Welcome to the Concussion in Sports Blog

So much is being published on a day-to-day basis that is is hard to keep up with what is important. This blog will feature information important to the understanding of cerebral concussion and its management.

Michael Sefton, Ph.D.

Friday, November 16, 2012

High Incident of Concussion in Massachusetts

2012 Globe Article Focuses of Alarming Rate of Head Injury

New Braintree, MA November 9, 2012  An feature in the Boston Globe published in late October cited an incidence of over 3000 concussions in Massachusetts' athletes.  Public health records obtained by the Globe under the freedom of information act revealed the current state of head injury among athletes enrolled in sports for 2010 - the first year the data were collected.  Given the number of schools who did not report, this number is likely to be an underestimate of the true number of head injuries.  

Since Fall, 2009 Massachusetts has expected that all athletes, parents, coaches, and officials receive standardized training on the effects of concussion including signs and symptoms.  This may account for the large uptick in numbers reported in the Globe story.  The worrisome issue is why there is incomplete compliance with the laws mandate.  Arguably, the true concussion figures remain unknown.  

In Southbridge, MA a Pop Warner football game recently resulted in 5 concussions in a single contest.  Pop Warner is the youth football program for children from ages 5-14.  On this day 2 mismatched teams  squared off for a match in which the referees failed to regard the league mandated "mercy" rule that ends the contest when the score becomes one-sided such that the outcome is not in doubt.  This did not happen even though the team from Southbridge was more than 28 points ahead of the team from Tantasqua as per league rules.  Southbridge won the game 52-0.  The Tantasqua athletes sustained 5 concussions resulting in disciplinary action taken against the coaches and referees.  

These kinds of stories will continue to make news as long as we fail to take seriously the potential impact of head injuries.  Youth sports are vital for the development of physical skill, team discipline, and psychological well-being.  But nothing takes the place of protecting athletes from potentially lifelong injury now linked to repeated concussion.  Just as one would not permit an athlete to return to the field with a unhealed fracture to his/her leg, athletes with concussion must too be rested.

Baseline testing has been shown to provide a good starting point in getting a "snapshot" of the child's neurocognitive functioning.  Then, if an injury should occur post-injury testing can be initiated and will be used to determine when the child is fully healed from the concussion.  Websites like: www.concussionassessment.wordpress.com can offer baseline programs and consultation for teams who aren't sure of the new protocols for concussion management.


Friday, November 2, 2012

Deadspin Highlights Lack of Concern for QB

ASU Quarterback Sustains Concussion - Stays in Game

New Braintree, MA  November 2, 2012  Deadspin, the sports news website posted a story about Arizona State University QB Matt Scott who sustained a concussion while playing against conference rival University of Southern California this month.  Between plays he was seen vomiting - often a tell tale sign of concussion.  He did not miss a single set of downs and soon afterward led his team to a game winning touchdown.  Given the current state of knowledge about cerebral concussion, Deadspin.com raised a question about why the quarterback was not immediately replaced by his back-up leaving QB Matt Scott vulnerable for a far more serious and life threatening trauma were he to sustain another blow?  Arguably the ASU quarterback was the single handed game changer in the fourth quarter of the game against USC.  They raise the question about college athletes being exploited for their athletic gifts while "not caring" when the player can no longer contribute.  

The athletic department will undoubtedly deny that Scott was seriously injured and reiterate the schools aggressive policy on athlete injuries, concussion, and safe and protected return to play.   Shame on them.  No game is more important than the health an safety of a student athlete.

Michael Sefton, Ph.D.