In a new study scheduled for publication in The Journal of Pediatrics, researchers evaluate the accuracy of neurocognitive testing compared with self - reported
symptoms of concussions in cheerleaders.
We have a limited number of clipboards with concussion information printed on them to help coaches remember to look for
symptoms of concussions in their athletes.
So let me get this straight: coach Harbaugh allowed Smith to keep playing with a clear
symptom of concussion in the hope that his blurred vision would go away.
With respect to the need for continuing education, President Skorton of Cornell stated, «It is important for our student - athletes to not only recognize
symptoms of concussion in themselves and their teammates but to also understand the severity of such injuries and the need to relay that information to medical personnel.
Not exact matches
So I reviewed the list
of concussion symptoms we have
in our playbook.
Lakers forward Metta World Peace offered an apology to James Harden for a hard elbow to the neck and head that got World Peace ejected from the Lakers» 114 - 106 win over the Thunder on Sunday and knocked Harden out
of the game with
concussion - like
symptoms, but labeled his action
in the first half «unintentional.»
If a player is suspected
of having a
concussion, or exhibits the signs or
symptoms of concussion, they will be removed from participation and undergo evaluation by the medical staff
in a quiet, distraction - free environment conducive to conducting a neurological evaluation.
What I learned from working with the Newcastle team, and with youth football programs across the country over the years is that traditional
concussion education
in which athletes, coaches, and parents are taught the signs and
symptoms of concussion, and the health risks
of concussion and repetitive head trauma, isn't working to change the
concussion reporting behavior
of athletes.
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.
If the long - since discredited language
of «shake it off»» and «getting dinged» persists; if players aren't willing to self - report
concussion symptoms; and, when on rare occasion they actually do, the coaches and medical personnel on the sideline don't take a lot more cautious approach
in concussion management and pay more than lip service to the mantra
of «When
in doubt, sit them out,» well, then, football may be
in for a world
of hurt.
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.
Available free
of charge on MomsTEAM's new SmartTeams
concussion website, the #TeamUp4ConcussionSafetyTM program, developed by MomsTEAM Institute as part
of its SmartTeams Play SafeTM initiative with a Mind Matters Educational Challenge Grant from the National Collegiate Athletic Association and Department
of Defense, is designed to do just that: to increase reporting by athletes
of concussion symptoms by engaging coaches, athletes, parents, and health care providers
in a season - long, indeed career - long program which emphasizes that immediate reporting
of concussion symptoms - not just by athletes themselves but by their teammate «buddies» - not only reduces the risk the athlete will suffer a more serious brain injury - or,
in rare cases, even death - but is actually helps the team's chances
of winning, not just
in that game, but, by giving athletes the best chance to return as quickly as possible from
concussion, the rest
of the season, and by teaching that honest reporting is a valued team behavior and a hallmark
of a good teammate.
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.
A comparison
of preparticipation evaluation history form and a
symptom - based
concussion survey
in the identification
of previous head injury
in collegiate athletes.
«The fact that 58 %
of athletes continued to play with their
concussion symptoms is troubling,» said Tracey Covassin PhD, ATC, and Associate Professor and Undergraduate Athletic Training Program Director at Michigan State University, and an expert
in sport - related
concussions; «not from a research perspective but from an educational perspective and safety concern for the athletes.
For instance, many do not require that coaches receive training
in recognizing the signs and
symptoms of concussion, or require that parents be notified when their child is suspected
of having suffered a
concussion, and few penalize those who violate their provisions.
37.7 %
of the athletes indicated that they had continued participating
in a practice or game at least once while experiencing signs and
symptoms of concussion.
Pressure to play needs to be taken off kids
in order for them to feel comfortable reporting their signs and
symptoms of a possible
concussion,» says Tamara Valovich McLeod,, PhD, ATC, FNATA, Professor
in the Athletic Training Program and Directors
of the Interdisciplinary Research Laboratory and Athletic Training Practice - Based Research Network
in the Department
of Interdisciplinary Health Sciences at A.T. Still University
in Mesa, Arizona, co-author
of the attitude study, and lead author
of an earlier study [3] on attitudes on
concussions among high school students.
In Phase Two, which will began in August 2015, the Institute will be awarded an additional $ 75,000 to work with the NCAA and DOD to actually design a prototype educational program to increase understanding of the critical importance of honest and early self - reporting by student - athletes of concussion symptoms in the diagnosis and management of concussion
In Phase Two, which will began
in August 2015, the Institute will be awarded an additional $ 75,000 to work with the NCAA and DOD to actually design a prototype educational program to increase understanding of the critical importance of honest and early self - reporting by student - athletes of concussion symptoms in the diagnosis and management of concussion
in August 2015, the Institute will be awarded an additional $ 75,000 to work with the NCAA and DOD to actually design a prototype educational program to increase understanding
of the critical importance
of honest and early self - reporting by student - athletes
of concussion symptoms in the diagnosis and management of concussion
in the diagnosis and management
of concussions.
