The autonomic nervous system & how Exercise is Medicine for Concussion Patients w Dr. John Leddy
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- Опубліковано 7 лип 2024
- In this episode I chat with Dr. John Leddy, one of the inventors of the famous Buffalo Concussion Treadmill Test. We discuss the autonomic nervous system and how exercise is medicine for concussion patients.
If you need a treadmill test done please visit completeconcussions.com to find a clinic near you.
BIO: Dr. John J. Leddy is Professor of Clinical Orthopedics and Rehabilitation Sciences at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, a Fellow of the American College of Sports Medicine, the AMSSM, and of the American College of Physicians, and Director of Outcomes Research for the Department of Orthopaedics. He is a Division 1 team physician and Medical Director of the University at Buffalo Concussion Management Clinic. He is a Member of the Expert Panel for the Berlin Fifth International Consensus Conference on Concussion in Sport. In conjunction with Dr. Barry Willer, he developed the Buffalo Concussion Treadmill Test.
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0:01 - Intro
1:26 - What made you think about exercise for concussion recovery?
10:20 - How hard was it initially to get through an ethics approval process?
20:23 - How quickly after concussion should patients start exercising?
26:05 - Is the Buffalo Treadmill Test a good biomarker for concussion?
35:25 - Prescription of exercise for concussion recovery
42:48 - CCMI Community Question #1: Blood flow alterations following concussion
50:04 - CCMI Community Question #2: Managing POTS in a concussion patient
58:30 - CCMI Community Question #3: Can symptoms from untreated autonomic nervous system dysfunction from previous concussion (not fully recovered) remerge years later?
1:01:25 - Closing thoughts
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Interested in learning more about the treatment and management of concussion?
-- CONCUSSION PATIENTS! Learn how to treat your concussion from home in Dr. Cameron Marshall’s weekly online workshops. Click here to learn more: smarturl.it/workshopcdoc
-- CLINICIANS AND REHAB THERAPISTS (PT, DC, OT, AT, etc.)! Learn how to treat ANY Concussion Patient that enters your clinic in Dr. Cameron Marshall’s weekly online workshops. Click here to learn more: smarturl.it/workshopcc
Follow Dr. Cameron Marshall on Instagram for daily information on concussion: @completeconcussions
Thank you
Thankyou so much for this valuable information. It’s the opposite of what I was told last week after a sever concussion followed by seizures. Overall, I am already recovering well.
Hey Concussion Doc, I purchased your course and am following the instructions for each module very closely, including doing the exercise! But my question is that since I have insomnia as concussion symptoms as well, will exercise still help if I'm not sleeping well? I feel like the answer is yes and that in the long term sleep will improve as well. But also it makes me a lot more fatigued during the day which can worsen symptoms
Exercise is important and so is sleep. So if you aren't sleeping well you should still exercise. Also, exercise promotes good sleep!
@@CompleteConcussions thanks. Also thanks for putting together a great course 🙏
Should we avoid work if we still have concussion after 5 weeks? If every task is important and stressful for deadlines etc rather than easy going emails.
Well it's one of those "everyone is different" scenarios. If you are finding it difficult and making things worse, then the answer is probably yes. BUT that being said, it's not about just not going to work...it's about using that time to work on recovery and gradually increasing your cognitive load and increasing work
Is there any hope for PCS pots patients?
Yes! In fact, it seems that PCS POTS may be more heavily tied to concussion symptoms vs. regular "idiopathic" POTS. Recent research has suggested that post-concussion POTS goes away once symptoms go away - so the net result is treat the underlying drivers of persistent symptoms (and in the case of POTS - ANS dysregulation) - Check out the link to my workshops in the description as we cover this
@@CompleteConcussions This reply has been life saving. I had a concussion with LOC for 2 mins 6 months ago and developed pots symptoms 3 months out. I was lead to believe that it was damage to brainstem and would be permanent. I'm absolutely terrified that I will have this for the rest of my life. Im only 28 years old.
@@CompleteConcussions
Thanks for getting back to me. Is the research saying that this is a Vagal Nerve injury and it may heal for some? Or is it some form of trauma response? I just need a success story to continue the fight but they are few and far between.
@@TheBushRanger. LOC ..LOSS OF CONSCIOUSNESS ? I HAD a motorcycle incident 😳 😕 no helmet on, I do believe I'm suffering from same symptoms..POTS..ETC
Treadmill ? and or bike?
I started off by using a stationary bike - because being on the treadmill/standing up would automatically spike my pulse and i wasnt able to get it down to resting. As i increased my tolerance, I started using the treadmill and other types of exercises :)