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Sports Concussions, Second Impact Syndrome, and Vestibular Physical Therapy: What You Need to Know

Updated: Dec 18, 2023


NAHL Shreveport Mudbugs
2022-2023 NAHL Shreveport Mudbugs Hockey Team with Dr. Fulco and Athletic Trainer, Amy Baker

Concussions are a common injury in sports, particularly contact sports like football, hockey, and soccer. They occur when a blow to the head or body causes the brain to move rapidly back and forth within the skull. This movement can cause damage to brain cells and result in a variety of symptoms, including headaches, dizziness, confusion, and memory loss.

One of the most dangerous complications of a concussion is second impact syndrome. This occurs when an athlete returns to play too soon after a concussion and suffers a second blow to the head. Second impact syndrome can result in rapid and severe brain swelling, which can lead to permanent brain damage or even death.

That's why it's so important to take concussions seriously and ensure that athletes receive proper medical attention and care before returning to play. One important component of concussion management is vestibular physical therapy.

Vestibular physical therapy is a specialized form of physical therapy that focuses on the vestibular system, which is responsible for balance, spatial orientation, and coordination. This system can be affected by a concussion, leading to symptoms like dizziness, vertigo, and balance problems.
Vestibular physical therapy involves a variety of exercises and techniques designed to help athletes regain their balance and coordination after a concussion. These exercises may include balance training, eye tracking exercises, and sensory integration activities.

Research has shown that vestibular physical therapy can be an effective treatment for post-concussion symptoms, particularly in cases where athletes are experiencing persistent dizziness or balance problems. By improving the function of the vestibular system, athletes can improve their overall balance and reduce the risk of falls or other injuries.

If you or someone you know has suffered a concussion, it's important to seek medical attention and follow proper concussion management protocols. This may include rest, physical therapy, and a gradual return to play plan. It is vital to have a team which should consist of a team/school athletic trainer, physical therapist, and physician whom remain in constant contact and provide integrative care to ensure safety and can speed along return-to-play.

Remember, second impact syndrome is a serious and potentially life-threatening complication of a concussion. That's why it's so important to take concussions seriously and ensure that athletes receive proper care before returning to play.

If you're a coach, parent, or athlete, make sure you're aware of the signs and symptoms of a concussion, and take steps to protect yourself and those around you. With the right care and management, athletes can recover from concussions and safely return to the sports they love.

-Dr. Nick Fulco, PT, DPT, Cert. DN
Titleist Medical Specialist
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