Educating parents, players, coaches, and health care professionals on the signs and
symptoms of concussion and the long - term health risks if
concussions are not identified early and treated conservatively, and the importance
of creating an environment
in which athletes feel safe
in reporting
concussion symptoms;
Some experts, even those who participated
in the drafting
of the Prague statement, did not agree with its approach, concerned that describing any
concussion, even one with
symptoms that cleared within 10 days, as «simple» as unwise.
Besides the 2013 University
of Washington study, a number
of other recent studies have found education ineffective
in improving self - reporting by athletes, adding to a growing body
of evidence challenging the conventional wisdom that inadequate athlete
concussion knowledge is the principal barrier to increased reporting, and suggesting that one
of the best ways to combat underreporting by athletes
of concussion symptoms may be to shift the focus
of educational efforts towards helping coaches facilitate
concussion reporting, the theory being that athletes will be more likely to report
concussion symptoms if they no longer think that they will be punished by the coach for reporting, such as by losing playing time or their starting position, perceived by their teammates as letting them down, or viewed by their coach as «weak,» all
of which have been documented
in numerous studies over the past decade as reasons athletes are reluctant to report
concussion symptoms.
I was really interested
in hearing how exactly they proposed to do that, especially
in terms
of changing the macho culture
of the sport and breaking the «code
of silence» that continues to prompt players at every level
of football, whether it be N.F.L., college, high school or youth - to hide
concussion symptoms in order to stay
in the game and avoid being perceived as somehow letting their coach, their teammates, or their parents down.
The Institute was one
of just six winners (
of a possible ten)
in Phase One
of the Educational Programs Challenge, for which it was awarded a $ 25,000 cash prize for its proposal to create a multi-media
concussion education intervention designed to create an environment
in which student - athletes are not penalized, ostracized, or criticized for honestly reporting their own
concussion symptoms as well as those
of teammates but are actually encouraged to do so.
The high percentage
of athletes reporting that they continued to play despite experiencing
concussion symptoms, while similar to the rates reported
in other studies, is concerning, as the failure to diagnose
concussions in athletes can lead to further damage to the brain before full recovery, expose them to the cumulative effects
of injuries and increased risk
of second impact syndrome.
Noting other studies finding that between one - third and one - half
of players report
concussion symptoms for which they did not seek medical attention, and the fact that,
in the current study, only 44.1 %
of athletes identified through the weekly interviews sought medical evaluation by a QHP, and that the
concussion rate considering only those diagnosed by a QHP was far lower than the overall rate reported -LRB-.4 per 1,000 AEs versus 1.3 per 1,000 AEs).
In extremely rare instances, a player who continues to play with
concussion symptoms can suffer catastrophic injury or death from second impact syndrome, a form
of swelling
of the brain.
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.»
One way, I believe, to address the problem
of under - reporting and increase the chances a
concussion will be identified early on the sports sideline may be to rely less on athletes themselves to remove themselves from games or practices by reporting
concussion symptoms (which the most recent study shows occurs at a shockingly low rate, [9] or on game officials and sideline observers to observe signs
of concussion and call for a
concussion assessment, but to employ technology to increase the chances that a
concussion will be identified by employing impact sensors designed to monitor head impact exposure
in terms
of the force
of hits (both linear and rotational), number, location, and cumulative impact,
in real time at all levels
of football, and
in other helmeted and non-helmeted contact and collision sports, where practical, to help identify high - risk impacts and alert medical personnel on the sideline so they can consider performing a
concussion assessment.
Parents and coaches will benefit from reduced reliance on honest self - reporting
of concussion symptoms by athletes and
of the less - than - perfect observational skills
of sideline management
in spotting signs
of concussion;
When I presented the next year
in Atlantic City to recreational department directors gathered for the annual meeting
of the New Jersey Parks and Recreation Directors» Association, I spoke to the critical role they could play
in improving sports safety by proactively exercising the power
of the permit to require youth sport coaches to receive more training
in first aid, CPR, and the signs and
symptoms of a
concussion.
According to a number
of recent studies [1,2,5,13,18], while the culture
of sport (including influences from professional and other athletes), as well as the media and other outside sources play a role
in the decision
of student - athletes to report experiencing
concussion symptoms, it is coaches and teammates, along with parents, who have the strongest influence on the decision to report a
concussion during sport participation, with coaches being one
of the primary barriers to increased self - reporting by athletes
of concussive
symptoms.
found that the attitudes and behaviors
of coaches
of university - level teams
in Canada may have discouraged athletes from reporting
concussion symptoms at the time
of injury, with a third
of athletes admitting to have suffered a
concussion saying that they did not reveal their
symptoms out
of fear that being diagnosed with a
concussion would affect their standing with their current team or future teams and nearly one - fifth because they feared such a diagnosis would result
in negative repercussions from the coach or coaching staff.
