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Vanderbilt Sports Concussion Center Annual Report 2013-2014 Mission Statement: Our mission is to provide quality care for athletes with sports related concussion by utilizing an evidence-based medicine approach, conducting academic and clinical research, and educating athletes, parents, coaches, and healthcare providers on the recognition and management of sports-related concussion. Highlights Leadership (page 2) Professional Educational Programs (pages 3-10) Community-based Educational Programs (pages 11-12) Research (page 13) Published Manuscripts (pages 14-15) Poster Presentations (page 16) Current Projects (page 17) Clinical Practice (page 18) Providers (pages 18-19) Locations (page 20) Concussion Baseline Testing Program (pages 21-22) Patient Volumes (pages 22-24)

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Vanderbilt Sports Concussion Center Annual Report 2013-2014

Mission Statement:Our mission is to provide quality care for athletes with sports related concussion by utilizing an evidence-based medicine approach, conducting academic and clinical research, and educating athletes, parents, coaches, and healthcare providers on the recognition and management of sports-related concussion.

Highlights

Leadership (page 2)Professional Educational Programs (pages 3-10)Community-based Educational Programs (pages 11-12)Research (page 13)

Published Manuscripts (pages 14-15)Poster Presentations (page 16)Current Projects (page 17)

Clinical Practice (page 18)Providers (pages 18-19)Locations (page 20)Concussion Baseline Testing Program (pages 21-22)Patient Volumes (pages 22-24)

VSCC Annual Report 2013-2014

LeadershipDr. Allen Sills:

Associate Professor of Neurological Surgery, Orthopedic Surgery & Rehabilitation

Member, Concussion in Sport Group

Consulting Neurosurgeon, Nashville Predators, Vanderbilt University, Belmont University, and Mississippi State University

Consulting Neurosurgeon, Federation Equestrian Internationale

Section Editor, Sports and Rehabilitation, Neurosurgery

Dr. Gary Solomon:

Associate Professor of Neurological Surgery, Orthopedic Surgery & Rehabilitation, and Psychiatry

Consulting Neuropsychologist, Tennessee Titans

Team Neuropsychologist, Nashville Predators

Consulting Neuropsychologist, Tennessee Tech University and National Steeplechase Association

Associate Section Editor, Sports and Rehabilitation, Neurosurgery

Editorial Board, Archives of Clinical Neuropsychology

Principal Reviewer, American Journal of Sports Medicine

Editorial Reviewer: Applied Neuropsychology: Child

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VSCC Annual Report 2013-2014

International Journal of Sports Medicine

The Physician and Sportsmedicine

Charter member: NFL Neuropsychology Consultants and NHL Neuropsychology Consultants

Dr. Andrew Gregory:

Associate Professor of Pediatrics, Orthopedic Surgery and Rehabilitation, and Neurological Surgery

Team Physician, Vanderbilt University Athletics, Belmont University Athletics

Team Physician, Nashville Sounds (AAA Affiliate of the Milwaukee Brewers)

Team Physician, USA Volleyball

Program Director, Vanderbilt Sports Medicine Fellowship

Professional Educational ProgramsBold = VSCC memberBold Red = studentBold Blue = resident

VUMC Annual Research Forum

“Recovery from Sports-Related Concussion: Days to Return to Baseline in Adolescents vs. Young Adults”

Scott Zuckerman, MD, Young Lee, MD, Gary Solomon, PhD., Jonathan Forbes, MD, Allen Sills, MD.

Nashville, TN

April, 2013

Adolescent Health Care Conference

Sports Medicine Contemporary Forums

Andrew Gregory, MD

Orlando, Florida

May 2, 2013

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VSCC Annual Report 2013-2014

International Equestrian Foundation Safety Meeting

Allen Sills, MD

Zurich, Switzerland

May 16, 2013

American Academy of Physician Assistants

“Adolescent Sports Medicine Cases”

Andrew Gregory, MD

Washington, District of Columbia

May 25, 2013

International Sports Concussion Symposium

“Neurocognitive Performance of Spanish-speaking Hispanic Athletes on ImPACT.”

