Menlo School’s sports medicine program provides injury prevention, care, treatment and management services to student-athletes. Menlo’s program consistently strives to be a leader in the field of sports medicine and works to establish itself as a model of excellence using current, evidence-based practices.
Our goal is to provide prompt care for athletic injuries, enable injured student-athletes to return to play as soon as possible and promote overall health and wellness.
Menlo works in conjunction with the strength and conditioning program, coaches, athletics support staff, school administration, physicians, allied healthcare professionals, and local colleges and universities to provide the best possible care and rehabilitation for our student-athletes.
Mondays-Fridays: 12:00 noon to 7:00 pm when a Menlo School athletic trainer is present.
Sports Medicine staff
Jon Cohen, Director of Sports Medicine
Aubrey Yanda, Head Athletic Trainer
Magnus Health letter to parents for all students
Concussion Management Program
Menlo School believes that the health and safety of our student-athletes are of paramount importance. Over the past 10 years, Menlo School has been a leader in management and treatment of concussions in middle and high school student-athletes in the Bay Area and around the country. We strive to stay informed about current research practices and to support causes we believe will lead us to a better understanding of concussions. The concussion management program was implemented to ensure our student-athletes not only return to the classroom safely but to athletic competition safely as well.
What is a concussion?
In 2012, leading medical experts from around the world gathered in Zurch, Switzerland to provide management guidelines for sport-related concussions. Below was the proposed definition: ”Concussion is a brain injury and is defined as a complex pathophysiological (physical, cognitive and emotional) process affecting the brain, induced by biomechanical forces. Several common features that incorporate clinical, pathologic and biomechanical injury constructs that may be utilized in defining the nature of a concussive head injury include: 1. Concussion may be caused either by a direct blow to the head, face, neck or elsewhere on the body with an “impulsive” force transmitted to the head. 2. Concussion typically results in the rapid onset of short-lived impairment of neurological function (headache, dizziness, amnesia, etc) that resolves spontaneously. However, in some cases, symptoms and signs may evolve over a number of hours. 3. Concussion may result in neuropathological changes, but the acute clinical symptoms largely reflect a functional disturbance rather than a structural injury and, as such, no abnormality is seen on standard or structural neuroimaging studies. 4. Concussion results in a gradual set of clinical symptoms that may or may not involve loss of consciousness. Resolution of clinical and cognitive symptoms typically follows a sequential course. However, it is important to note that in some cases symptoms may be prolonged.
McCrory, Et Al. Br J Sports Med 2013;47:250
Explain it to Me: Concussions (CNN)
Concussion 101 Primer for Parents and Kids
Updated Concussion 101 Management and Return to Learn
Initially, the best treatment for a head injury is rest and immediate referral to your pediatrician for evaluation or as soon as time allows. Below are some recommended cognitive guidelines for Menlo student-athletes: Attached cognitive recommendation sheets Why do I need to see my physician? California law requires any athlete suspected of sustaining a concussion be immediately removed from an athletic activity for the remainder of the day and prohibits the athlete from returning to the athletic activity until the athlete is evaluated by a licensed health care provider (MD or DO) who is trained in the management of concussions and the athlete receives written clearance from the licensed health care provider to return to the athletic activity. When should I go to the emergency room? You should go immediately to the emergency room if you experience any of the following: Any loss of consciousness associated with the head injury (athlete should be treated for cervical neck involvement until a fracture is rules out) Any seizures or convulsions associated with the head injury Any vomiting, nausea, weakness, numbness or decreased coordination Any worsening symptoms such as pressure in the head or headache, slurred speech
What are the signs and symptoms of a concussion?
