Despite growing awareness of sports - related concussions and campaigns to educate athletes, coaches, physicians, and parents of young
athletes about concussion recognition and management, confusion and controversy persist in many areas.
And, educating parents and student -
athletes about concussions is becoming a top priority in high school athletic departments.
Not exact matches
Due to the work of McKee at Boston University and Bennet Omalu (subject of the recently released movie
Concussion), we are learning
about more and more
athletes diagnosed with CTE — Chronic Traumatic Encephalopathy, a condition marked by «memory loss, confusion, impaired judgment, impulse control problems, aggression, depression and, eventually, progressive dementia.»
However, when
athletes were educated on what a
concussion is defined as,
about 45 percent of them admit to having one in the past year.
Athletes are beginning to ask questions
about the short - and long - term impacts of playing with a
concussion or returning to play too early.
In this way, it is my goal to reduce the risk of
concussions and related head injuries to the
athletes that we care most
about — our children.
And, finally, because prevailing attitudes towards
concussion symptom reporting and reporting behavior are deeply entrenched in our sports culture, we encourage, as Step Five, that coaches,
athletes, athletic trainers, team doctors, and parents continue working over the course of the sports season to create and maintain an environment in which
athletes feel safe in immediately reporting
concussion symptoms (both their own and their teammates) by sharing and reinforcing positive messages
about the importance of immediate
concussion symptom reporting via social media, by maintaining open lines of communication and an ongoing dialog
about concussion safety among and between and among coaches,
athletes, medical staff and parents.
When we hear
about catastrophic injury and death amongst
athletes, we typically think
about concussion (1), cardiac arrest (2) and heatstroke.
The rate at which student -
athletes immediately and honestly report experiencing
concussion symptoms, both their own and their teammates, will only begin to increase if all stakeholders first understand how much they know
about concussions, and
about their own attitudes towards and beliefs
about symptom reporting.
With consistent messaging and constant reinforcement of the value of immediate
concussion reporting in achieving your team's performance goals, and by making
athletes feel comfortable in reporting, we believe that, not only will attitudes and beliefs
about concussion reporting begin to change, but the
concussion reporting behavior of your
athletes will start to change as well, and that, over time, the culture of resistance to
concussion symptom reporting will be replaced by a sports culture of
concussion safety.
Because studies show that one - off
concussion education isn't enough to change
concussion symptom reporting behavior, Step Three in the SmartTeams Play SafeTM #TeamUp4 ConcussionSafetyTM game plan calls for coaches,
athletes, athletic trainers, team doctors (and, at the youth and high school level, parents) to attend a mandatoryconcussion safety meeting before every sports season to learn in detail
about the importance of immediate
concussion symptom reporting, not just in minimizing the risks
concussions pose to an
athlete's short - and long - term health, but in increasing the chances for individual and team success.
My reaction was one of sadness, frustration, and worry: sadness that a young
athlete simply assumed that he had CTE as a result of a single
concussion and considered it to be a death sentence; frustration that, despite concerted efforts by researchers and clinicians, along with some in the media, to set the record straight on CTE, the prevailing media narrative continues to be that
concussions or repetitive subconcussive blows «cause» chronic traumatic encephalopathy (CTE), that CTE «causes» former
athletes to commit suicide, and that such causal links are proven scientific fact (they're not); and, finally, worry: concern
about the consequences of the football = CTE and CTE = suicide memes in the real world.
She pointed to one patient, a high school
athlete, who had clearly recovered from his
concussion - to the point that he was performing in the superior range on neuropsychological testing and getting As in school - who was nevertheless so worried, anxious, and paranoid
about hurting his head again that he thought he'd suffered another
concussion when he happened to turn his head quickly from side to side!
As someone who is usually in the position of moderating a discussion of
concussions or giving a keynote address at a conference or convention on how to keep young
athletes safe, and given the deep knowledge I have on the subject as a result of MomsTEAM's work as the «pioneer» in youth sports
concussion education, I have to admit I found myself in the somewhat unique position of knowing nearly as much
about concussions as some of the presenters.
«Given that
concussions are difficult to diagnose and often require either
athlete reports or parental concerns to come to the attention of the coach,» they said, «educating
athletes and their parents
about the risks of a
concussion and safe management is an essential part of preventing
athletes from playing with concussive symptoms.»
Here you will find articles
about information on the latest research
about the long - term effects of
concussion on an
athlete's cognitive function, articles on whether the new state
concussion safety laws are increasing
concussion safety, advice on the academic accomodations concussed student -
athletes often need when they return to the classroom, and
about the latest in
concussion research.