Gary Solomon, PhD

Minneapolis, MN

May, 2013

International Sports Concussion Symposium

“Utility of Repeated Assessment Following Invalid Baseline Performance”

Gary Solomon, PhD

Minneapolis, MN

May, 2013

Advances and New Frontiers in Sports Concussion

Hosted by the VSCC@ Vanderbilt Children’s Hospital

Gary Solomon, PhD, Scott Zuckerman, MD, Andrew Gregory, MD, Alex Diamond, DO

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VSCC Annual Report 2013-2014

May 15, 2013

American Academy of Pediatrics; PREP: The Course

“Concussions in Youth Sports”

Andrew Gregory, MD

Portland, Oregon

June, 2013

American Orthopaedics Society for Sports Medicine

“Baseline Neurocognitive Test Results In Non-concussed Athletes: Does Sleep Matter?”

Andrew Gregory, MD

Chicago, IL

July, 2013

American Academy of Clinical Neuropsychology Conference

“Utility of Repeated Administration of ImPACT following an Invalid Baseline”

Gary Solomon, PhD

Chicago, IL

June, 2013

Tennessee Neurosurgical Society Annual Meeting

“Sports-Related Concussion: How Do Age and Gender Affect Outcomes?”

Scott Zuckerman, MD, Young Lee, MD, Mitch Odom, MD, Gary Solomon, PhD., Jonathan Forbes, MD, Allen Sills, MD

Nashville, TN

August, 2013

Cookeville Regional Medical Center CME Conference

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VSCC Annual Report 2013-2014

“Concussion and Head Injuries in Sports”

David Liddle, MD

Cookeville, TN

August 26, 2013

Omaha Children’s Hospital Pediatric Grand Rounds

“Concussion in Youth Sports”

Andrew Gregory, MD

Omaha, Nebraska

September, 2013

Vanderbilt Physical Medicine and Rehabilitation Grand Rounds

“Concussion in Youth Sports”

Andrew Gregory, MD

Nashville, Tennessee

September, 2013

Jennie Stuart Medical Center CME Event

“Concussion in Youth Sports”

Andrew Gregory, MD

Hopkinsville, Kentucky

October, 2013

American Academy of Physical Medicine and Rehabilitation Annual Meeting

“Concussion in Youth Sports”

Andrew Gregory, MD

National Harbor, Maryland

October, 2013

TN Psychological Association Convention

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VSCC Annual Report 2013-2014

“The Vanderbilt Sports Concussion Center: Clinical, Educational, and Research Activities”

Gary Solomon, PhD

Nashville, TN

October, 2013

Tennessee State School Nurses Association State Meeting

Gary Solomon, PhD, David Liddle, MD, Tim Lee, ATC

Murfreesboro, TN

October 24, 2013

Tennessee Academy of Family Physicians 65 th Annual Scientific Assembly

“Concussion Recognition and Management at the K-12 Level”

Alex Diamond, DO

Gatlinburg, TN

October 31, 2013

Joe DiMaggio Children’s Hospital Symposium

“Sports Concussion in Young Athletes”

Andrew Gregory, MD

Hollywood, Florida

November, 2013

American Academy of Pediatrics Practical Pediatrics Course

“Youth Sports Concussion”

Andrew Gregory, MD

Vail, Colorado

December, 2013

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VSCC Annual Report 2013-2014

TN Athletic Trainer’s Association Annual Meeting

“Chronic Traumatic Encephalopathy in Football: What is the Evidence?”

Gary Solomon, PhD

Nashville, TN

January 14, 2014

Vanderbilt Children’s Hospital Pediatric Grand Rounds

“Sports Concussion in Young Athletes”

Andrew Gregory, MD

Nashville, Tennessee

January, 2014

Annual Meeting of the International Neuropsychological Society

“The Use of Psychostimulants Among Adolescents Athletes with Reported ADHD Impacts Computerized Neurocognitive Baseline Test Performance.”

