Concussion Clinic Offers Comprehensive Care for Young Athletes

The Sports Concussion Program at URMC is a resource for young athletes who are suspected of having suffered a concussion during sports activities.

“Our concussion clinic, which is led by clinician-researchers from the URMC departments of Orthopaedics and Neurosurgery, delivers the latest in medical care in an effort to prevent, evaluate and monitor sports-related concussions, as well as educating high school coaches, physicians and nurses who come into contact with potential concussion cases,” said Jeffrey J. Bazarian, M.D., M.P.H.

The number of Emergency Department visits due to concussions in children between the ages of 8 and 13 more than doubled over the past decade, according to a 2010 study. Greater competitiveness in youth sports and increased intensity in practice may be the culprits.

Clinician-researchers Bazarian, Mark H. Mirabelli, M.D., and E. James Swenson Jr., M.D., use an approach to manage concussions that combines several published guidelines, including the 3rd International Conference on Concussion in Sports, the Department of Defense/Veteran’s Administration Mild TBI Management Guidelines, and the Ontario Neurotrauma Foundation Treatment Guidelines.

Diagnosing concussions involves evaluation of balance using the Balance Error Scoring System and Nintendo Wii Balance Board, as well as advanced brain imaging with MRI, susceptibility weighted imaging (SWI) and diffusion tensor imaging (DTI), in addition to a thorough medical history and symptom inventory. The clinic offers various treatments including physical therapy for vestibular rehabilitation and exercise therapy to hasten recovery. Working with neuropsychologist Jennifer Fleeman, Psy.D., the clinic also offers cognitive therapy

For optimal care, referring physicians should contact the URMC Sports Concussion Program during the week post-injury, if possible, Bazarian said. The longer symptoms such as headache are present, the harder they are to treat. Early evaluation also can prevent athletes from going back to a sporting activity that could be dangerous.

Developed in an academic medical center, one of the clinic’s many strengths is the research into diagnosis and treatment of concussions in young athletes, Bazarian said.

“Our active interest in concussion research has created a program that marries stellar, multidisciplinary clinical care with the latest treatment developments. This allows our clinic to provide the highest quality, state-of-the-art care in the region.”

Patients are seen at three locations:

  • URMC Orthopaedics and Rehabilitation, 4901 Lac de Ville Blvd., Building D, Brighton
  • URMC Orthopaedics and Rehabilitation, 10 South Pointe Landing, Greece
  • Rochester Neurosurgery Partners, 2180 S. Clinton Ave., Brighton.

For more information

Referrals:
(585) 275- 0299

 

Information/assistance: 

Carrie Cardot
Phone: (585) 362-7676

Strong Consult and Transfer Center

Toll-free (800) 499-9298
(585) 275-4999