Oral Presentations
The Online Concussion Training Toolkit
Shelina Babul, BC Injury Research and Prevention Unit
Paul Korn, BC Children's Hospital
Jennifer Scarr, Child Health BC
Kate Turcotte, BC Injury Research and Prevention Unit
The prevention, recognition, treatment of concussion, particularly in sport, is important nationally and internationally. The online Concussion Awareness Training Toolkit (CATT) was developed to standardize concussion diagnosis, treatment and management among health care practitioners; raise concussion awareness among parents, players and coaches; and support educators in return-to-learn protocol. Based upon established international principles, this online toolkit includes learner-directed training for three distinct audiences. CATT for health practitioners includes diagnostic tools; links to clinical resources, patient handouts, journal articles, related websites, concussion videos and study cases; and the Zurich Consensus Statement. CATT for parents, players and coaches includes how to identify a concussion, how to appropriately manage a child with a concussion, including a concussion response tool. Currently in development, CATT for educators will include a return-to-learn protocol and related-resources. The first phase of CATT has undergone evaluation, with the second phase currently being evaluated. From April 2013 to August 2014, CATT for health practitioners has received over 25,000 hits to the website, by over 18,000 unique visitors. Physicians demonstrated a statistically significant positive change in concussion practices (p=0.001). Positive change in physician knowledge was detected for those who typically see more than 10 concussions per year (p=0.039). Nurses demonstrated statistically significant positive change in practices (p=0.005) and attitudes (p=0.035). From June to August 2014, CATT for parents, players and coaches has received nearly 3,000 visits from over 2,000 unique visitors. Concussion continues to be an under-recognized, under-diagnosed and under-treated medical condition, requiring both physical and mental rest. Good concussion management will potentially reduce related health problems and may decrease the risk of long-term brain damage, potentially lowering total health care costs among these patients. CATT is currently being rolled out across Canada.
Shelina Babul, BC Injury Research and Prevention Unit
Paul Korn, BC Children's Hospital
Jennifer Scarr, Child Health BC
Kate Turcotte, BC Injury Research and Prevention Unit
The prevention, recognition, treatment of concussion, particularly in sport, is important nationally and internationally. The online Concussion Awareness Training Toolkit (CATT) was developed to standardize concussion diagnosis, treatment and management among health care practitioners; raise concussion awareness among parents, players and coaches; and support educators in return-to-learn protocol. Based upon established international principles, this online toolkit includes learner-directed training for three distinct audiences. CATT for health practitioners includes diagnostic tools; links to clinical resources, patient handouts, journal articles, related websites, concussion videos and study cases; and the Zurich Consensus Statement. CATT for parents, players and coaches includes how to identify a concussion, how to appropriately manage a child with a concussion, including a concussion response tool. Currently in development, CATT for educators will include a return-to-learn protocol and related-resources. The first phase of CATT has undergone evaluation, with the second phase currently being evaluated. From April 2013 to August 2014, CATT for health practitioners has received over 25,000 hits to the website, by over 18,000 unique visitors. Physicians demonstrated a statistically significant positive change in concussion practices (p=0.001). Positive change in physician knowledge was detected for those who typically see more than 10 concussions per year (p=0.039). Nurses demonstrated statistically significant positive change in practices (p=0.005) and attitudes (p=0.035). From June to August 2014, CATT for parents, players and coaches has received nearly 3,000 visits from over 2,000 unique visitors. Concussion continues to be an under-recognized, under-diagnosed and under-treated medical condition, requiring both physical and mental rest. Good concussion management will potentially reduce related health problems and may decrease the risk of long-term brain damage, potentially lowering total health care costs among these patients. CATT is currently being rolled out across Canada.
The FIFA 11+ neuromuscular training warm‐up program: from evidence to implementation
Rhona McGlasson, Bone and Joint Canada
Matthew Greenwood, Ontario Soccer Association
Alison MacPherson, York University
Stella Makris, Canadian Orthopaedic Foundation
Soccer has been identified as one of the top three sports contributing to injury rates in Canadian youth (ages 11-18), The objective of the project is to implement the FIFA 11+ injury prevention program to reduce injury rates for youth soccer player in Ontario. The FIFA 11+ is a 20-minute neuromuscular training warm‐up program designed to reduce the risk of injury in soccer. Studies have shown that participating in the program at least 1.5x per week results in a 29‐43% injury reduction over the course of one season. The program consists of 15 exercises, including running, strength, plyometrics, and balance. The project has increased awareness of the FIFA 11+ program through a communication strategy and implementation has taken place through training health care professionals across the province to work with clubs and train coaches in the exercise program. A baseline survey of coaches across the province found that 52% of coaches were unaware of the FIFA 11+ program. The strategy that has included communications and training has introduced the FIFA 11+ to the technical directors of clubs across the province. The first training event in the Greater Toronto Area resulted in 42 health care professionals being trained on how to work with soccer clubs in injury prevention including the use of the FIFA 11+ program. By August 2014 coaches training had been provided in 7 clubs and the program has been set as a requirement of the Ontario Player Development League which will result in further coaching sessions which are being scheduled throughout the winter season. A coordinated approach, including a communication strategy and training has resulted in interest in learning about the FIFA 11+ program. Clubs that participated in workshops have learned more and there is an ongoing effort to further this knowledge and evaluate whether it is transferrable to the 150 clubs in Ontario.
Rhona McGlasson, Bone and Joint Canada
Matthew Greenwood, Ontario Soccer Association
Alison MacPherson, York University
Stella Makris, Canadian Orthopaedic Foundation
Soccer has been identified as one of the top three sports contributing to injury rates in Canadian youth (ages 11-18), The objective of the project is to implement the FIFA 11+ injury prevention program to reduce injury rates for youth soccer player in Ontario. The FIFA 11+ is a 20-minute neuromuscular training warm‐up program designed to reduce the risk of injury in soccer. Studies have shown that participating in the program at least 1.5x per week results in a 29‐43% injury reduction over the course of one season. The program consists of 15 exercises, including running, strength, plyometrics, and balance. The project has increased awareness of the FIFA 11+ program through a communication strategy and implementation has taken place through training health care professionals across the province to work with clubs and train coaches in the exercise program. A baseline survey of coaches across the province found that 52% of coaches were unaware of the FIFA 11+ program. The strategy that has included communications and training has introduced the FIFA 11+ to the technical directors of clubs across the province. The first training event in the Greater Toronto Area resulted in 42 health care professionals being trained on how to work with soccer clubs in injury prevention including the use of the FIFA 11+ program. By August 2014 coaches training had been provided in 7 clubs and the program has been set as a requirement of the Ontario Player Development League which will result in further coaching sessions which are being scheduled throughout the winter season. A coordinated approach, including a communication strategy and training has resulted in interest in learning about the FIFA 11+ program. Clubs that participated in workshops have learned more and there is an ongoing effort to further this knowledge and evaluate whether it is transferrable to the 150 clubs in Ontario.