Gary Solomon, PhD

Seattle, Washington

February, 2014

Annual Meeting of the International Neuropsychological Society

“Normative Data for the Neuropsychological Risk Factors Reported on the ImPACT Neurocognitive Test Battery.”

Gary Solomon, PhD

Seattle, Washington

February, 2014

Annual Meeting of the International Neuropsychological Society

“Adolescent Athletes with a History of Seizures Report a Greater Number of Symptoms at Baseline Compared to Matched Controls.”

Gary Solomon, PhD

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VSCC Annual Report 2013-2014

Seattle, Washington

February, 2014

Southern Neurological Society 65 th Annual Meeting

“Survey of High School Football Helmet Condition and Maintenance in Middle Tennessee”

Thomas O’Lynnger, MD, Allen Sills, MD

San Juan, Puerto Rico

February 19-22, 2014

Southern Orthopaedics Association presents Southern at the SEC: Sports Injury Update

“Update on Chronic Traumatic Encephalopathy”

Alex Diamond, DO

Nashville, TN

March 6, 2013

American Academy of Pediatrics Practical Pediatrics Course

“Youth Sports Concussion”

Andrew Gregory, MD

Orlando, Florida

March, 2014

Tennessee Brain Injury Association Annual Meeting

Concussion Panel Member for “Ask the Experts”

Gary Solomon, PhD

Nashville, TN

March 28, 2014

American Association of Neurological Surgeons 82 nd Annual Scientific Meeting

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VSCC Annual Report 2013-2014

“Survey of High School Football Helmet Condition and Maintenance in Middle Tennessee”

Thomas O’Lynnger, MD

San Francisco, CA

April 5-9, 2014

Tennessee Medical Association Annual Meeting

“Concussion in Youth Sports”

Andrew Gregory, MD

Franklin, Tennessee

April, 2014

The International Olympic Committee World Conference on Prevention of Injury in Sport

“Put Me in Coach! The Role of Educational Programming for Coaches on Injury Prevention”

Alex Diamond, DO

Monte-Carlo, Principality of Monaco

April 10-11, 2014

The International Olympic Committee World Conference on Prevention of Injury in Sport

“Nature vs Nurture: Is the Prevention of Injury Born or Bred?

Alex Diamond, DO

Monte Carlo, Principality of Monaco

April 10 -11, 2014

The International Olympic Committee World Conference on Prevention of Injury in Sport

“Tweets, Texts, Blogs, and Pods: How Technology has Advanced the Development and Implementation of Injury Prevention.”

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VSCC Annual Report 2013-2014

Alex Diamond, DO, Andrew Gregory, MD

Monte Carlo, Principality of Monaco

April 10 – 11, 2014

American College of Sports Medicine International Team Physician Course

“Concussion in Youth Sports”

Andrew Gregory, MD

Orlando, Florida

May, 2014

Vanderbilt Orthopaedics Society Annual Meeting

“Concussion in Athletes”

Alex Diamond, DO

Nashville, TN

May 9, 2014

Community-based Educational Programs

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VSCC Annual Report 2013-2014

Vanderbilt Sports Concussion Center Community Education Seminar Funded by Rawlings

Allen Sills, MD, Gary Solomon, PhD, Andrew Gregory, MD, James Fiechtl, MD, Alex Diamond, DO, Tim Lee, ATC

Nashville, TN

April 30, 2013

Star Physical Therapy Sports Safety Conference

“Sports Concussions in Young Athletes”

Andrew Gregory, MD

Nashville, Tennessee

July, 2013

Vanderbilt Sports Concussion Center Community Education Seminar Funded by Rawlings

Gary Solomon, PhD, James Fiechtl, MD, Tim Lee, ATC

Chattanooga, TN

August 13, 2013

Vanderbilt Sports Concussion Center Community Education Seminar

Gary Solomon, PhD, Andrew Gregory, MD, Tim Lee, ATC

St. Cecilia Academy

Nashville, TN

September 26, 2013

Chattanooga Traumatic Brain Injury Foundation

“Concussion in Youth Sports”

