Recovery from Sports Related Concussion

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Metrifit Athlete Monitoring Software

The issue of Sports Related Concussion (SRC) is one that has challenged experts across the globe for many years. One of the biggest tasks in dealing with brain injuries is that it can be very difficult to assess the extent of the problem. When an athlete is suffering from something as straight forward as a back or leg injury, the physical evidence in terms of damage and impairment is clear and as a result it is easier to pinpoint the exact nature of the problem. Unfortunately, dealing with an SRC is much more complicated. Even diagnosing the problem when it occurs is difficult as it is not always clear how severe the problem may be. As a result of this uncertainty, one of the key concerns has been deciding on how long an athlete needs to recover before they can return to action.
 

Cocooning is not the answer
In the past, perhaps athletes were allowed, or even encouraged, to return to the pitch when it was obvious they had suffered a concussion. As a consequence of the potential danger of such actions, the pendulum then shifted to an approach that errs on the side of caution and lengthy lay-offs were seen as the way to deal with any potential problems. This cautious approach is known as ‘cocooning’ and is described by Danny Thomas MD in Don’t Cocoon Concussion

In absence of evidence, fear of re-injury during recovery has motivated parents and providers to advocate prolonged strict rest after concussion. Some even recommend “cocoon therapy,” which restricts patients to several days in a darkened room before slowly returning to activity

Gentle return to action is recommended
However, a recent report compiled by a number of leading experts suggests that instead of imposing rest until all symptoms have gone, athletes should begin their return to activity within a day or two of sustaining the injury.
This conclusion is the outcome of the Consensus statement on concussion in sport from the fifth international conference on concussion in sport held in Berlin, October 2016. The authors set out to

build on the principles outlined in the previous statements and to develop further conceptual understanding of sport-related concussion (SRC) using an expert consensus-based approach. This document is developed for physicians and healthcare providers who are involved in athlete care, whether at a recreational, elite or professional level

The aim was to not only guide clinical practice but to help form the agenda for future research into SRC. The detailed report, that is summarized by Gretchen Reynolds in New Advice to Move More After a Concussion, sees one of the co-authors, Dr. John Leddy, a professor of orthopedics at the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, state the brain benefits from movement and exercise, including after a concussion. He points out that becoming physically active does not mean an immediate return to competition or training, but is about carefully starting out on the road to recovery where the athlete does not try to do too much.
 
Finding the sweet spot
An example of this could be asking the athlete to walk for 15 minutes and if they suffer symptoms such as a headache, they might be asked to walk for ten or 12 minutes the next day instead. If they can manage this without incident, then it can be built up gradually from that point. According to Dr Leddy the aim is to find the affected athlete’s “sweet spot,” of enough activity to stimulate brain recovery without exacerbating symptoms. He adds that a slight headache may not be something to worry about as it could indicate that the brain is in recovery mode. These findings are backed up by the views of Dr Danny Thomas, an assistant professor of pediatric emergency medicine at Children’s Hospital of Wisconsin in Milwaukee, as outlined in Cocooning’ child after a concussion isn’t recommended which argues that

Most children who suffer concussions don’t need strict, prolonged rest to fully recover, according to a report that suggests extra down time beyond the typical standard of care may lead patients to focus more intently on their symptoms

The researchers discovered that that five days of strict rest, including staying home from school, didn’t improve balance or mental function compared with the usual 24 hours to 48 hours at home and a slow return to activity, while those assigned to longer periods of rest reported more symptoms and slower recoveries.

Telling them to rest for five days didn’t help them get better faster and it actually increased their symptom reporting. I don’t think it made their injury worse, it just made them more focused on it

Therefore it is similar to when an athlete is recovering from a muscle injury in that they have to return slowly to an exercise program that will assist their comeback, rather than waiting until all the symptoms of the injury have gone. Kevin M. Kelly, a neurologist and director of concussion services in Allegheny (Pennsylvania) General Hospital’s department of neurology, sums up the approach when he states:

The lesson to be learned in the study is the potential pitfall in being overly prescriptive that one type of protocol fits all

while he also recommended

individualized treatment and relative brain rest

for most children.
 
