Those with risk factors, such as more severe symptoms immediately after injury, may require longer recovery periods. As symptoms resolve, patients may gradually return to activity as tolerated. Individuals recover from concussion differently therefore, rigid guidelines have been abandoned in favor of an individualized approach. Initial management also involves patient education and reassurance and symptom management. Brief cognitive and physical rest are key components of initial management. If concussion is suspected in an athlete, the athlete should not return to play until medically cleared. Tools to aid diagnosis and monitor recovery include symptom checklists, neuropsychological tests, postural stability tests, and sideline assessment tools. Initial evaluation involves eliminating concern for cervical spine injury and more serious traumatic brain injury before diagnosis is established. Signs and symptoms are nonspecific therefore, a temporal relationship between an appropriate mechanism of injury and symptom onset must be determined.

Concussion can affect a variety of clinical domains: physical, cognitive, and emotional or behavioral. Concussion is caused by direct or indirect external trauma to the head resulting in shear stress to brain tissue from rotational or angular forces. Weapons with a secondary ability of Nerve Strike require 90 or higher in the appropriate fighting skill and Tactics.Mild traumatic brain injury, also known as concussion, is common in adults and youth and is a major health concern. No weapons have Nerve Strike as a primary ability.

Use of this Special Move will override any Slayer property Damage Increase for that melee round.

Paralyze the target, which in Player vs.

Examples: Bushido of 50, Direct Damage of 0 to 10 Hit Points.

Direct Damage bonus based upon the attacker's Bushido skill.

This Bushido-specific move imparts the following effects: The paralysis is breakable when the paralyzed target takes damage.

The paralyze chance is scaled based on Bushido skill, from 50% chance at 50 skill to 90% chance at 120 skill. Nerve Strike is an Bushido Special Move was added during the Samurai Empire expansion in the fall of 2004.ĭoes damage and has a chance to paralyze your opponent for a short time.

Ultima online concussion blow