Archive by Author

Dear @DangeRussWilson… From a High School Athletic Trainer

28 Aug

Dear Russell Wilson;

Mid-morning yesterday I get a text from a former coach that simply states “Water that helps concussions…thanks Russell Wilson”.

That led me immediately to the interwebs to find out what he was talking about and it took me about 3.576 seconds to get results. You were touting a product that supposedly helped with your concussion, I mean head injury, I mean injury that occurred last year in the playoffs. When I saw this I LOL’ed, seriously I laughed out loud. I thought this was a joke. Alas, it was not.

Then I get to school and another coach asked me about it as well, not so much would it work rather how big of an “idiot” you were (not my words). It was reassuring to know that this coach as well as the other two that stopped me before practice completely understood that this was not possible with what we know. But the fact that they were a little confused, even for the slightest moment, give me pause about what you and others can do with your platform.

I was glad all of this was taking place during school hours and practice so the kids wouldn’t have questions – actually statements about how you know more than me and where to get this. What I didn’t realize was that the parents of the kids had seen this; and wouldn’t you know I had my first email about it at 5pm.

I started to hope this would get out of the news cycle but late last night it picked up steam and this morning, more emails and Continue reading

Ready For Primetime

27 Aug

This post is a continuation of the ongoing in the wild review of the Vector Mouthguard System. You can see the previous posts about what I have experienced to this point by clicking on the hot links. As always if you have questions please comment, email or tweet I will do my best to answer.

The system has been on site and in the hands of the kids and I for the past nine days; the good is far outweighing the bad at this point. However, there is plenty of things that I have yet to figure out or apply, rather figured out how to apply. Tomorrow is the first game action, a point in this trial that I am both scared and excited about for the Vector Mouthguards. Time for the bright lights.

I am not scared or apprehensive about the overall performance of the data that I have been seeing thus far. One thing that I can firmly state at this point is that the perceived accuracy and consistency of impacts below 50g is all that I hoped and more. As the practices have progressed and I have reviewed the hitting drills by film, the hits of the interior lineman and linebackers seem to show on almost every play where there is full effort. This would match up with my line of thinking about football (as a reminder I have my system set up to report impacts of 10g or greater), this is a collision sport. I guess at this point I wonder if I am collecting a lot of “noise” in the system because the amount of hits it is recording. I do want to see the overall number of hits collected by the kids but if the 10-20g range of linear impacts are doing nothing other than that, it makes me think. On the other side I do want to have that data in case a kid were to be injured and it was a very low threshold.

The not so awesome thing at this time is the frequency of the anomalies I have seen. The last number I remember seeing for total hits that the system had captured was nearly 2,000 (4o players for 8 days of practice, about 6/player/day) and that number seems about right to me. But, the real issue is of that nearly 2,000 data set there are 12 hits that have exceeded 80g on the monitor and none of them “looked” like an 80g hit on film, in fact some there was no contact. Granted this can happen with technology, some part of an algorithm that didn’t weed out this report. Upon review I was able to identify four of these instances: one was previously mentioned with a player yelling (I have since reboiled the mouthguard and have not seen from that sensor), one was a player whipping out his mouthguard and kicking it while it still had some spit on it, and the other two were the cause of a coach tapping – rather slapping – the mouthguard on the helmet after taking it out of a players mouth to mess with me. In regards to the last two instances the good thing is that this only happens one time because the mouthgurad deactivates when the slobber is off.

Continue reading

Practical Application of Data: VMG

21 Aug

Before practice the coach, I should say coaches, wanted a report from me about what I had seen and how the system was going. I showed them the video from the previous day and where on the head the hits were registering for our worst offenders of dropping their heads at contact (verified). I also noted that some of our starters were getting more hits collected than the average teammate.

The head coach made it a point to tell the assistants to address the players that were leading with their head to correct that during our form tackling and to reinforce during live action to get the eyes up. Then after that was all done he came to my training room and asked me about how many hits and how big some of the players were getting.