Andrew Gregory, MD

Chattanooga, Tennessee

October, 2013

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VSCC Annual Report 2013-2014

Vanderbilt Sports Concussion Center Community Education Seminar Funded by Rawlings

Tim Lee, ATC, Allen Sills, MD, Andrew Gregory, MD, James Fiechtl, MD

Jackson, TN

November 5, 2013

Youth Sports Safety Campaign and Clinic (Hendersonville Soccer Club)

“Concussion in Youth Sports”

Alex Diamond, DO

Hendersonville, TN

February 4. 2013

Sports Fest hosted by 104.5 the Zone

Concussion Panel Member

Allen Sills, MD

Nashville, TN

February 22-23, 2014

Vanderbilt Sports Concussion Center Community Education Seminar Funded by Rawlings

Allen Sills, MD, Gary Solomon, PhD, David Liddle, MD, Tim Lee, ATC

Franklin, TN

April 4, 2014

TSSAA State Athletic Directors Meeting

Tim Lee, ATC

Murfreesboro, TN

April 7-8, 2014

Vanderbilt Sports Concussion Centers Community Education Seminar

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VSCC Annual Report 2013-2014

Tim Lee, ATC

Belmont University, Nashville, TN

April 9, 2014

ResearchVanderbilt Sports Concussion Research (V-SCoRe)

The purpose of the Vanderbilt Sports Concussion Research (V-SCoRe) is to improve our knowledge in the area of sports-related concussion (SRC) and the outcome of these injuries in athletes. Goals also include identifying pre and post-concussion variables that influence recovery from a SRC and management approaches that can optimize an athlete’s return to the pre-injury level of function and performance We hope to further expand our research efforts to the following areas that affect SRC outcomes:

Age

Gender

Return to play

Neurocognitive assessment

Number of prior concussions

Seizures

Anxiety/depression

Achieving these goals will be possible by:

Utilizing a prospective athlete registry of neurocognitive tests to identify factors associated with SRC outcomes.

Obtaining long-term patient reported outcome measures to evaluate the longitudinal impact of SRC.

Communicating directly with local coaches and school personnel to identify the important issues surrounding young athletes today

V-SCoRe Research Team:

Bold Black = faculty Bold Blue = resident Bold Red = student

Dr. Gary Solomon Mitch Odom

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VSCC Annual Report 2013-2014

Dr. Allen Sills Clint Morgan

Dr. Andrew Gregory Shawn Love

Dr. Scott Zuckerman Greg LaChaud

Dr. Alex Diamond Geoffrey Casimir

Dr. Rachel Apple Young Lee

Tim Lee

Published ManuscriptsBold = VSCC memberBold Red = studentBold Blue = residentBold Black = faculty

Solomon, G.S., Haase, R.F., and Kuhn, A. (2013). The relationship among neurocognitive performances and biopsychosocial characteristics of elite National Football League draft picks: An exploratory investigation. Archives of Clinical Neuropsychology, 28, 9-20. Zuckerman, S.L., Lee, Y.M., Odom, M. J., Solomon, G.S., & Sills, A.K. (2013). Baseline neurocognitive scores in athletes with attention deficit spectrum disorders and/or learning disability. Journal of Neurosurgery: Pediatrics, 12, 103-109. Lee, Y.M., Odom, M.J., Zuckerman, S.L., Forbes, J.A., Solomon, G.S., & Sills, A.K. (2013). Does age affect symptom recovery after sports related concussion? A study of high school and collegiate athletes. Journal of Neurosurgery: Pediatrics, 12, 537-544. Solomon, G.S. and Sills, A. (2013). Pharmacologic treatment of sport-related concussion: A review. Journal of Surgical Orthopedic Advances, 22, 193-197.

Sills, A.K. (2013). Treatment of head injuries. Primary Care, 40, 253-258.