[1 - 9] As a 2013 research paper [7] and a number of other recent studies [12 - 15] show, education alone (or at least that which focuses on educating
athletes about the signs and symptoms of
concussion and not changing attitudes
about reporting behavior) does not appear capable of solving the problem, because the reasons for under - reporting are largely cultural, [2,3,9,10, 12 - 15] leading the paper's author to conclude that «other approaches might be needed to identify injured
athletes.»
The bad news is that
concussion education of
athletes and parents was much less extensive, with
about a third of
athletes and more than half of parents not receiving any
concussion education beyond signing a
concussion and head injury information sheet.
Question: Why, then, isn't the answer to the chronic under - reporting of
concussions to educate
athletes about the symptoms of
concussion and the dangers of continuing to play with such symptoms?
Now, it is my job not only to help manage the
concussion and facilitate recovery, but to challenge the myths and educate
athletes and parents
about the facts.
A lengthy, well - researched, and powerful article in the Spring 2015 issue of the NCAA's Champion magazine, not only reports the belief of many top
concussion experts that the media narrative
about sports - related
concussion trace has been dominated by media reports on the work of Dr. Ann McKee, which was the centerpiece of PBS Frontline's League of Denial, but Dr. McKee's, however belated, mea culpa that «There's no question [that her autopsies finding evidence of CTE in the brains of most of the former
athletes were] a very biased study,» that they involved «a certain level of... sensationalism», that there were «times when it's overblown» and went «a little too far.»
The problem, argues Bauman, is that too many media stories focus on professional
athletes, CTE, and poor outcomes of prolonged
concussion (or sports exposure to repetitive head trauma), and [there are] too few stories
about athletes who make full recoveries and improve (even after years of
concussion symptoms).
Because «parents of high school
athletes attend their games, watch their child closely during game play, and are accutely attuned to changes in their behavior... [e] ducating parents
about signs and symptoms,» they said, «could potentially decrease the likelihood of
athletes playing with
concussion symptoms.»
The critical point to always keep in mind
about impact sensors is that they are just another tool in the
concussion toolbox or, put another way, another set of eyes, with which to identify
athletes who (a) may have sustained impacts of sufficient magnitude that (b) may have resulted in some cases in
concussions, so that they (c) may be monitored for signs of
concussion, or (d) may be asked to undergo a balance, vision, and / or neurocognitive screen / assessment on the sideline or in the locker room, the results of which (e) may suggest a removal from play for the remainder of the game and referral to a
concussion specialist for formal evaluation away from the sports sideline, which evaluation (f) may result in a clinical diagnosis of
concussion.
The critical point to always keep in mind
about impact sensors is that they are just another tool in the
concussion toolbox or, put another way, another set of eyes, with which to identify
athletes who (a)
A straightforward, elegantly written, concise, and well - organized 215 pages, Back in the Game stands out in a crowded field, not just as a primer on
concussions for a parent, coach, or
athletes, but for its incisive and often pointed criticism of the way our national conversation
about concussions and the long - term effects of playing contact and collision sports has been shaped - some would say warped - by a media that too often eschews fact - based reporting in favor of sensationalism and fear - mongering.
Every clinician who routinely treat
athletes with post-
concussion syndrome (i.e. patients whose symptoms after suffering a sports - related
concussion persist for months or years), with whom I spoke for this article expressed variations of the same concern: that their patients, hearing media reports
about athletes suffering symptoms associated with CTE (such as depression), were losing hope of a full recovery, to the point of considering suicide.
Like Dr. Pieroth, she said that it was the responsibility of
concussion specialists to directly address the emotional component of
concussions and undo the myths to which
athletes and their parents have been exposed as result of the «media hype»
about CTE.
I wanted to ask them for their reaction to a recent survey of college
athletes in contact and collision sports at the University of Pennsylvania which found that, despite being educated
about the dangers of continuing to play with
concussion symptoms, most are still very reluctant to report symptoms because they want to stay in the game, and to comment on reports that the N.F.L. players» union was against putting sensors in helmets that would alert the sideline to hits of a sufficient magnitude to cause
concussion, which may be the technological solution (or, in football parlance «end - around») to the chronic under - reporting problem.
Unless the coach made it clear that an
athlete needed to report symptoms of
concussion, it was perceived to be unacceptable to come out because of a «headache» or «dizziness» [because]
athletes did not want to be wrong
about being concussed and suffer negative consequences» such as being punished by the coach for reporting concussive symptoms «by removing them from a starting position, reducing their future playing time, or inferring that reporting concussive symptoms made them «weak.»»
It also requires the Department of Health to develop a training program and educational materials
about the nature and risks of
concussions that must be distributed to
athletes and the parent or guardian of the
athlete prior to their participation in athletic activity.
The statute requires that each year, before beginning a practice for an interscholastic or intramural sport, each high school student
athlete and their parent sign an information sheet
about the risk of
concussion or head injury.