I had noticed the previous two days what these 30 and 40g hits looked like and they were above “normal” collisions but not “make the crowd go oooh” type hits. He inquired about the big hit that the LB/RB took in that drill mentioned in the earlier post. I told him it was below 50. He wanted a number of hits that the kids had taken, for what other than his information I had no idea, and boy was I wrong and in a good way.

It was pretty simple the RB/LB combo players had taken the most with an average 22 in two days (day one shortened due to lightning), next were the RB only with an average of 15, then the DL with 14 and the OL with 11. Not as many as I expected, but then again our coach is very limited in hitting drills. In a five-minute segment they maybe get off 12 plays at the most and there are no more than six of those a day.

This is a good point to also tell you that these are “thud” drills, we have had one five-minute of live all season so far to go along with our 1’s vs. 1’s for four plays at the end of the day.

At most you could see 72 impacts a day, if you were in on every single rep of thud action in a practice. The starters probably see about 70% of the reps so we could expect to see at most 51 impacts in a practice. And in day two most any starter registered was Continue reading

Seeing Is… Starting… To Believe (Video Link)

21 Aug

Inside DrillWith one day of the Vector Mouthguards in the book – a lightning shortened one – and a warp speed implementation it was time to get this puppy up and running.

The players had not lost a mouthguard overnight, which is quite amazing because they always seem to lose their other ones, and all were on the chargers overnight. The clock struck 5:30 and it was go-time. The antenna receiver on the sidelines and players not wondering what it was going to feel like, just getting to practice.

As the system fired up the tiny computers in their helmets were reporting to my laptop, one green light after the other, it was working as promised. A few of the mouthguards took a minute to “warm up” with spit, I guess, but when it was time to hit I had nearly all on-line. Of the 40 issued, 32 were communicating with 2 of them on injured personnel (not concussion), we will get more in-depth about that later.

As practice started I did not want to be tethered to the computer so I could do my job as an athletic trainer so I left the base station and went about my business. The way our coach practices is in five-minute segments, flying around. It is high intensity and constant moving on my part to keep a keen eye on where it is needed and on who it is needed. I basically forgot it was over there other than the occasional parent or media asking what that “radar” looking thing was.

At the first water break I stepped over to see the computer and the hits it had captured. I was able to scroll through all the registered hits in about two seconds and only stopped on any that were above 40g. The graph like output of the system makes this a breeze. I also had noted that every hit is time stamped so when there was a hit that I thought should be captured I made note of the time and cross referenced that in the system, and yes they were there.

As the team went to a segment with inside run drill work it happened to be next to my base station for filming purposes. I yelled up to the camera operator and asked if the film time stamps and he said no. Because I had two students with me I was able to hold the tablet and look at that between reps. After every play the screen changed with more impacts; the DL, LB and RB getting the lions share of the notices. I was impressed at the speed and accuracy of the information given to me in real-time. But, one of the LB’s who was delivering the hits on D was also rotating on O as a RB and his mouth guard was not communicating, I was a bit concerned. Was this really going to keep the data in the mouthguard until it was able to communicate, like they promised? Was I going to miss out on some of his hits. And just then…  He was smashed by the defense right to the left earhole. He was none worse for wear but it was a noteworthy hit as the team yelled out due to the collision like all other teams do when that happens. He was just fine and I didn’t even take a step towards him.

As practice progressed all was going well, I was taking notes on times of hits and they all looked good and none that I found concerning in viewing them live or on the data. That’s when I scrolled across a player that had taken the largest hit seen, a Continue reading

Vector Mouthguards – Day 1

18 Aug

Don’t get to excited, I don’t think I will give you daily updates about the Vector Mouthguards but I do feel that the first day is important on many fronts, including: customer service, supplies, and ease of use out of “box”.

