On-field cervical spine evaluations are an area of expertise for Dr. Mark Prasarn.  He is the spine consultant for the Houston Texans and all University of Houston sports teams.







What is the initial on-field assessment look like



ABCs



When do we transport?



Anyone that is unconscious



Significant neck pain



Weakness or numbness



Bilateral is a much greater indicator.



What does it look like once we transport it?



This really depends on the group, but equipment removal



Then get them stabilized



What are our early-stage rehab focus and goals?



If there is an AT it is a huge benefit



ROM



Transient hemioplegic patient



This can be mistaken for strokes



Neck pain is the significant indicator



Education is important



Most cases resolve in  a few seconds or few minutes when it is a stinger



If it does not resolve then have them evaluated



Refer for imaging per doctor's orders.



What conversations should ATs be having with local staff?



Where are they going?



You should be involved in the decision-making.



What can we do to prevent these cervical spine injuries?



There is not really much we can do to train away injuries.  Strengthening is most likely going to help



Do we need acclimatization for tackling?



Data shows that tackling technique improves injury rates







Watch the presentation: