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Unlike some other reproductions of classic texts (1) We have not
used OCR(Optical Character Recognition), as this leads to bad
quality books with introduced typos. (2) In books where there are
images such as portraits, maps, sketches etc We have endeavoured to
keep the quality of these images, so they represent accurately the
original artefact. Although occasionally there may be certain
imperfections with these old texts, we feel they deserve to be made
available for future generations to enjoy.
This book arises from the challenges and difficulties involved in
the evaluation and management of concussions in wheelchair
athletes. Concussions are most readily identified in the ambulatory
population via identifying gross motor instability or when athletes
lose their balance and stumble after a blow to the head or neck
region. Because wheelchair athletes participate in sport while
sitting down and using a wheelchair, clinicians must be extra
attentive to identify a potential concussion. Once a potential
concussion is identified, there are many challenges in evaluation
of the wheelchair athlete population due to their comorbidities. At
baseline, they may have signs and symptoms that mimic a concussion,
and their impairments can also alter their cognitive and balance
assessments. Therefore, it is critical to make a distinction
between these athletes' baseline comorbid impairments and potential
new exam findings in a concussion. Filling in a critical gap in the
literature, this is a concise pocket guide for any clinician,
trainer, or rehabilitation specialist who is involved in wheelchair
sports. It focuses on the unique challenges in evaluating a
concussion in the wheelchair athlete, including baseline testing,
the process of evaluating the signs and symptoms of a concussion,
cognitive and vestibular examination, new clinical techniques
specific to wheelchair athletes, and the return to play process. A
Concussion Management Program (CMP) for use on the sideline as well
as in the office is included. Practical and timely, Concussion
Management for Wheelchair Athletes is a valuable resource to
increase awareness, provide guidance on the unique challenges
within this population, and generate interest in future research
and investigation.
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