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TABLE 1

Signs and Symptoms of a Concussion and the Potential Problems They May Pose to the Student

Sign/SymptomPotential Implications in School
Headache Most common symptom reported in concussions 
 Can distract the student from concentration 
 Can vary throughout the day and may be triggered by various exposures, such as fluorescent lighting, loud noises, and focusing on tasks 
Dizziness/lightheadedness May be an indication of injury to vestibular system 
 May make standing quickly or walking in crowded environment challenging 
 Often provoked by visual stimulus (rapid movements, videos, etc) 
Visual symptoms: light sensitivity, double vision, blurry vision Troubles with various aspects of the school building 
  Slide presentations 
  Movies 
  Smart boards 
  Computers 
  Handheld computers (tablets) 
  Artificial lighting 
 Difficulty reading and copying 
 Difficulty paying attention to visual tasks 
Noise sensitivity Troubles with various aspects of the school building 
  Lunchroom 
  Shop classes 
  Music classes (band/choir) 
  Physical education classes 
  Hallways 
  Organized sports practices 
Difficulty concentrating or remembering Challenges learning new tasks and comprehending new materials 
 Difficulty with recalling and applying previously learned material 
 Lack of focus in the classroom 
 Troubles with test taking 
 Troubles with standardized testing 
 Reduced ability to take drivers education classes safely 
Sleep disturbances Excessive fatigue can hamper memory for new or past learning or ability to attend and focus 
 Insufficient sleep can lead to tardiness or excessive absences 
 Difficulty getting to sleep or frequent waking at night may lead to sleeping in class 
 Excessive napping due to fatigue may lead to further disruptions of the sleep cycle 
Sign/SymptomPotential Implications in School
Headache Most common symptom reported in concussions 
 Can distract the student from concentration 
 Can vary throughout the day and may be triggered by various exposures, such as fluorescent lighting, loud noises, and focusing on tasks 
Dizziness/lightheadedness May be an indication of injury to vestibular system 
 May make standing quickly or walking in crowded environment challenging 
 Often provoked by visual stimulus (rapid movements, videos, etc) 
Visual symptoms: light sensitivity, double vision, blurry vision Troubles with various aspects of the school building 
  Slide presentations 
  Movies 
  Smart boards 
  Computers 
  Handheld computers (tablets) 
  Artificial lighting 
 Difficulty reading and copying 
 Difficulty paying attention to visual tasks 
Noise sensitivity Troubles with various aspects of the school building 
  Lunchroom 
  Shop classes 
  Music classes (band/choir) 
  Physical education classes 
  Hallways 
  Organized sports practices 
Difficulty concentrating or remembering Challenges learning new tasks and comprehending new materials 
 Difficulty with recalling and applying previously learned material 
 Lack of focus in the classroom 
 Troubles with test taking 
 Troubles with standardized testing 
 Reduced ability to take drivers education classes safely 
Sleep disturbances Excessive fatigue can hamper memory for new or past learning or ability to attend and focus 
 Insufficient sleep can lead to tardiness or excessive absences 
 Difficulty getting to sleep or frequent waking at night may lead to sleeping in class 
 Excessive napping due to fatigue may lead to further disruptions of the sleep cycle 
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