Friday, June 27, 2014

The Impact of Impacts

Participating in contact sports comes with the risk of mild traumatic brain injury, commonly known as a concussion. The growing controversy of concussions in contact sports has expanded into a national concern. A lot of concern comes from second impact syndrome: “when an individual who has had one head injury receives a second head injury before the brain has recovered from the first head injury, the second injury is often called ‘second impact’. If the individual continues with their activity while concussed and sustains the second impact, the effect is often fatal. If the results are not fatal, the individual would be severely disabled.

With the absence of evidence-based data to diagnose a concussion, it is extremely difficult for the sports medicine staff to make decisions about traumatic brain injuries. If there is no definitive information to diagnose a first concussion, the likelihood of preventing second impact syndrome is low. Athletes’ lives should not lie on the low reliability of self-reporting and subjective tests.
When an athlete sustains a suspected concussion, a sideline evaluation is conducted. The athlete is then instructed to take a neuropsychological assessment, such as imPACT, SCAT, or CogSport. These results are compared to a baseline test that the athletes took pre-injury before the sports season. Many athletic organizations, especially high-schools, require this baseline testing at the start of the season so that test results can be compared to the post injury results.

Many concussions tend to be unreported or unrecognized because of the number of athletes to look after and the heightened pressures to “suck it up” and stay in the game. This issue is extremely important for our world in 2014 because of the emphasis on sports in today’s society. Individuals are starting sports earlier than ever before and the mentality to “push through the pain” is widely expected. This issue is important to discuss in order to spread awareness of the dangers of concussion and the significance of reporting injuries.
Multiple concussions and second-impact syndrome are dangerous injuries in the world of contact sports. It is important to spread awareness of these dangers to ensure the safety of athletes everywhere. When athletes are aware of the dangers, they are more likely to report their injuries. Many high-schools are implementing concussion education programs that require completion by the athletes as well as their parents before authorization to participate in sport. This will certify that the parents will know the symptoms of a concussion to make a better likelihood of nothing missed.  Also, new technology is being created and perfected that involves the use of accelerometers in helmets. This technology has been created to get more information on concussions immediately after they have occurred. Impact sensors have been an increasingly popular invention in the sports field to detect concussions instantly. These sensors have been tested in a number of locations on sports equipment. Prototypes that are being used in sports today include helmet sensors, attachable sensors, chinstrap sensors, and even sensors built into mouthguards. This means of impact sensing technology measures gravitational force and records other information, such as where the impact was located, and reports this information to a central database. A computer that stores all of the data will be located on the sidelines which would be accessible to the sports medicine team. An alarm will activate if a force from impact is detected and is considered dangerous enough to permit medical attention. This detection prevents athletes from playing with a concussion and keeps individuals from risk of further injury or death. Impact sensing technology can potentially assist with identifying dangerous head impacts and prevent athletes from putting themselves at a greater risk by continuing to participate after concussion.

We all must understand the importance of a definitive diagnosis of concussions.

Signs, symptoms, and more information on concussions can be found at:
Information on Impact Sensing Technology:

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