Keep in mind, any of the signs and symptoms listed below may be experienced immediately or hours later.
|Headache||Feeling mentally “foggy”||Irritable||Drowsiness|
|Nausea||Feeling slowed down||Sadness||Sleep more than usual|
|Vomiting||Difficulty concentrating||More emotional||Sleep less than usual|
|Balance problems||Difficulty remembering||Nervousness||Difficulty falling asleep|
|Dizziness||Forgetful of recent information and conversation|
|Visual Problems||Confused about recent events|
|Fatigue||Answers questions slowly|
|Sensitivity to light||Repeats questions|
|Sensitivity to noise|
Baseline Preseason Testing
Menlo school performs baseline neurocognitive testing (ImPACT test) and balance testing (BioSway) prior to the start of every sports season. Every student-athlete wishing to participate in athletics at Menlo school must complete all baseline testing prior to participating.
Return to Academics
Menlo School treats each student-athlete who sustains a concussion as an individual. While there are many written guidelines for returning to academics, we focus on the individual’s needs, specific situation, and recommendations from the treating physician to formulate a plan of action to return the student-athlete as quickly and safely back to academics as possible.
Following a concussion, Menlo School ascribes to a strict protocol of immediate rest for the first 24-48 hours. During that time period, we ask all of our student-athletes to refrain from the following: going to movies, dances, sporting events, large gatherings, concerts or any other activity with loud noises or bright lights, reading books or computer screens, sending or receiving text messages or other forms of social media and video games. All school work will be suspended until being evaluated by a physician.
The student-athlete or his or her parents should communicate with the School Nurse so any academic accommodations can be communicated quickly, specifically, and thoroughly to their teachers.
In addition, the Centers for Disease Control has a comprehensive information sheet
Return to Athletics
Menlo follows a very strict return to athletics protocol once a student-athlete is symptom-free, has returned to baseline on pre-participation testing, and has been given clearance by a licensed medical professional (MD or DO).
These steps have been outlined by the Centers for Disease Control and are listed below: Baseline (Step 0): As the baseline step of the Return to Play Progression, the athlete needs to have completed physical and cognitive rest and not be experiencing concussion symptoms for a minimum of 24 hours. Keep in mind, the younger the athlete, the more conservative the treatment.
Step 1: Light Aerobic Exercise The Goal: only to increase an athlete’s heart rate The Time: 5 to 10 minutes The Activities: exercise bike, walking, or light jogging Absolutely no weight lifting, jumping or hard running
Step 2: Moderate Exercise The Goal: limited body and head movement. The Time: Reduced from typical routine The Activities: moderate jogging, brief running, moderate-intensity stationary biking, and moderate-intensity weightlifting
Step 3: Non-contact Exercise The Goal: more intense but non-contact The Time: Close to Typical Routine The Activities: running, high-intensity stationary biking, the player’s regular weightlifting routine, and non-contact sport-specific drills. This stage may add some cognitive component to practice in addition to the aerobic and movement components introduced in Steps 1 and 2.
Step 4: Practice The Goal: Reintegrate in full contact practice.
Step 5: Play The Goal: Return to competition • If any symptoms or signs are experience during any of the stages of return to athletics, the athlete would discontinue exercise and wait 24 hours before resuming the previous step.
What education is required of Menlo Coaches?
In the fall of every school year all of our coaches receive concussion training that outlines Menlo’s concussion policies and protocols, signs and symptoms of a concussion, and how they can best support the needs of their injured athletes both on and off the field. In addition, all of our coaches are required to take the NFHS coaches concussion course. This course highlights the impact of sports-related concussion on athletes, teaches how to recognize a suspected concussion, and provides protocols to manage a suspected concussion with steps to help players return to play safely after a concussion. What education is required of Menlo Student-Athletes? Prior to the start of fall sports, all Menlo student-athletes are required to go through mandatory concussion education seminar. During this seminar our athletes are counseled on the signs and symptoms of a concussion, Menlo’s policies and protocols after a head injury is sustained and resources at Menlo to help with their recovery both return to academics and athletics.
CDC: What is a concussion?
CDC: Know your concussion ABCs and return to academics
CDC: Return to play after a concussion
CDC: Concussion fact sheet for parents
CDC: Fact sheet for teachers, counselors and school professionals
Videos NBC News Special: Girls sidelined by concussions
Keeping quiet can keep you out of the game…a Mother’s story
E:60 Second Impact The Preston Plevretes story