Concussion and Sports - Related Head Injury: SB189 (2011) requires the governing authority of each public and nonpublic school to provide information to all coaches, officials, volunteers, youth athletes and their parents / guardians about the nature and risk of concussion and head injury, including continuing to play after a concussion or he
Concussion and Sports - Related Head Injury: SB189 (2011) requires the governing authority of each public and nonpublic school to provide information to all coaches, officials, volunteers, youth
athletes and their parents / guardians
about the nature and risk of
concussion and head injury, including continuing to play after a concussion or he
concussion and head injury, including continuing to play after a
concussion or he
concussion or head injury.
It also requires the Department of Education to develop an educational fact sheet
about sports - related
concussions and other head injuries, and requires public and non-public schools that participate in interscholastic sports to distribute the information annually to parents and guardians of student
athletes, along with a signature acknowledging receipt.
It is up to parents, whether it be individually or as members of a booster club, «Friends of Football,» or PTA, to raise money to (a) fund the hiring of a certified athletic trainer (who, as we always say, should be the first hire after the head football coach); (b) consider equipping players with impact sensors (whether in or on helmets, in mouth guards, skullcaps, earbuds, or chinstraps); (c) purchase
concussion education videos (which a new study shows players want and which they remember better); (d) to bring in speakers, including former
athletes, to speak
about concussion (another effective way to impress on young
athletes the dangers of
concussion); and (e) to pay for instructors to teach
about proper tackling and neck strengthening;
Studies show, however, that most
athletes recover from
concussion in
about 7 to 10 days.
«NOCSAE urges parents of
athletes and
athletes to get all the facts
about football helmets and
concussion protection.
In addition, participants at the IOC conference learned
about a community - based program the Institute first developed in 2005 called «The Power of The Permit,» which is being utilized by municipalities around the country in adopting
concussion risk management programs for all
athletes using public fields, rinks, courts, and diamonds, not just those covered by existing state
concussion education, removal from and return to play mandates.
Specifically, Return to Play laws generally impose educational, training and notification requirements designed to ensure that coaches, parents, and youth
athletes are better educated
about the signs and risks of
concussions.
«Youth
athletes, both at professional and amateur levels, need to be informed
about concussion prevention, identification, and recovery strategies.
The interactive tool, which is designed to feel like a social media site, takes high school
athletes through a series of engaging educational activities and videos
about concussions.
To provide athletic trainers, physicians, other medical professionals, parents and coaches with recommendations based on these latest studies, the National Athletic Trainers» Association (NATA) has developed a set of guidelines to prevent and manage sport - related
concussion and improve decisions
about whether an
athlete should or should not return to play after experiencing head trauma.
The finding by a neuropathologist that brain damage from repeated
concussions suffered by former NFL star Andre Waters likely led to his depression and ultimate death by suicide in November 2006 highlights once again the critical need for parents and youth
athletes to become educated and proactive
about concussions.
SCAT3), the SAC is not meant to replace comprehensive neuropsychological testing or used as a stand - alone tool for diagnose
concussions, measure recovery, or make decisions
about an
athlete's readiness to return to competition after
concussion.
Based on data showing that, while youth football players sustained
concussions at
about the same rate in practice and overall as high school and college
athletes, they were injured at a rate 3 to 4 times higher than older players during games, the UPMC researchers predicted that Pop Warner's new rules «may not only have little effect on reducing on reducing
concussions but may also actually increase the incidence of
concussions in games via reduced time learning proper tackling in practice.»
Neal Goldman, Brand Manager for Men's Lacrosse at Brine, talks
about ways to reduce the risk of
concussion in boy's lacrosse, which, according to a 2011 study1 of U.S. high schools with at least one athletic trainer on staff, has the third highest
concussion rate (46.6 per 100,000 athletic exposures (1 AE is one
athlete participating in one organized high school athletic practice or competition, regardless of the amount of time played), behind only football (76.8) and boys» ice hockey (61.9).
We will pull together all the key information you need
about unique clinical conditions in young
athletes; mild traumatic brain injury or
concussion; heat illness and injury; or overuse / overload and injury risk.
Researchers at WakeMed Health and Hospitals, Raleigh, NC, the University of North Carolina at Chapel Hill, and A.T. Still University in Mesa, Arizona, found that, while
athletes are generally knowledgeable
about the signs and symptoms of
concussion, there is a «gross under reporting» of
concussion events, with a large proportion of those surveyed indicating that they continued to participate in both games and practices while experiencing symptoms.
They asked coaches
about the amount of required
concussion education for coaches, parents, and
athletes, and also evaluated the coaches» knowledge of
concussions.
High school athletics coaches in Washington State are now receiving substantial
concussion education and are demonstrating good knowledge
about concussions, but little impact is being felt on the proportion of
athletes playing with concussive symptoms, according to the two studies published in the American Journal of Sports Medicine.