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ActiveRehabilitationRecoveringfromConcussion
Developedby:Dr.EvanLewis
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YouareNowinRehab…foryourBrain
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ThreePrinciplesofActiveRehab
WORK
Everydayyoumustwork towardsgettingbetter
BELIEVE
Everydayyoumustbelieve youaregettingbetter
ARE
Everydayyouare gettingbetter
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TheActiveRehabProcess
• Norestdays,nodaysoff
• Step-by-stepgradualreturntoactivityandschool
• Continuethroughthestepsevenifyouareexperiencingsymptoms
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WhataretheStepsforActiveRehab?
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ReturntoActivity- Step
Step1• CompleteRest
Step2• LightExercise
Step3• Sport-SpecificExercise
Step4• TeamPractice-NoContact
Step5• TeamPractice–WithContact
Step6• ReturntoPlay
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HowwillIMovefromOneSteptotheNextStage?
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How areyoufeeling?
MeasurebytheGREEN,YELLOW,RED Scale
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BacktoARProcess
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WhatdoIneedforActiveRehab?
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YouWillNeed…
Calendar FriendorFamily Determination
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Okay… sohowdoesitwork?
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NewDailyChallenge:Mustalwaysbemore thanoriginal
challenge------------
RepeatDailyChallenge:Shouldneverbelessthanoriginal
challenge
Complete=DailyChallengecompletedwithlessthan2REDepisodes
Remember:Green,Yellow,RedSystem
EverynightdecideonDailyChallengeforthenextday:
•Activity?•Duration?
DailyChallenge
Complete NewDailyChallenge
IncreaseDuration
IncreaseIntensity
Incomplete RepeatDailyChallenge
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DailyChallengesandStepstoRecovery
• Useyourdailychallengestobuildupyouractivitylevel
• Eventuallyyouwillbuildtowardstherequirementstopasseachstep
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HowdoIPasseachStep?
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Recall:ReturntoActivity- Steps
Step1• CompleteRest
Step2• LightExercise
Step3• Sport-SpecificExercise
Step4• TeamPractice-NoContact
Step5• TeamPractice–WithContact
Step6• ReturntoPlay
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Step1– CompleteRest
• Refrainfrom:• Electronics• Television
• Engagein:• Restathome• Sleep
• Timeframe=24hours
Step 1– RequiredtoPass
• Evaluationbyamedicalprofessional
• Diagnosisofconcussionmade
• 24hoursofrest
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Step 2– LightExercise
• ExerciseExamples• Walking• Jogging• StationaryCycling• StationaryRowing• Swimming(freestyle)• ResistanceBands– LightTension
• Timeframe• Minimum=24hours• Maximum=atdiscretionoftreatingdoctor
Step 2– RequiredtoPass
• Two20minuteperiodsofcontinuousactivity
• Abletoachieveeachactivityperiodwithlessthan2episodesofREDsymptoms
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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
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Step 4– TeamPractice- NoContact
• Refrainfrom:• Scrimmages• Drillswithhighriskforcontact
• Timeframe• Minimum=24hours• Maximum=atdiscretionoftreatingdoctor
Step 4– RequiredtoPass
• Completeafullteampracticewithnocontact
• AbletoachievefullpracticewithnoREDsymptoms
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Step5– TeamPractice- WithContact
• Mustwearidentifyingjersey/colour duringpractice
• Timeframe• Minimum=24hours• Maximum=atdiscretionoftreatingdoctor
Step 5– RequiredtoPass
• Completeafullteampracticewithcontact
• AbletoachievefullpracticewithnoREDsymptoms
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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
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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
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GoodLuck!Youcandothis!
---------Remember:
YouwillgetbetterEverydayyouareonestepclosertogettingbetter