I had previously met with the kids individually and emailed the parents to open a line of communication about what was coming and what we could expect. I also told everyone about my expectations for this system. I received many questions from the kids that I could easily answer (looks, weight, how it works, “will my braces mess it up?”). The parents really only cared about performance and many were excited about it, even the parents of the kids that were not selected to wear them.

We ended up getting enough money to outfit 40 players so I had so select a group of kids that I thought would be a good cross section for what I wanted to know from this. I chose the following people: all varsity starters on both sides of ball except for QB, the 2’s that would be getting the most work on the scout team, players that would play both JV and Varsity, and the remaining were players that are probably not going to see much action – mainly on their own volition in practice or games (if you know what I mean). Within that group I have 4 players that have previous history of concussion, including two that have multiple concussions in their past. This I feel represents the kids that will see the most possible impact throughout the season.

I received the shipment yesterday and included were the mouthguards (lanyards number stickers), the chargers, a computer, the antenna for the system with a tripod and a carrying case for it. All was set up and ready to rock after getting the players and mouthguards into the system.

Today, Tanner Nussbaum from the Green Bay area drove down to help with the fitting and getting system up and running, and hew as on time and ready with all answers to any questions I had conjured up over night. We had the 40 players meet at 1:30 for fitting and computer inputting with final instructions, the last players were done after an hour and 20 minutes. It all went rather smoothly, minus some Continue reading

OTL Extra: The Discussion About Girls Tackle Football

7 Aug

ICYMI, on Wednesday Outside the Lines had a feature on the girls football league and the larger issue of concussions in football. The aired show was very good and good discussion was had by all that included Doug Casa, Jane McManus and one time TCB contributor Matt Chaney.

Below is the video of the OTL Extra (third video) of this episode and worth your 12 minutes of time…  Would love to hear some discussion on this…

It Is Actually Happening, Impact Sensors At My School.

6 Aug

Over the years I have researched many, tried a few and heard all about impact sensors, and for the time the blog has been going you have all known I have had a “standoffish” approach to them. That is not because I don’t think they may have a place but it is because of what they can actually do and how reliable they actually are.

I have made it well-known that the “most applicable” system I have seen is the HITs system that is exclusive to Riddell helmets. It is not the best because of factors that include: cost, helmet exclusivity, and it – like all other sensor systems – is not without scientific flaws.  However, what makes HITs near the top is the information that can be gained as well as the feedback/real-time information. There are other types of impact sensors you will see “certified this, certified that” but many of them attach to the helmet making the NOCSAE warranty invalid as well as some helmet manufacturer warranties. Most, if not all do not take center of mass into effect either, making some of the objective numbers askew. As you can see I have had issue trying to adapt to one or the other, enough so that I would be willing to try it out on our teams.

I and our school cannot afford the HITs system and we promote the use of any helmet that fits properly on each kid, because of that I have been looking for other sensors and complete systems that may actually be of help to me as an athletic trainer. I did remember that I have always been intrigued by a mouthguard sensor and when the Vector Mouthguard started making its debut in colleges I started doing more and more research about it. That led me to a conversation – a very honest and blunt one – with CEO Jesse Harper.

After that conversation I did even more dirt digging on what I could and asked many people about the system and what it purportedly could do and all the scientific and mechanical engineering stuff I could comprehend. I came away satisfied, satisfied enough to invest some time and resources to try to procure this system for use in the Fall. Basically, I am ready to dive into this sensor phenomena head-on (pun not intended), finally.

Key Support

Before getting this event set in motion, school administration needed to be apprised of the plan and they would ultimately have to say yes. That conversation occurred in May when I approached the Principal and Athletic Director about this.

It did not take long to explain the benefits of this, not only from a player safety issue but from a coaching aspect as well. They both liked the idea of us looking out for player safety and showing it by being innovative, if nothing else than in perception.

They only had one statement/question for me, “there are not any drawbacks to this, unless we are missing something?”

Hurdle cleared.

