ActiveRehabilitationRecoveringfromConcussion

Developedby:Dr.EvanLewis

YouareNowinRehab…foryourBrain

ThreePrinciplesofActiveRehab

WORK

Everydayyoumustwork towardsgettingbetter

BELIEVE

Everydayyoumustbelieve youaregettingbetter

ARE

Everydayyouare gettingbetter

TheActiveRehabProcess

• Norestdays,nodaysoff

• Step-by-stepgradualreturntoactivityandschool

• Continuethroughthestepsevenifyouareexperiencingsymptoms

WhataretheStepsforActiveRehab?

ReturntoActivity- Step

Step1• CompleteRest

Step2• LightExercise

Step3• Sport-SpecificExercise

Step4• TeamPractice-NoContact

Step5• TeamPractice–WithContact

Step6• ReturntoPlay

HowwillIMovefromOneSteptotheNextStage?

How areyoufeeling?

MeasurebytheGREEN,YELLOW,RED Scale

BacktoARProcess

WhatdoIneedforActiveRehab?

YouWillNeed…

Calendar FriendorFamily Determination

Okay… sohowdoesitwork?

NewDailyChallenge:Mustalwaysbemore thanoriginal

challenge------------

RepeatDailyChallenge:Shouldneverbelessthanoriginal

challenge

Complete=DailyChallengecompletedwithlessthan2REDepisodes

Remember:Green,Yellow,RedSystem

EverynightdecideonDailyChallengeforthenextday:

•Activity?•Duration?

DailyChallenge

Complete NewDailyChallenge

IncreaseDuration

IncreaseIntensity

Incomplete RepeatDailyChallenge

DailyChallengesandStepstoRecovery

• Useyourdailychallengestobuildupyouractivitylevel

• Eventuallyyouwillbuildtowardstherequirementstopasseachstep

HowdoIPasseachStep?

Recall:ReturntoActivity- Steps

Step1• CompleteRest

Step2• LightExercise

Step3• Sport-SpecificExercise

Step4• TeamPractice-NoContact

Step5• TeamPractice–WithContact

Step6• ReturntoPlay

Step1– CompleteRest

• Refrainfrom:• Electronics• Television

• Engagein:• Restathome• Sleep

• Timeframe=24hours

Step 1– RequiredtoPass

• Evaluationbyamedicalprofessional

• Diagnosisofconcussionmade

• 24hoursofrest

Step 2– LightExercise

• ExerciseExamples• Walking• Jogging• StationaryCycling• StationaryRowing• Swimming(freestyle)• ResistanceBands– LightTension

• Timeframe• Minimum=24hours• Maximum=atdiscretionoftreatingdoctor

Step 2– RequiredtoPass

• Two20minuteperiodsofcontinuousactivity

• Abletoachieveeachactivityperiodwithlessthan2episodesofREDsymptoms

Step 3– Sport-SpecificExercise

• ExerciseExamples• AllStep2Exercises• Running• RunningDrills

• Ex:Suicides, Z-Drills,etc.• Jumping• Skating• Throwing/Kicking/Catching/Shooting• ResistanceBands– Light/HeavyTension• Weights- Light

• Timeframe• Minimum=24hours• Maximum=atdiscretionoftreatingdoctor

Step 3– RequiredtoPass

• One30minuteperiodofcontinuousactivity

• Abletoachieveactivitywithlessthan2periodsofREDsymptoms

Step 4– TeamPractice- NoContact

• Refrainfrom:• Scrimmages• Drillswithhighriskforcontact

• Timeframe• Minimum=24hours• Maximum=atdiscretionoftreatingdoctor

Step 4– RequiredtoPass

• Completeafullteampracticewithnocontact

• AbletoachievefullpracticewithnoREDsymptoms

Step5– TeamPractice- WithContact

• Mustwearidentifyingjersey/colour duringpractice

• Timeframe• Minimum=24hours• Maximum=atdiscretionoftreatingdoctor

Step 5– RequiredtoPass

• Completeafullteampracticewithcontact

• AbletoachievefullpracticewithnoREDsymptoms

Step Classification ActivityExamples

Step1 CompleteRest NoActivity

Step2 LightExercise WalkingJoggingSwimming

Cycling – stationaryRowing– stationary

Step3 IndividualSport-SpecificActivity SkatingShooting DrillsDribblingDrillsPassingDrills

Agility SkillsCalisthenics(Pull-ups,Push-ups,etc)

Step4 Sport-SpecificPracticewithTeamNoContact

Warm-UpsIndividual DrillsTeamDrills

Dry-LandDrills

Step5 Sport-SpecificPracticewithTeamContactPermitted

Lightcontactdrills Fullcontactdrills

Step6 ReturntoSports

Summary:ReturntoActivity- Steps

TakeHomeTips1. Experiencingsymptomsdoesnotmeantheconcussionisgettingworse

2. NeverdomorethanwhatyoudecidedthenightbeforeforyourDailyChallenge– evenifyoufeelreallygood

3. NeverdolessthanwhatyoudecidedthenightbeforeforyourDailyChallenge

4. AlwaysprogressyourDailyChallengeintensityorduration

5. Justlikeanyotherlifechallenge,youwillhavegooddaysandbad.Baddaysdonotmeanyouaregettingworse

6. Focusonwhatyouhaveachieved,notwhatliesahead

7. Everydayyouaregettingbetter.Nomatterhowyoufeel,thenextdaywillbebetterthantheonebefore.

8. Supplementyourrehabwithpositivereinforcement:1. Begoodtoyourself- celebratepassingthroughstages2. Mindfulness3. Meditation

GoodLuck!Youcandothis!

---------Remember:

YouwillgetbetterEverydayyouareonestepclosertogettingbetter