References
Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016

Don’t Cocoon Concussion By Danny Thomas

New advice to move more after a concussion by Gretchen Reynolds

‘Cocooning’ child after a concussion isn’t recommended
 
About Metrifit
Metrifit is an athlete monitoring system that gathers subjective and objective information from both coaches and athletes in a simple but effective manner with intelligent visualization helping coaches and athletes to act on that data. Why not have a look at our Ready to Perform product and gain insight on the physical and mental state of your athletes through our daily wellbeing questionnaire? To find out more visit our Metrifit Product Overview page or get in touch for a free demo. You can also register for our next webinar as we talk to coaches about all things athlete monitoring.

 

Metrifit

Fyffes

"Metrifit has enabled us to bring to life the complexiities associated with managing the academic, pastoral and sporting demands of pupils aged 13 - 18 in a UK day and boarding school environment It has provided another bridge between coaches and sports pupis, giving pupils a space to provide honest self reflection on wellbeing and providing coaches a head start on appropriate freshness and fatigue balance across the school week."

Graham Williams

Athletic Development Coach, MSc ASCC
Millfield School, UK

Metrifit Athlete Monitoring System
2017-06-19T14:14:37+00:00

Graham Williams

Athletic Development Coach, MSc ASCC
Millfield School, UK

"Metrifit has enabled us to bring to life the complexiities associated with managing the academic, pastoral and sporting demands of pupils aged 13 - 18 in a UK day and boarding school environment It has provided another bridge between coaches and sports pupis, giving pupils a space to provide honest self reflection on wellbeing and providing coaches a head start on appropriate freshness and fatigue balance across the school week."
“Metrifit has become a multifactorial platform that has helped up us provide deeper context to the decisions that we make on a daily basis in regards to the physical development of our student-athletes. We have intimately been utilizing both the subjective wellness questionnaire along with player training load data to drive professional conversation and actionable tasks to enhance the sporting results and quality of life for our student-athletes with unparalleled success.”

Kevin Schultz
Associate Director of Strength & Conditioning
Director of Olympic Strength & Conditioning
University of Wisconsin

Metrifit Athlete Monitoring System
2017-06-20T12:12:33+00:00

Kevin Schultz
Associate Director of Strength & Conditioning
Director of Olympic Strength & Conditioning
University of Wisconsin

“Metrifit has become a multifactorial platform that has helped up us provide deeper context to the decisions that we make on a daily basis in regards to the physical development of our student-athletes. We have intimately been utilizing both the subjective wellness questionnaire along with player training load data to drive professional conversation and actionable tasks to enhance the sporting results and quality of life for our student-athletes with unparalleled success.”
"While working with the Clare Senior Hurling team (2012-2014), Horse Sport Ireland (U25 European Eventing Champions) and currently with the Limerick Senior Hurling Team, Metrifit provides our team with critical information across a number of essential aspects of elite athletic performance. You don’t really know how your players are responding to training stimuli unless you have daily data and Metrifit provides and easy to use and highly effective means of finding this critical information."

Joe O’Connor

NISUS Fitness, S&C Coach Clare Senior Hurling, Horse Sport Ireland and Limerick Senior Hurling

Metrifit Athlete Monitoring System
2017-06-12T13:55:49+00:00

Joe O’Connor

NISUS Fitness, S&C Coach Clare Senior Hurling, Horse Sport Ireland and Limerick Senior Hurling

"While working with the Clare Senior Hurling team (2012-2014), Horse Sport Ireland (U25 European Eventing Champions) and currently with the Limerick Senior Hurling Team, Metrifit provides our team with critical information across a number of essential aspects of elite athletic performance. You don’t really know how your players are responding to training stimuli unless you have daily data and Metrifit provides and easy to use and highly effective means of finding this critical information."
"Metrifit provides immediate insight and feedback on the physical and mental states of the student-athletes.  It allows us to adjust practices and training sessions to accurately meet needs. We have been able to identify potential injury concerns, track current injury status and monitor return to play progress."

