The Penn State Concussion Program strives to provide a comprehensive, standardized, evidence based approach to patients who have sustained a concussion.  We work closely with the injured patients and their families, schools, employers, coaches, school nurses, and referring physicians to ensure a complete recovery and return to full activity as quickly and safely as possible.

The program is supported by experts in assessment and treatment of brain injury.  Members of the Departments of Neurology, Neurosurgery, Neural and Behavioral Sciences, Orthopedics and Rehabilitation (including sports medicine), Pediatrics, and Surgery (including trauma services) are also readily available for consultative services, if required.

Concussion Signs and Symptoms

• Cognitive symptoms: attention difficulties, concentration problems, memory problems and/or orientation problems.
• Physical symptoms: headaches, dizziness, insomnia, fatigue, uneven gait, blurred vision and/or seizures.
• Behavioral changes: irritability, depression, anxiety, sleep disturbances, problems with emotional control, loss of initiative and/or problems related to employment, marriage, relationships, home management or school management.

Concussion Diagnosis and Evaluation

• Diagnosis: Any trauma induced alteration in mental status that may or may not include loss of consciousness.
• Testing: CT and MRI are not sensitive to the effects of concussion, but can be important to rule out more serious injuries.
• History assessment: Self report of symptoms may not be accurate.  Careful documentation of the history of the event and of symptoms is critical.
• ImPACT testing: This computer-based neurocognitive test provides information about the severity of the injury and the impact on functions such as memory, attention, reaction time and problem solving.

Concussion Management

• Each patient requires individualized attention to his or her symptoms.
• Treatment of the physical, emotional, and cognitive effects of concussion guide the treatment plan.

For appointments, please call at 717-531-6824 or fax 717-531-3784

• Harry P. Bramley, D.O., Medical Director – Dr. Bramley is a board-certified pediatrician who also serves as a pediatric hospitalist and rehabilitation specialist with the Penn State Hershey Children’s Hospital. Prior to his arrival at Penn State Hershey, Dr. Bramley spent six years as a pediatric trauma consultant.  He is a former collegiate athlete who recognizes the benefits of youth athletics and is active with local youth athletic programs as a coach, official and board member.

• Matthew L. Silvis, M.D. – Dr. Silvis is a family physician with fellowship training in sports medicine.  He is the team physician for the Hershey Bears and the Harrisburg Senators.