McCrory P, etc. Sills A, et al. (2013). Consensus statement on concussion in sport: The 4th international conference on concussion in sport held in Zurich, November 2012. BJSM, 47, 250-58.

Lovell, M.R., & Solomon, G.S. (2013). Neurocognitive test performance and symptom reporting in cheerleaders with concussions. The Journal of Pediatrics, 163, 1192-1195.

Zuckerman, S.L., Solomon, G.S., & Sills, A.K. (2013). Response to Duhaime. Journal of Neurosurgery: Pediatrics, 12, 536.

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VSCC Annual Report 2013-2014

 Sills, A.K., Solomon, G.S. & Ellenbogen, R. (2013). The neurosurgeon in sport: An update from the 2012 Zurich International Concussion Conference. Neurosurgery, 73, 1091-1098. Zuckerman, S.L., Apple, R.P, Odom, M.J, Lee, Y.M, Solomon, G.S., & Sills, A.K. (2014). Effect of sex on symptoms and return to baseline in sport-related concussion. Journal of Neurosurgery: Pediatrics, 13, 72-81.

McClure, D.J., Zuckerman, S.L., Kutscher, S.J., Gregory, A. & Solomon, G.S. (2014). Baseline neurocognitive test results in non-concussed athletes: Does sleep matter? American Journal of Sports Medicine, 42, 472-78.

Forbes, J.A,. Zuckerman, S.L., Alba, A.A., Mocco, J., Bode, K., & Eads, T. Biomechanics of subdural hemorrhage in American football: Review of the literature in response to rise in incidence. Childs Nerv Syst. 2013 Nov 17. [Epub ahead of print] PMID: 24240553

Forbes, J.A., Zuckerman, S.L., He, L., McCalley E., Lee, Y.M., Solomon, G.S., Halstead, P.D., & Sills, A.K. (2014). Subdural hemorrhage in two high school football players: Post-injury helmet testing. Pediatric Neurosurgery, 49, 43-49. Ott, S., Schatz, P. Solomon, G.S., & Ryan, J.J. (2014). Neurocognitive performance and symptom profiles of Spanish-speaking Hispanic athletes on the ImPACT test. Archives of Clinical Neuropsychology, 29, 152-163. Solomon, G.S., & Kuhn, A. (2014). Relationship between concussion history and neurocognitive test performance in National Football League draft picks. American Journal of Sports Medicine, 42, 934-939. Schatz, P., Kelley, T., Ott, S., Solomon, G.S., Elbin, R.J., Higgins, K., & Moser, R. (2014). Utility of repeated assessment following invalid baseline performance. Journal of Athletic Training, in press. Kuhn, A., & Solomon, G.S. (2014). The effects of supervision on computerized neurocognitive baseline test performance in high school athletes. Journal of Athletic Training, in press.

Solomon, G.S., & Zuckerman, S.L. (2014). Chronic traumatic encephalopathy in professional sports: Retrospective and prospective views. Brain Injury, in press. Lee, Y.M., Solomon, G.S., & Sills, A.K. (2014). Recognizing and treating concussions related to sports injuries. Practical Pain Management, 14 (4), 36-46. Diamond, A., & Solomon, G.S. (2014). Modifying factors in sport-related concussion: Dangerous style of play. The Physician and Sportsmedicine, in press.

Love, S.M., & Solomon, G.S. (2014). Talking with parents of high school football players about Chronic Traumatic Encephalopathy (CTE): A concise summary. American Journal of Sports Medicine, in press.

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VSCC Annual Report 2013-2014

Solomon, G., & Sills, A. (2014). Chronic Traumatic Encephalopathy and the Availability Cascade. The Physician and Sportsmedicine, in press.

Provvidenza C, Engebretsen L, Tator C, Kissick J, McCrory P, Sills A, Johnston KM. From consensus to action: knowledge transfer, education, and influencing policy on sports concussion. British Journal of Sports Medicine. 2013 Jan 24. [Epub ahead of print]. PMID: 23349319.