Kari Thompson

Head Volley Ball Coach, Southern Illinois University

Metrifit Athlete Monitoring System
2017-06-16T15:08:31+00:00

Kari Thompson

Head Volley Ball Coach, Southern Illinois University

"Metrifit provides immediate insight and feedback on the physical and mental states of the student-athletes.  It allows us to adjust practices and training sessions to accurately meet needs. We have been able to identify potential injury concerns, track current injury status and monitor return to play progress."
"What’s more impressive is the ability to utilize the basics but at the same time have the capability to explore detailed and intricate correlative data points that helps us as coaches gain the most from our athletes. Metrifit has also served as an easy communications hub to ensure essential information is passed to the appropriate team. We are excited to what the future from Metrifit will bring."

Michael Torres

CEO, Shift Performance, Miami

Metrifit Athlete Monitoring System
2017-06-14T14:09:22+00:00

Michael Torres

CEO, Shift Performance, Miami

"What’s more impressive is the ability to utilize the basics but at the same time have the capability to explore detailed and intricate correlative data points that helps us as coaches gain the most from our athletes. Metrifit has also served as an easy communications hub to ensure essential information is passed to the appropriate team. We are excited to what the future from Metrifit will bring."
"Metrifit has been used to gain a more in-depth insight into our student-athlete’s progressive athletic development and balance relative to their particular sporting and training activities, academic studies and total load. Metrifit doesn’t just help with optimising our Sports Scholarship students’ athletic performance. It assists us in helping them get the balance right between their sporting activities and academic studies."

Richard Deuchrass

Lincoln University Athletic Performance Manager

Metrifit Athlete Monitoring System
2017-06-12T13:58:58+00:00

Richard Deuchrass

Lincoln University Athletic Performance Manager

"Metrifit has been used to gain a more in-depth insight into our student-athlete’s progressive athletic development and balance relative to their particular sporting and training activities, academic studies and total load. Metrifit doesn’t just help with optimising our Sports Scholarship students’ athletic performance. It assists us in helping them get the balance right between their sporting activities and academic studies."
"The visualisation of data allows for easy discussion between athletes, performance staff and medical teams and offers the potential to predict and avoid issues which could hamper performance. Over the year the data has proven instrumental in our critical decision making. Metrifit is a excellent monitoring tool however the unsung additional aspect is the fantastic and tireless customer support."

Robert Walsh
Strength Coach
Nederlandse Ski Vereniging (Netherlands Ski/Snowboard Team)
Metrifit Athlete Monitoring System
2017-07-25T14:10:08+00:00
Robert Walsh
Strength Coach
Nederlandse Ski Vereniging (Netherlands Ski/Snowboard Team)
"The visualisation of data allows for easy discussion between athletes, performance staff and medical teams and offers the potential to predict and avoid issues which could hamper performance. Over the year the data has proven instrumental in our critical decision making. Metrifit is a excellent monitoring tool however the unsung additional aspect is the fantastic and tireless customer support."
"I've found Metrifit an invaluable resource. Not only to monitor daily wellness, readiness to train and training load within the squad, but also to monitor training load externally with additional external squads. Furthermore, Metrifit has acted as a key teaching tool, allowing young athletes associate good sleeping, eating and recovery habits to an improved sense of wellness and thus superior on-field performance."

Tommy Mooney

Strength and Conditioning Coach at DCU Sport and with Dublin Minor GAA

Metrifit Athlete Monitoring System
2017-06-14T13:31:14+00:00

Tommy Mooney

Strength and Conditioning Coach at DCU Sport and with Dublin Minor GAA

"I've found Metrifit an invaluable resource. Not only to monitor daily wellness, readiness to train and training load within the squad, but also to monitor training load externally with additional external squads. Furthermore, Metrifit has acted as a key teaching tool, allowing young athletes associate good sleeping, eating and recovery habits to an improved sense of wellness and thus superior on-field performance."
"Metrifit has been instrumental in helping our international Managers, Coaches and Medical teams to identify players who require modifications in training loads or who are struggling with some aspect of their preparation for, or recovery from, training and matches.  One of the big strengths of this technology is that it allows our Managers and Medical teams to monitor players both during international competition and outside of these times."

