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Making an ImPACT

Kenny Cress / Sports Writer /=20 kcress@santamariatimes.com Santa Maria=20 Times | Posted: Wednesday, October 7, 2009 12:00 am = | (0)=20 Comments

Font Size:: Default font=20 size; Larger font=20 size

=20 Making an = ImPACT=20

Nipomo High School senior tight end and linebacker Derek Pirotte = suffered a=20 concussion on Aug. 15. He suffered another on Sept. 3.

He hasn?t played since. If he suffers another concussion this season, = BHe=20 can?t play the rest of the year,C said first-year Nipomo High School = Athletic=20 Trainer Saboora Chaudhry.

BThe rule is, three concussions and (an athlete) is out,C for the = season, she=20 said.

Provided he doesn?t suffer that third concussion, a test Pirotte took = before=20 the season even started will help determine when 8 or if 8 he will play = again=20 this season.

That test is a baseline concussion test, and football players at all = San Luis=20 Obispo County high schools took it before the 2009 football season = started. San=20 Luis Obispo-based Sierra Vista Regional Medical Center and San Luis = Sports=20 Therapy collaborated to bring the ImPACT Concussion Testing Program to = San Luis=20 Obispo County high Schools beginning this year.

Participating schools include Nipomo, Arroyo Grande, Mission Prep, = Paso=20 Robles, Templeton, San Luis Obispo and Morro Bay.

If a player suffers a concussion, he re-takes the test and his = school?s=20 athletic trainer analyzes the results to see if the player?s cognitive = skills=20 match what the first test revealed they were.

Pirotte was to be evaluated by his personal physician Friday. Nipomo = had a=20 bye week that week. Chaudhry said Pirotte re-took the baseline = concussion test=20 recently, and that results of the test were available to Pirotte?s = parents and=20 his physician.

Jim Glinn and Stacy Ritter of San Luis Sports Therapy are two of the = point=20 people involved in the baseline concussion testing program. Glinn is San = Luis=20 Sports Therapy?s president. San Luis Sports Therapy provides the = athletic=20 training program for seven county schools, and Ritter directs that = program.

BDr. (Otto) Schueckler started the program at Mission Prep,C Glinn = said in a=20 recent phone interview.

BIt?s a great way to educate people about when to bring an athlete = back.C=20 Schueckler is a sports medicine specialist with Central Coast = Orthopedics and is=20 the program?s local medical consultant.

Chaudhry said that whether or not any of her school?s players can get = back=20 into action after an injury rests with the athlete?s personal = physician?s=20 clearance.

BThe baseline test is an excellent tool to provide a player?s = personal doctor=20 with,C said Chaudhry. BThe test (after a concussion) is an excellent way = to=20 judge a player?s mental reflexes, memory, alertness. It?s very good = information=20 to send to a physician.

BWhen the physical pain goes away after a concussion, the mental = reflexes=20 often still remain sub-par. You don?t want a player with sub-par mental=20 alertness in a football game.C

In Pirotte?s case, BCognitive skills take longer to get back to = normal after=20 a second concussion, so a player is out longer,C said Chaudhry.

Pirotte said the baseline concussion test was a very involved one, = involving,=20 among other things, questions concerning colors, shapes, recognition of = letters=20 and subtle wording on some questions.

For example, BYou?d look at a triangle and have to decide what shape = it was=20 in,C from various angles, said Pirotte.

And, BThere?d be colored boxes. If you?d see a box and it was blue, = and the=20 question asked if it was blue, you?d need to hit a button (to respond = >yes.?)=20 If you?d see a blue box and the question asked if it was red, you = weren?t=20 supposed to respond.C

BThe purpose of the testing program is two-fold,C said Glinn. BWhen = kids were=20 getting hammered on the football field, kids were asking physicians = about their=20 baseline status without really knowing what to do. Parents and players = were=20 asking about players coming back without an idea of what a baseline = program=20 was.

BThe second reason for the testing is 8 when can you go back? You = would see=20 all these boxers coming back too early (from head injuries) and having = long-term=20 consequences from it.C

Glinn said, B(The test) gives physicians an objective way of figuring = when=20 athletes can come back and play again. Coaches want them back as soon as = possible. Parents want to keep them safe. They?re fit to go back when = their=20 cognitive skills are the same as when they were (first) tested.C

BA lot of people were not aware of the exact purpose of the program = at=20 first,C said Ritter.

BNow that they see how the baseline process is implemented, they = understand=20 that head injuries result not just in physical symptoms but cognitive = symptoms=20 as well.B

Ritter added, BThe problem with the traditional concussion testing to = this=20 point is that it relies heavily on what an athlete can report to a=20 physician.

BWe have gotten a very positive response, especially from the parents = as they=20 understand they now have an extra layer of head injury management. = Coaches feel=20 better about putting athletes into play knowing they?re not putting them = into=20 play too soon.C

Glinn said, BAthletic trainers love it. It makes their life less=20 unpredictable as to when to bring people back.C

If other athletic trainers involved in the program concur with = Chaudhry?s=20 opinion of it, the program has a ringing endorsement.

September 27, 2009

Posted in Sports on = Wednesday, October=20 7, 2009 12:00 am Updated: 11:16 am.

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