Poster PresentationsBold = VSCC member Bold Red = student Bold Blue = resident Bold Black = faculty

Odom MJ, Zuckerman SL, Lee YM, Solomon GS, Sills AK. Establishing ImPACT Norms for the Learning Disables Following Sports-Related Concussion: A Neglected Population. VUMC Annual Research Forum. Nashville, TN, April 2013.

Zuckerman SL, Kuhn A, Dewan MC, Morone PJ, Forbes JA, Solomon GS, Sills AK. Structural Brain Injury in Sports-Related Concussion. VUMC Annual Research Forum. Nashville, TN, April 2013.

Odom MJ, Zuckerman SL, Lee YM, Solomon GS, Sills AK. Does Age Affect Symptom Recovery After Sports Related Concussion? A Study of High School and Collegiate Athletes. VUMC Annual Research Forum. Nashville, TN, April 2013.

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VSCC Annual Report 2013-2014

Odom MJ, Zuckerman SL, Lee YM, Solomon GS, Sills AK. Gender and Sports-Related Concussion: Female Athletes Take Longer to Return to Symptom Baseline than Males. VUMC Annual Research Forum. Nashville, TN, April 2013.

Zuckerman SL, Odom MJ, Lee YM, Solomon GS, Sills AK. Sports-Related Concussion in Helmeted vs. Non-Helmeted Athletes: Who Fares Worse? VUMC Annual Research Forum. Nashville, TN, April 2013.

Zuckerman SL, Solomon GS, Sills AK. Response to Acute Concussive Injury in Soccer Players: Is Gender a Modifying Factor? AANS National Meeting, New Orleans, LA, April 2013.

Zuckerman SL, Odom MJ, Lee YM, Solomon GS, Forbes JA, Sills AK. Recovery from Sports-Related Concussion: Days to Return to Baseline in Adolescents vs. Young Adults. AANS National Meeting, New Orleans, LA, April 2013.

Zuckerman SL, Lee YM, Odom MJ, Solomon GS, Sills AK. Establishing ImPACT Norms for the Learning Disables Following Sports-Related Concussion: A Neglected Population. AANS National Meeting, New Orleans, LA, April 2013.

Zuckerman SL, Kuhn A, Dewan MC, Morone PJ, Forbes JA, Solomon GS, Sills AK. Structural Brain Injury in Sports-Related Concussion. AANS National Meeting, New Orleans, LA, April 2013.

Zuckerman SL, Odom MJ, Lee YM, Solomon GS, Sills AK. Does Age Affect Symptom Recovery After Sports Related Concussion? A Study of High School and Collegiate Athletes. AANS National Meeting, New Orleans, LA, April 2013.

Zuckerman SL, Odom MJ, Lee YM, Solomon GS, Sills AK. Gender and Sports-Related Concussion: Female Athletes Take Longer to Return to Symptom Baseline than Males. AANS National Meeting, New Orleans, LA, April 2013.

Current ProjectsBold Red = student Bold Blue = resident Bold Black = faculty

Sills et al: Israeli ICP device

Gregory et al.: Age as a modifying factor in SRC

Clint Morgan, Zuckerman, et al: Post concussion headache case control study

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VSCC Annual Report 2013-2014

Young Lee et al: BMI and response to concussion

Geoffrey Casimir: Gender and LAX

Mitch Odom et al: Parents’ knowledge of CTE

Zuckerman & Rubel et al: Mechanisms of concussion injury and resource utilization

Yengo-Kahn & Johnson: Summary of NFL Concussion studies

Sheah: Seizures as a modifying factor (Poster presented AAN Conference 2014)

DeVore: US Equestrian cohort

Golla: Sx resolution post-concussion public vs. private schools

Clinical Practice

ProvidersAllen Sills, MD

Associate Professor of Neurosurgeryand Orthopedic Surgery & RehabilitationDirector of Neurosurgery Community Practice Co-Director, Vanderbilt Sports Concussion Center

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VSCC Annual Report 2013-2014

