - Museums
Featured Artist
Featured Artist - Hazlet Artist Jim McKenzie
Featured Artist - Carol Bruno
Featured Artist - Perry Balog
Gift Guide
Gift Guide - Nevada Exchange
Gift Guide - DiamondCastle
Gift Guide: Trump National Golf Club Colts Neck
Health Talk
Health Talk - Gym Spa
Health Talk - Adnan F. Danish, M.D.
Health Talk - Anthony Sparano, M.D.
Health, Wellness & Beauty
Health - Advanced Vascular Solutions
Dr. Stephen McManus Earns “Top Doctor” Recognition
Health 2015 - Hearing Loss
Holiday Buzz 2014
Dining Out For The Holidays
Give a Little - Get a Lot
Macy's Thanksgiving Day Parade
Homes
A Seductive Re-Imaging - The Keeleys
Contemporary Style - Living Outside The Box
Turn-Key Comfort For The Canaricks
Letter
Letter to Colts Neck: Falling Into Good Times
Warm Winter Wishes
Spring has Sprung!
Living in Colts Neck
It's All in the Details
Montrose Schoolhouse
Writing a Legacy with Superintendent Dick Fitzpatrick
Newsletter Articles
Colts Neck Resident Co-Chairs Centre State MS Event
The Community YMCA Announces New Board Leadership
The Home - Viscon Builders
Our Picks
Our Pick - Miller Buick GMC
Our Picks - Visual Impact Decorating
Our Pick - Seasonal World
People On The Move
People on the Move: Rabbi Shira Stern
People on the Move: Max Fried
People On The Move - Darrell Reid
Summer Guide
Weigh In - My Favorite Jersey Beach
Where Heritage Meets The Sea
Summer Guide 2015 - Seven Presidents Oceanfront Park
The Bay
The Bay - One Stop Women’s Health
The Bay - A Body In Motion
The Bay - $1 Million Emergency Department Expansion Opens
The Guide
The Guide 2014 - Ferrari of Central New Jersey
Company Profile - Lotus Health & Wellness Spa
Company Profile - School Answers
The Home Guide
The Home Guide - A and J Remodeling Services
The Home Guide - casale TILE
The Home Guide - Ace Aluminum
Weigh In
Weigh In - What’s your favorite phone app?
Weigh In - What Would People Be Surprised To Know About You?
Weigh In: What Did You Get I Trouble For...

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™