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Get ready for Clinical Practice Redesign - Saskatchewan Medical ...

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Concussion in sport<br />

One particular aspect of sports medicine Dr. Taillon is<br />

most passionate about has been a hot topic in the media<br />

lately, especially following the recent crop of injuries sustained<br />

by superstars such as Sidney Crosby – concussion<br />

in sport.<br />

Dr. Taillon said research in this area has evolved immensely<br />

in the last 20 years. In the past, concussions were<br />

categorized as mild, moderate or severe, and physicians<br />

would primarily rely on the gradual<br />

resolve of symptoms be<strong>for</strong>e returning<br />

an athlete to sport; however, exciting<br />

research developments are happening<br />

right here in <strong>Saskatchewan</strong> that are allowing<br />

<strong>for</strong> a more reliable determination<br />

of recovery all be<strong>for</strong>e the athlete<br />

returns to contact play.<br />

“As you know, concussion in sport is<br />

a real focus now with all these super-<br />

-Dr. Paul Taillon, SASM President<br />

stars being sidelined. Anywhere from<br />

25 to 35 players are out in the NHL at<br />

any given time because of post-concussion symptoms,”<br />

Dr. Taillon explained. “So there is a lot of attention and Dr. Paul Taillon, SASM President<br />

development of some science, but also some useful tools<br />

so that we can be more sure that when [athletes] return,<br />

they’re safe.”<br />

The U of S recently received research funding that allowed<br />

Rhonda Shishkin, head athletic therapist <strong>for</strong> Huskie<br />

Athletics, to develop a computerized database that encompasses<br />

in<strong>for</strong>mation from three sports teams – a men’s<br />

hockey team, a women’s hockey team and a football team.<br />

As part of the pilot project, all of the athletes participated<br />

in baseline testing, such as simple memory and concentration<br />

tests, balance testing and computerized neuropsychology<br />

testing to gather the data.<br />

In November, one of the university athletes suffered a<br />

concussion. Dr. Taillon says because the athlete’s prior<br />

test results were stored in the database, the sports medicine<br />

team was able to follow the athlete’s recovery more<br />

closely.<br />

“Because we have that baseline, we are able to check that<br />

they have recovered in terms of their balance, and also<br />

[check recovery through] these cognitive tests <strong>for</strong> memory<br />

and reaction speed,” Dr. Taillon explained.<br />

feature<br />

Overall, this research allows the health care team to be<br />

more sure when returning an athlete to sport, which becomes<br />

very important when dealing in a university setting,<br />

Dr. Taillon explained.<br />

“They are students first and athletes second, and we want<br />

to safeguard their brains.”<br />

Keeping athletes safe is a rewarding experience – it’s fun<br />

to watch the sport and be involved with the athletes, Dr.<br />

Taillon says, adding that it presents almost a reverse set<br />

of protocol than other types<br />

“So there is a lot of attention and<br />

development of some science,<br />

but also some useful tools so that<br />

we can be more sure that when<br />

[athletes] return, they’re safe.”<br />

of medical practice.<br />

“[Athletes] want to get better<br />

as fast as possible, so it’s<br />

almost the reverse of ordinary<br />

medicine where you’re<br />

pushing people to get better.<br />

Here, you’re actually holding<br />

them back so that they<br />

can be rehabbed and safe to<br />

return to the sport.”<br />

SMA News Digest Spring 2012 17

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