Virginia Physical Therapy Ebook Continuing Education

6 Back to the Books: Return to Learn Strategies for Concussed Student-Athletes: Summary 6

CASE STUDY 2: 12TH-GRADE SOCCER PLAYER

• Background : Head injury during a soccer game, elbowed in the right temporal region, fell and hit the ground. No immediate signs or symptoms, able to finish the game. • Symptoms : Delayed onset neck pain, increased fatigue, difficulty concentrating, and increased headache with schoolwork. Occasional dizziness and headache persist despite some improvement. • Management approach : Graduated, stepwise RTL process. Do not remove from all academic activities. • Adjustments : ○ For headaches : Identify and reduce exposure to aggravating factors, allow rest breaks in the nurse's office, allow the athlete to put their head down. ○ For dizziness : Avoid crowded hallways, investigate and address potential vestibular issues.

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