Dan Horan

Head of Fitness for International Football/Fitness Coach Men's Senior Team
Football Association of Ireland

Metrifit Athlete Monitoring System
2017-06-16T15:11:55+00:00

Dan Horan

Head of Fitness for International Football/Fitness Coach Men's Senior Team
Football Association of Ireland

"Metrifit has been instrumental in helping our international Managers, Coaches and Medical teams to identify players who require modifications in training loads or who are struggling with some aspect of their preparation for, or recovery from, training and matches.  One of the big strengths of this technology is that it allows our Managers and Medical teams to monitor players both during international competition and outside of these times."
"We have been using Metrifit for the past season at Cornish Pirates. It has been greatly beneficial for us to have our wellness and load management data on one easy to access system. We have found this invaluable over the past season whereby Coaches, Physios and Strength and conditioning coaches can monitor both the psychological and physiological load of our athletes on a daily basis."

Paul Cremin

Head Physiotherapist, Cornish Pirates Rugby Club

Metrifit Athlete Monitoring System
2017-06-16T15:06:04+00:00

Paul Cremin

Head Physiotherapist, Cornish Pirates Rugby Club

"We have been using Metrifit for the past season at Cornish Pirates. It has been greatly beneficial for us to have our wellness and load management data on one easy to access system. We have found this invaluable over the past season whereby Coaches, Physios and Strength and conditioning coaches can monitor both the psychological and physiological load of our athletes on a daily basis."
"The cutting edge technology of Metrifit enables Managers, Coaches and Players to use this innovative technology to gain these crucial percentage points over their opponents in a technologically advanced yet easy to use web-based platform. The data collated on a daily basis greatly informs Management Teams while the educational aspect of the system really appeals to modern day athletes who are constantly looking for that extra edge."

Cian O’Neill

Kildare Senior Football Manager

Metrifit Athlete Monitoring System
2017-06-14T13:24:03+00:00

Cian O’Neill

Kildare Senior Football Manager

"The cutting edge technology of Metrifit enables Managers, Coaches and Players to use this innovative technology to gain these crucial percentage points over their opponents in a technologically advanced yet easy to use web-based platform. The data collated on a daily basis greatly informs Management Teams while the educational aspect of the system really appeals to modern day athletes who are constantly looking for that extra edge."
"Metrifit is an outstanding platform to track your athletes’ wellness. It’s simple to use, easy to implement and gives outstanding information on your athlete’s subjective wellness which can be used to assign training loads. I highly recommend Metrifit for any coach looking to begin implementing technology into their program"

Brijesh Patel

Quinnipiac University, Head Strength and Conditioning Coach

Metrifit Athlete Monitoring System
2017-06-12T17:58:50+00:00

Brijesh Patel

Quinnipiac University, Head Strength and Conditioning Coach

"Metrifit is an outstanding platform to track your athletes’ wellness. It’s simple to use, easy to implement and gives outstanding information on your athlete’s subjective wellness which can be used to assign training loads. I highly recommend Metrifit for any coach looking to begin implementing technology into their program"
"Metrifit is an amazingly easy-to-use yet comprehensive monitoring tool for training and recovery! The elite athletes we work with are able track and monitor their situations and states daily, in order to maximize their performance loads and recovery practices. This also helps our coaches customize the training programs ‎more effectively. I'd recommend this for any serious team / athlete or coach in wanting to bring out the very best in their long-term performances! "

Edgar K. Tham

Founder and Chief Sport & Performance Psychologist, SportPsych Consulting (Singapore, Indonesia, Philippines)

Metrifit Athlete Monitoring System
2017-06-12T18:03:35+00:00

Edgar K. Tham

Founder and Chief Sport & Performance Psychologist, SportPsych Consulting (Singapore, Indonesia, Philippines)

