Sports Medicine

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.

Hours 

Mondays-Fridays: Noon to 7:00 pm when a Menlo School athletic trainer is present.

Sports Medicine staff

 

Head Athletic Trainer Aubrey YandaHead Athletic Trainer Aubrey Yanda Credit: P. McKenney

Aubrey (Yanda) Fennell, Head Athletic Trainer

   

   Aubrey Fennell, Head Athletic Trainer

    

 

Stephanie Swan , Assistant Athletic Trainer 

Recommended links

Magnus Health letter to parents  for all students

Head  Injury Information

CDC Opioid Fact Sheet

Concussion Management Program

Menlo School Recommendations: Cognitive Rest for Concussions 

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?
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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

Concussion Management
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.

Physical   Cognitive   Emotional   Sleep  
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      
Numbness/tingling      
Dazed/Stunned      

 

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.

To learn more about the ImPACT test please visit the ImPACT test website
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Biodex website  

 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.

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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.

Resources
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