Gary Solomon, PhD

Associate Professor of Neurological Surgery, Orthopedic Surgery & Rehabilitation, and Psychiatry

Co-Director, Vanderbilt Sports Concussion Center

Andrew Gregory, MD

Associate Professor of Orthopaedic Surgery & Rehabilitation, Pediatrics, and Neurological SurgeryVanderbilt Team Physician Co-Director, Vanderbilt Sports Concussion Center

Alex Diamond, DO

Assistant Professor of Orthopaedics & RehabilitationAssistant Professor of PediatricsTeam Physician: Vanderbilt & Belmont Universities, Nashville Predators, Nashville Sounds

Jim Fiechtl, MD

Assistant Professor of Emergency Medicine Assistant Professor of Orthopaedics and Rehabilitation

Warne Fitch, MD

Assistant Professor of Emergency MedicineAssistant Professor of Orthopaedics and Rehabilitation

David Liddle, MD

Assistant ProfessorAttending PhysicianTeam Physician - Vanderbilt University, Belmont University, & Nashville SoundsMedical Consultant - Nashville Predators

Paul Rummo, MD

Assistant Professor of Orthopaedics and Rehabilitation

Gene Hannah, MD

Assistant Professor Department of OrthopaedicsAssistant Professor Program of Family Medicine

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VSCC Annual Report 2013-2014

Jay Wellons, MD

Professor of Neurological Surgery and Chief of Pediatric Neurosurgery

Thomas Whitfield, MD

Assistant Professor of ClinicalSenior Air Medical Examiner

Susan Beaird, NP

Pediatric Neurology

Lauren King, NP

Pediatric Neurology

Ryan Raburn, PA

Adult Neurosurgery

Locations

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VSCC Annual Report 2013-2014

Vanderbilt Sports Medicine Medical Center East, South Tower1215 21st Ave. S. Nashville, TN 37232

Village at Vanderbilt1500 21st Ave. S., Suite 1506Nashville, TN 37212

Vanderbilt Pediatric OrthopaedicsMonroe Carell Jr. Children's Hospital at Vanderbilt2200 Children's Way, Suite 4202 Nashville, TN 37232

Vanderbilt Pediatric NeurologyMonroe Carell Jr. Children's Hospital at Vanderbilt9th Floor, Doctor's Office Tower2200 Children's Way, Suite 4202 Nashville, TN 37232

Vanderbilt Adolescent Sports MedicineOne Hundred Oaks719 Thompson Lane, Suite 36300 Nashville, TN 37204

Vanderbilt Orthopaedics Cool Springs 324 Cool Springs Blvd. Franklin, TN 37067

Cool Springs Neurosurgery 2009 Mallory Lane, Suite 230 Franklin, TN 37067

Vanderbilt Bone & Joint 206 Bedford Way Franklin, TN 37064

Vanderbilt Primary Care Brentwood343 Franklin RoadBrentwood, TN 37027

Vanderbilt Orthopaedics at Mt. Juliet5002 Crossings Circle, Suite 230Mt. Juliet, TN 37122

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VSCC Annual Report 2013-2014

Concussion Baseline Testing Program

Participating Schools…2,246 baseline tests performed

Antioch High School

Brentwood High School

Cane Ridge High School

Centennial High School

Currey Ingram School

East Literature Magnet

Fairview High School

Glencliff High School

Harpeth High School

Hillsboro High School

Hillwood High School

Hume Fogg Magnet

Hunter’s Lane High School

Independence High School

Maplewood High School

McGavock High School

MLK Magnet

Nashville Christian School

Overton High School

Page High School

Pearl-Cohn High School

Ravenwood High School

St. Cecelia’s Academy

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VSCC Annual Report 2013-2014

St. Edward School

Stratford High School

Summit High School

University School Nashville

Whites Creek High School

Participating Universities…362 baseline tests performed

Belmont University Athletics

Vanderbilt University Athletics

Clinical Testing Sites…37 baseline tests performed

Vanderbilt Orthopedics Institute

Vanderbilt Orthopedics-Mt. Juliet

Vanderbilt Medical Group

Community Club Sports Teams...193 baseline tests performed

Brentwood Lacrosse

Centennial Lacrosse

Franklin Lacrosse

Ravenwood Lacrosse

Sunset Lacrosse

Calvary Rugby

The VSCC performed a total of 2,838 baseline concussion tests in FY14.