"Metrifit is an amazingly easy-to-use yet comprehensive monitoring tool for training and recovery! The elite athletes we work with are able track and monitor their situations and states daily, in order to maximize their performance loads and recovery practices. This also helps our coaches customize the training programs ‎more effectively. I'd recommend this for any serious team / athlete or coach in wanting to bring out the very best in their long-term performances! "
"As a school that cannot spend large amounts of money on athlete monitoring, Metrifit has provided us with a great tool for monitoring stress and athlete readiness at a great rate. Being athlete driven, we're able to get buy-in from the athlete, and drive individual or team wide conversations regarding lifestyle and performance education in the direction needed. Seeing acute and chronic stress on a real-time basis has greatly improved the way we schedule workouts and arrange travel during the season."

Derek Bol
Strength & Conditioning Coach, Valparaiso University
Metrifit Athlete Monitoring System
2017-06-20T22:26:45+00:00
Derek Bol
Strength & Conditioning Coach, Valparaiso University
"As a school that cannot spend large amounts of money on athlete monitoring, Metrifit has provided us with a great tool for monitoring stress and athlete readiness at a great rate. Being athlete driven, we're able to get buy-in from the athlete, and drive individual or team wide conversations regarding lifestyle and performance education in the direction needed. Seeing acute and chronic stress on a real-time basis has greatly improved the way we schedule workouts and arrange travel during the season."
"Our coaches through Metrifit basically have an ‘X-ray’ vision into the habits and lifestyles and stressors their athletes have on a day to day basis, especially when they are not together. Thus the professional authentic relationships created through the casual conversations, reflection process and application provided is priceless."

Brian Clarke

Head Strength and Conditioning Co-ordinator,Noblesville High School

Metrifit Athlete Monitoring System
2017-06-12T14:21:17+00:00

Brian Clarke

Head Strength and Conditioning Co-ordinator,Noblesville High School

"Our coaches through Metrifit basically have an ‘X-ray’ vision into the habits and lifestyles and stressors their athletes have on a day to day basis, especially when they are not together. Thus the professional authentic relationships created through the casual conversations, reflection process and application provided is priceless."
"The holistic approach of medical, physical, emotional and even tech/tactical; bringing together what we need to monitor and evaluate our University players. “If you can’t measure it – it doesn’t exist.” I know we were the first Canadian University to use the program and I know many more will be asking for it in the future! I highly recommend Metrifit."

Tino Fusco, B.Sc. ChPC

Head Coach, Women's Soccer, Mount Royal University (Canada)

Metrifit Athlete Monitoring System
2017-06-12T14:25:37+00:00

Tino Fusco, B.Sc. ChPC

Head Coach, Women's Soccer, Mount Royal University (Canada)

"The holistic approach of medical, physical, emotional and even tech/tactical; bringing together what we need to monitor and evaluate our University players. “If you can’t measure it – it doesn’t exist.” I know we were the first Canadian University to use the program and I know many more will be asking for it in the future! I highly recommend Metrifit."
"Metrifit has been hugely beneficial in supporting our coaches and back room staff to track and monitor our players training loads, performance and readiness to train. Having a one-stop shop for collating all relevant information across a holistic picture of the player allows us to help prevent burnout, injury and provide timely feedback and communication to all."

Eamonn Fitzmaurice

Kerry Senior Football, Manager

Metrifit Athlete Monitoring System
2017-06-12T14:01:46+00:00

Eamonn Fitzmaurice

Kerry Senior Football, Manager

"Metrifit has been hugely beneficial in supporting our coaches and back room staff to track and monitor our players training loads, performance and readiness to train. Having a one-stop shop for collating all relevant information across a holistic picture of the player allows us to help prevent burnout, injury and provide timely feedback and communication to all."
"The success of young athletes using Metrifit was an interesting challenge in the Elite Soccer space… After six months of learning, creating habit with teenagers the project is a huge success…. 90% completion rate has allowed us deal with all the key KPI’s that are needed in their development. In our space with developing athletes…Metrifit is a godsend and is the most important tool in this space."