Fund Raising

With most any product, good ones, the biggest barrier for most is going to be cost; that was no different here. Starting in early May I started to ask around for donations and support for this system. Although I really only had to get enough for the Continue reading

Illinois Governor Signs Concussion Bill Into Law – UPDATE

4 Aug

UPDATED: 15:20, see below…

Yesterday Illinois Gov. Rauner signed  SB0007 into law making it Public Act 099-0245 effectively titled Youth Sports Concussion Safety Act bringing a much more robust set of standards when dealing with concussions in Illinois.

The bill/law is basically an extension of the IHSA Policies regarding concussions plus some strengthening for player/participant safety.

Most notably this law now pertains to all sports, not just limited to the high school sports.

There will be more to follow on this as I get more time to delve into the entire bill.

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I have read the bill a few times and here are the other important takeaways from this bill:

  • Any Park District and Youth Sports program must make available concussion information
  • Returning from a concussion in youth sports programs or other organized sports (see club sports) must go through same steps as the IHSA/IESA standards
  • All schools under the State Board of Education must have the following:
    • A concussion oversight team that includes the following:
      • at least one physician
      • if school employs athletic trainer they must be included
      • if school employs nurse they must be included
      • administrator of protocol (essentially someone in charge of paperwork and policies)
      • if wanted any other healthcare provider as outlined in bill (MD/DO, PT, OT, ATC, RN, PsyD)
    • A concussion return-to-play protocol
    • A concussion return-to-learn protocol
    • All members of the concussion oversight team, coaches and officials must have no less than two hours of continuing education, from respective and approved providers, on concussion every two years.
  • If suspected of a concussion and pulled from game or practice the injured must meet minimum requirements to return to play and can only be signed off by a physician or athletic trainer working under a physicians license/direction.
    • If concussed the injured MUST go through the RTP protocol as set forth by each school and the RTP must be approved by the IHSA

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Minutes From First Illinois Advisory Council on Player Safety

16 Jun

PSPHlogo“Welcome to a historic event.” Is how Associate Executive Director, Kurt Gibson opened the first meeting of its kind in Illinois and for the Illinois High School Association (IHSA). With the vast majority of the Council present it did not take long for all of us to get to “work”.

The Council (which we shortened to PSAC – Player Safety Advisory Council) dove right into the meat of the issues surrounding sports and player safety. Rather than giving a play-by-play I will let you read the minutes from the meeting (LINK HERE);

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MINUTES OF THE PLAY SMART. PLAY HARD PLAYER SAFETY ADVISORY COUNCIL MEETING June 9, 2015

The Play Smart. Play Hard Player Safety Advisory Council met at the IHSA office in Bloomington, Illinois on Tuesday, June 9, 2015, beginning at 10:00 a.m. Committee members present were Dustin Fink, Sara Flanigan, Tory Lindley, Dennis Piron, and Cole Steward. Also in attendance were Associate Executive Director Kurt Gibson; Assistant Executive Director Matt Troha; and guest, Sports Medicine Advisory Committee member Greg Gaa. Not present were members Tregg Duerson, Senator Napoleon Harris, and Allison Hieb.

ITEMS OF GENERAL DISCUSSION:

1. IHSA administrators Kurt Gibson and Matt Troha welcomed the council to the first meeting of the Play Smart. Play Hard Player Safety Advisory Council.

2. The council reviewed its purpose of monitoring current IHSA programs and initiatives, identifying new areas to advance player safety, and helping communicate the Play Smart. Play Hard vision.

3. The council reviewed the following materials from the IHSA’s Sports Medicine Advisory Committee (SMAC): ● minutes of the committee’s April 2015 meeting ● recommendations made by IHSA’s Football and SMAC regarding football contact ● Managing Heat/Humidity Policy recommendation The council’s feedback on the football contact and Heat Policy recommendations are listed below under items.