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VSCC Annual Report 2013-2014

Patient Volumes

The VSCC saw 940 new patients with sports concussions from 14 access points.

VSCC Access PointsJuly Aug

Sept Oct Nov Dec Jan

Feb March April May June TOTAL

% of pts

Neurosurgery Clinic 1 3 3 4 5 4 2 2 2 3 3 3 35 3.7%Ortho Pediatrics 2 2 6 5 1 3 3 3 0 0 0 0 25 2.7%Ortho-Hand 0 1 4 1 0 0 2 2 0 2 3 0 15 1.6%Ortho-Sports Medicine 9 32 40 35 18 13 25 21 25 20 18 11 267 28.4%Ortho Sports-CS 1 5 8 7 6 2 0 0 4 4 2 2 41 4.4%WMSNG-Neuro 1 2 2 3 2 4 5 0 2 1 1 1 24 2.6%VB&J Clinical 1 12 14 14 10 4 2 5 6 14 6 2 90 9.6%Brentwood Primary Care 2 1 1 5 3 2 2 0 3 4 2 0 25 2.7%Ortho 100 1 9 16 22 7 6 8 7 5 4 14 8 107 11.4%VB&J after hours 0 6 9 14 3 1 2 6 0 3 1 0 45 4.8%Ortho BG 0 0 1 0 2 0 0 0 0 0 0 0 3 0.3%Ortho Mt Juliet 4 11 15 15 10 7 4 4 4 2 8 0 84 8.9%VBJ Cool Springs 1 3 16 18 4 1 3 5 3 2 0 2 58 6.2%Neuro-Ortho Clinic 10 12 12 25 13 8 8 8 11 6 4 4 121 12.9%FY 14 TOTAL 33 99 147 168 84 55 66 63 65 65 62 33 940

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VSCC Annual Report 2013-2014

The VSCC saw a total of 1107 sports-related concussion visits between all 14 access points.

Total VisitsJuly Aug

Sept Oct

Nov

Dec Jan

Feb

March

April

May

June

TOTAL

% of pts

Neurosurgery Clinic 1 3 3 4 5 5 2 2 2 3 3 3 36 3.3%Ortho Pediatrics 2 2 6 5 1 3 3 3 0 0 0 0 25 2.3%Ortho-Hand 0 1 4 1 0 0 2 2 0 3 4 0 17 1.5%Ortho-Sports Medicine 10 39 48 41 19 14 26 24 27 23 22 11 304 27.5%Ortho Sports-CS 1 6 11 8 8 3 0 0 5 7 2 3 54 4.9%WMSNG-Neuro 1 2 2 3 2 4 5 2 2 1 1 1 26 2.3%VB&J Clinical 1 12 15 16 14 4 3 6 7 15 7 2 102 9.2%Brentwood Primary Care 2 1 1 5 3 2 2 0 3 4 2 0 25 2.3%Ortho 100 1 14 23 30 8 6 10 10 6 4 16 9 137 12.4%VB&J after hours 0 6 9 14 3 1 2 6 0 3 1 0 45 4.1%Ortho BG 0 0 1 0 3 0 0 0 0 0 0 0 4 0.4%Ortho Mt Juliet 4 19 19 23 11 10 4 6 5 4 13 0 118 10.7%VBJ Cool Springs 1 3 16 20 3 1 3 5 3 2 0 2 59 5.3%Neuro-Ortho Clinic 11 19 14 34 13 9 8 12 15 7 6 7 155 14.0%

FY 14 TOTAL 35 127 172204 93 62 70 78 75 76 77 38 1107

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