Niall O’Driscoll

Academy Directory, SJ.B (St. Joseph’s Bray ) Academy

Metrifit Athlete Monitoring System
2017-06-16T16:51:01+00:00

Niall O’Driscoll

Academy Directory, SJ.B (St. Joseph’s Bray ) Academy

"The success of young athletes using Metrifit was an interesting challenge in the Elite Soccer space… After six months of learning, creating habit with teenagers the project is a huge success…. 90% completion rate has allowed us deal with all the key KPI’s that are needed in their development. In our space with developing athletes…Metrifit is a godsend and is the most important tool in this space."
"The ability to acutely monitor stress and recovery and make the correct adjustments was critical to our health and performance throughout the NCAA tournament. Metrifit has a very strong educational component. With the information we get, I am able to clearly understand the habits and behaviors of our athletes, and how they may be impacting performance."

Erik Helland

Director of Strength & Conditioning and Head Strength Coach Men’s basketball, University of Wisconsin

Metrifit Athlete Monitoring System
2017-06-12T11:42:14+00:00

Erik Helland

Director of Strength & Conditioning and Head Strength Coach Men’s basketball, University of Wisconsin

"The ability to acutely monitor stress and recovery and make the correct adjustments was critical to our health and performance throughout the NCAA tournament. Metrifit has a very strong educational component. With the information we get, I am able to clearly understand the habits and behaviors of our athletes, and how they may be impacting performance."
"Gaelic football is an intermittent high-intensity collision-based field sport requiring high levels of endurance, strength, power, agility, and speed as well as proficiency with gaelic-related skills. These components comprise the training modalities used at the elite level and the monitoring of such a vast range of modalities is central to peak performance. The athlete monitoring tool Metrifit allows us to do this and can keep us one step ahead of our competitors."

Jason McGahan

Sports Scientist, Kildare Football, PhD Sports Science Researcher

Metrifit Athlete Monitoring System
2017-06-12T14:23:50+00:00

Jason McGahan

Sports Scientist, Kildare Football, PhD Sports Science Researcher

"Gaelic football is an intermittent high-intensity collision-based field sport requiring high levels of endurance, strength, power, agility, and speed as well as proficiency with gaelic-related skills. These components comprise the training modalities used at the elite level and the monitoring of such a vast range of modalities is central to peak performance. The athlete monitoring tool Metrifit allows us to do this and can keep us one step ahead of our competitors."
"Metrifit is an integral part of the set up within the senior and intermediate inter-county Camogie.  The data collected daily on the individual players is critical to the decision making of the backroom team including, managers, trainers, selectors, physiotherapist and indeed myself. As a nutritionist it allows me to monitor the quality of the player’s diet, energy levels, sleep pattern and overall wellbeing."

Yvonne Treacy

Nutritionist, Wexford Camogie

Metrifit Athlete Monitoring System
2017-06-13T16:38:55+00:00

Yvonne Treacy

Nutritionist, Wexford Camogie

"Metrifit is an integral part of the set up within the senior and intermediate inter-county Camogie.  The data collected daily on the individual players is critical to the decision making of the backroom team including, managers, trainers, selectors, physiotherapist and indeed myself. As a nutritionist it allows me to monitor the quality of the player’s diet, energy levels, sleep pattern and overall wellbeing."
"When our players have been only training with the national team Metrifit allows me to liaise very closely with our conditioning coaches to manage load and intensity of training during training camps. I recommend it to anyone who wants an easy to use monitoring system."

Dave Passmore

Head Coach, Irish Hockey

Metrifit Athlete Monitoring System
2017-06-15T12:51:46+00:00

Dave Passmore

Head Coach, Irish Hockey

"When our players have been only training with the national team Metrifit allows me to liaise very closely with our conditioning coaches to manage load and intensity of training during training camps. I recommend it to anyone who wants an easy to use monitoring system."