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.
The Role
of Age and Sex
in Symptoms, Neurocognitive Performance, and Postural Stability
in Athletes After
Concussion.
A coach may not allow a member
of a school athletic team to participate
in any athletic event or training on the same day that the member (1) Exhibits signs,
symptoms or behaviors consistent with a
concussion following an observed or suspected blow to the head or body, or (2) Has been diagnosed with a
concussion.
The policy requires coaches and referees to hold a permit issued under section 3319.303, or a referee may present evidence
of completing a training program
in recognizing the
symptoms of concussions and head injuries.
Concussion and Sports - Related Head Injury: Administrative Code 14:303 (2011) requires the Delaware Interscholastic Athletic Association to work in collaboration with the Department of Education to adopt rules and regulations applicable to member schools regarding the appropriate recognition and management of student athletes exhibiting signs or symptoms consistent with a c
Concussion and Sports - Related Head Injury: Administrative Code 14:303 (2011) requires the Delaware Interscholastic Athletic Association to work
in collaboration with the Department
of Education to adopt rules and regulations applicable to member schools regarding the appropriate recognition and management
of student athletes exhibiting signs or
symptoms consistent with a
concussionconcussion.
The training program must include (1) training
in recognizing the
symptoms of potentially catastrophic head injuries,
concussion and injuries related to second impact syndrome and (2) safety rules and regulations, including information regarding post-
concussion participation, and
symptoms and consquences
of a
concussion.
If at any time during the return to full participation
in school activities the student exhibits signs and
symptoms of concussion, the student must be removed from the activity and be re-evaluated by the treating licensed health care provider trained
in concussion management.
It is the responsibility
of staff members involved
in school activities and trained
in the signs and
symptoms related to
concussion or other head injury, to act
in accordance with this policy when the staff member recognizes that a student may be exhibiting such signs and
symptoms of a
concussion.
The policy requires removal from play for any student, as determined by a game official, coach from the student's team, certified athletic trainer, licensed physician, licensed physical therapist or other official designated by the student's school entity, exhibits signs or
symptoms of a
concussion or traumatic brain injury while participating
in an athletic activity.
Concussion and Sports Related Head Inury: Education Code 33.201 (2007) requires a school district to provide training to student participating
in an extracurricular athletic activity about recognizing the
symptoms of potentially catastrophic injuries, including head and neck injuries,
concussions and injuries related to second impact syndrome.
What is surprising, and extremely disappointing to those
of us
in the youth sports community who have long asked that the N.F.L. take the lead on
concussion education, is that Morey, recently named co-chair
of the players» association
concussion and traumatic brain injury committee, did exactly what he has been repeatedly telling college and high school players not to do: lie and downplay
concussion symptoms.
I know that concern has been expressed by some that these devices have not been validated
in peer - reviewed studies, and, as readers
of MomsTEAM and my blog know, products which claim to actually prevent
concussions or risk the severity
of concussion symptoms without their claims being backed up by peer - reviewed studies ordinarily don't pass muster with me.
It is up to parents to do whatever they can to make sure that their child's coach does not continue to convey the message to athletes that there will be negative consequences to
concussion reporting by removing them from a starting position, reducing future playing time, or inferring that reporting concussive
symptoms made them «weak», but, instead, creates an environment
in which athletes feel safe
in honestly self - reporting experiencing
concussion symptoms or reporting that a teammate is displaying signs
of concussion (and reinforcing that message at home)
Coaches and officials should be required by law to be trained and certified
in basic safety and emergency procedures, including the recognition
of concussion signs and
symptoms;
Studies show that saccadic movements - the quick eye movements used
in reading - are frequently abnormal following
concussion and may predict whether an athlete will suffer from postconcussion syndrome (e.g.
symptoms which persist over a long period
of time, instead
of clearing within the first 7 to 10 days, as
in the vast majority
of cases)(over 90 %
in one recent study).
Depending on athletes to admit to experiencing
concussion symptoms doesn't work due to chronic under - reporting.1 Likewise, studies show that coaches and athletic trainers can't be counted on to reliably identify athletes exhibiting signs
of possible
concussion for screening on the sports sidelines, especially since only 5 to 10 %
of concussions involve a loss
of consciousness and the onset
of concussions symptoms is often delayed, especially
in younger athletes.
Concussions result
in a graded set
of clinical
symptoms that may or may not involved loss
of consciousness (LOC).