Reviewing
data on concussion - related emergency department (ED) visits for patients between the ages of 8 and 19 years from 1997 to 2007, researchers found that:
Not exact matches
The MomsTEAM staff and I are still digging into the Institute of Medicine and National Research Council's three - hundred - some - odd page report
on sports - related
concussions in youth sports, [1] but one thing jumped out at me at my first pass: When I did a search in the report for a discussion of impact monitoring devices (a / k / a hit sensors), I found only one brief mention of sensors in the committee's recommendation that the Centers for Disease Control fund large scale
data collection efforts for research purposes, including
data from impact sensors.
Because impact sensors are not diagnostic, a team equipping its players with sensors must be careful not to rely
on the
data transmitted by the sensors, or the triggering of an alert or alarm, as in any way determinative of whether an athlete has or has not suffered a
concussion.
Question: How can an athletic trainer
on the sideline keep his or her eyes
on athletes
on the field to watch for signs of
concussion if the AT has to be constantly monitoring the
data coming from the sensors?
Interestingly, just days before the NFL's decision to suspend the use of impact sensors was announced, my local paper, The Boston Globe, came out with a powerful editorial in which it urged college, high school, and recreational leagues in contact and collision sports to consider mandating use of impact sensors, or, at the very least, experimenting with the technology, to alert the sideline personnel to hits that might cause
concussion, and to track
data on repetitive head impacts, which, a growing body of peer - reviewed evidence suggests, may result, over time, in just as much, if not more, damage to an athlete's brain, as a single concussive blow, and may even predispose an athlete to
concussion.
My experience with the Newcastle football team in Oklahoma leads me to believe that, as long as impact sensors are strictly used for the limited purpose of providing real - time impact
data to qualified sideline personnel, not to diagnose
concussions, not as the sole determining factor in making remove - from - play decisions, and not to replace the necessity for observers
on the sports sideline trained in recognizing the signs of
concussion and in conducting a sideline screening for
concussion using one or more sideline assessment tests for
concussion (e.g. SCAT3, balance, King - Devick, Maddocks questions, SAC)(preferably by a certified athletic trainer and / or team physician), and long as
data on the number, force, and direction of impacts is only made available for use by coaches and athletic trainers in a position to use such information to adjust an athlete's blocking or tackling tec hnique (and not for indiscriminate use by those, such as parents, who are not in a position to make intelligent use of the
data), they represent a valuable addition to a program's
concussion toolbox and as a tool to minimize repetitive head impacts.
Although you can also look at football helmet ratings, the NOCSAE cautions «against an over-reliance
on any individual
data point, rating or measurement which could lead to inaccurate conclusions or even a false sense of security that one helmet brand or model guarantees a measurably higher level of
concussion protection than another for a particular athlete.»
«Collectively,
data on eye movement testing demonstrates a high degree of sensitivity and predictive value as an outcome measure for
concussion,» observes the study.
To determine which type of football helmets and mouth guards are associated with a lower incidence and severity of
concussions in high school football players, McGuine and his colleagues worked with certified athletic trainers (ATCs) to collect
data on 2,288 players at 36 public and private high schools in Wisconsin during the 2012 and 2013 football seasons.
So far at least, the
data, says Dawn Comstock, PhD, an associate professor of Epidemiology for the Pediatric Injury Prevention, Education, and Research (PIPER) program at the Colorado School of Public Health, MomsTeam Institute Board of Advisor and a co-author of a 2014 study
on injuries in high school lacrosse [5], «is quite clear - boys most commonly sustain
concussions (nearly 75 %) from athlete - athlete contact, the kind of mechanism we all know helmets don't always do a great job preventing - while girls most commonly sustain
concussions (nearly 64 %) from being struck by the ball or the stick, the kind of mechanism that helmets are actually quite good at preventing.
Given that
concussion risk is influenced by many factors in addition to impact biomechanics, viewing an athlete's head - impact
data may provide context for the clinician working
on the sidelines, but impact sensors should not replace clinical judgment.
As with other neuropsychological testing tools, the value of the SAC in
concussion assessment is maximized when individual baseline test
data is available because, without such baselines, the athlete's postinjury performance
on neuropsychological testing and other
concussion assessment measures, such as the SAC, must be interpreted by comparison with a generalized «normal» based
on a large population sample.
Once attached to a player's helmet (a hockey version is available now, versions for football, lacrosse, and ski and snowboard helmets will be introduced in 2012) The ShockboxTM sensor measures the G - Force of a hit to the helmet from any direction, and then sends the
data wirelessly via Bluetooth to the athletic trainer, coach or parent's smart phone to alert them when the athlete suffers a traumatic head impact that may be concussive so they can be removed from the game or practice for evaluation
on the sideline using standard
concussion assessment tools, such as the Standardized Assessment of Concussion, Sports Concussion Assessment Tool (SCAT2) or King - De
concussion assessment tools, such as the Standardized Assessment of
Concussion, Sports Concussion Assessment Tool (SCAT2) or King - De
Concussion, Sports
Concussion Assessment Tool (SCAT2) or King - De
Concussion Assessment Tool (SCAT2) or King - Devick test.
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.»
By analyzing athlete
data on the Head Case Website, the sports community can continue to gain a better understanding of repetitive subconcussive impacts, as well as
concussion symptoms and the events that led to them.
The topic of sports - related
concussions is creating renewed buzz and turning the spotlight
on the need for more
data, research, and initiatives to keep athletes safe
on the field.
The app that accompanies these sensors are able to track
data on hundreds of thousands of athletes all over the country — even around the world — making for a viable source for
concussion information and analysis.
On top of these football helmet sensors that measure concussions, the data that the Head Case System gathers will be made available on its very own website, thus acting as a comprehensive resource center that will provide information and news on the head health of athletes and give them, along with their coaches, parents, and doctors, personalized records of the trauma they've sustaine
On top of these football helmet sensors that measure
concussions, the
data that the Head Case System gathers will be made available
on its very own website, thus acting as a comprehensive resource center that will provide information and news on the head health of athletes and give them, along with their coaches, parents, and doctors, personalized records of the trauma they've sustaine
on its very own website, thus acting as a comprehensive resource center that will provide information and news
on the head health of athletes and give them, along with their coaches, parents, and doctors, personalized records of the trauma they've sustaine
on the head health of athletes and give them, along with their coaches, parents, and doctors, personalized records of the trauma they've sustained.
This lack of
data makes it a challenge to adequately address and prevent the often long - term damage that
concussions, especially undetected ones, impart
on athletes.
Once an athlete has completed the field - side
concussion symptom detection test, the
data from the test is relayed to that athlete's personal profile
on the Head Case Website, where it is paired with impact
data collected from the sensor.
A recent study from the Center for Injury Research and Policy at Nationwide Children's Hospital done in conjunction with researchers from Colorado School of Public Health at the University at Colorado and Temple University used
data from a large, national sports injury surveillance system to determine the effect of state - level TBI laws
on trends of new and recurrent
concussions among US high school athletes.
Concussion rates in U.S. high - school athletes more than doubled between 2005 and 2012, according to a new national study using
data on nine team sports.
Dr. Greger, I'd be thrilled to see some
data and suggestions
on increasing blood flow to the brain for those who have had TBI /
concussions, especially for young adults with history of
concussions from sports.