Concussion

Meridian Neuroscience offers a Concussion Center at Jersey Shore University Medical Center, Ocean Medical Center and Southern Ocean Medical Center. The Concussion Center provides follow-up evaluation and treatment during the acute phase after emergency room, hospitalization or primary care physician visit due to concussion or more severe traumatic brain injury. The Concussion center will also focus on prevention and pre-screening to capture baseline testing, which is helpful in tracking recovery if an individual sustains an injury.

What is a Concussion?

The Facts on Concussion/Brain Injury
Traumatic brain injury (TBI) is the largest cause of disability and death among young people in the United States every year. More than 75% of head injuries are mild and involve no loss of consciousness, but can result in significant symptoms and residual functional deficits that require further evaluation and treatment including:

  • Headache
  • Attention deficits
  • Dizziness
  • Poor concentration
  • Nausea
  • Memory problems
  • Vomiting
  • Fatigue
  • Disorientation
  • Irritability
  • Light Headedness
  • Depression
  • Balance problems
  • Anxiety
  • Sensitivity to light
  • Moodiness
  • Sensitivity to noise
  • Sleep problems

Concussion Prevention:
Baseline and post-injury testing is done for middle school, high school, and college level athletes as well as community sports/recreational programs utilizing ImPACT® and balance baselines. Pre-screening is designed to capture a baseline level of brain function before an individual sustains an injury and is used to track recovery for safe return to play and return to academia.

Following a Concussion, Early Intervention Makes A Difference:
The goal of the Concussion Center is to provide individualized evaluation and treatment during the acute phase (1-5 days) after concussion or head injury in a medical model proven to maximize recovery and reduce disability associated with head injury and Post Concussive Syndrome for adults and children.

Individualized Treatment:
Following the injury, the patient will have a consultation to more formally evaluate deficits and recovery after concussion and traumatic brain injury. Members of the multi-disciplinary team include: Sports Medicine, Neurology, Neuropsychology, Rehabilitation Therapies: Physical, Occupational, Balance, Cognitive, and Speech Therapies and Behavioral Medicine to address depression, anxiety, and psychological effects of TBI. The assessment includes an evaluation of balance, vestibular function, associated musculoskeletal injuries (neck, face, shoulder, spine) and neuro cognitive function.

Collaboration with Pediatric and Primary Care Physicians:
Each patient’s care will be closely coordinated with their pediatrician or primary care physician, and other treating physicians. A detailed report of diagnostic results and treatment recommendations will be provided to ensure continuity of care.

Dedicated Care Coordination:

Each patient will be provided support and education, as well as assistance with navigation through follow-up care. If needed, an individualized return to work, return to play and/or return to school treatment plan will be created and coordinated with occupational, community and academic organizations. Additional TBI resources will be provided as necessary.

Evidence-Based Approach to Treatment:
Treatment will follow existing models that have been found to enhance functional outcomes and reduce disability associated with concussion and traumatic brain injury. Applied research aimed at identifying factors that improve clinical outcomes is a key component of treating a head injury.

Concussion Centers are located at the following locations:

Jersey Shore University Medical Center
Stephen G. Rice, M.D., Clinical Director
732.776.2433

Ocean Medical Center
Kristine C. Keane, PsyD, Clinical Director
732.920.3434

Southern Ocean Medical Center
Tommasina Papa-Rugino, M.D., Clinical Director
609.978.8870

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