4. The council discussed Senate Bill 07, which is currently awaiting signature from Governor Rauner. Among other things, SB 07 creates a Concussion Oversight Team in schools to monitor Return to Play and Return to Learn for student-athletes who have sustained a concussion, requires education on concussions and symptoms for coaches and athletic officials, and requires schools to develop school-specific Emergency Action Plans (EAP’s) to address serious injuries that may occur on campus.

5. The council heard reports from Allison Hieb and Cole Steward, the two student members of the council, on concussion from the perspective of student-athletes. Both students shared the perspective of how their schools have addressed concussion with their student-athletes on both the individual and team level. As a part of that discussion, the council suggested that the IHSA consider developing some kind of post-video assessment be created for students to complete. Additionally, the council thought it may be worthwhile for the IHSA to register and track student-athletes from a sports medicine perspective. IHSA staff indicated they would begin the process by working on some kind of checklist that all member schools can utilize.

6. In reviewing the football recommendations made by the IHSA Football and Sports Medicine Advisory Committees, the council expressed their desire to see the IHSA be bolder with its recommendations concerning the amounts of full contact Continue reading

Triumph Over Trauma

5 Jun

In the beginning it was hard to find a lot of people to share real world examples of what I was trying to describe here on the blog. It is one thing to have the knowledge and experience but entirely another to parse that down to something people can grasp and understand.

Luckily I happened across a great person and advocate that was able and willing to share some stories that made this blog a little more personable. Her name is Tracy Yatsko and she is definitely not just a face in the crowd.

Recently she has joined the blog space with her very own called “Triumph over Trauma” and as she describes in her tag line;

Triumph Over Trauma is a website/blog devoted to concussion victims, survivors, and their families to hopefully lead them into the right direction of recovery, give them hope through stories of others who have struggled yet triumphed, and give them the one thing the concussion community lacks or can’t find: Support.

As mentioned she has been featured here at The Concussion Blog with a wonderfully written story about her from one time contributor John Gonoude and one of her first PSA’s about concussions.

If you have the time you should head over to her blog and see if you can help in any way!

May Mailbag

4 Jun

As the sports season winds down at the high school I am finally getting to the various emails I have received. I do truly enjoy the many stories and questions I get here, often times they are very learned for me; which translates to more information for you the reader.

I picked out one such email and gained permission to reprint it here. The sole purpose of this email is to get feedback about the return to learn aspect of concussions. Tom would like you to give it a read and make comments below.

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Return To Learn in the High School

I am an athletic trainer in a high school in the north suburbs of Chicago. We have a concussion program in place and see about 80 concussion a year in our athletics. I am fortunate to have some control over the return to learn side of concussions in my school. I have found that this is essential in order to properly manage a concussion. I find when physicians only see an athlete once and set accommodations for a determined amount of time, it does a disservice. The same is true if the time between physician evaluations is too long, especially when kids are kept out of school for long periods of time. I find many concussion students don’t need to be out of school, and those that do usually have their symptoms decrease significantly within 1-3 days.  Many times concussions progress rapidly and Continue reading

An Understudied Area of TBI

2 Jun

Although this blog primarily focuses on mild traumatic brain injury (mTBI) – concussion – and the ramifications on adolescents there are many segments of society that deal with brain injury. The most severe of this is traumatic brain injury (TBI); the difference at its basics is that there is actual physical findings of damage to the brain itself – a bleed, skull fracture, hematoma, etc. I am sure there may be a better way to put it but for the sake of being simple that is the difference.

The morbidity rate of TBI is extremely high and thusly we should be very cognizant of this.

A silent portion of the TBI problem comes from domestic abuse, silent because many of the suffers of the brain injury often don’t speak up. There are no actual numbers on this due to the many reasons one would not report incidents. Take car accident TBI’s for example, we have a very definitive number on them because most if not all are seen in emergency rooms but the silence in the domestic abuse realm makes us guess, at best.

This looks to change with a new study on this, below is the press release of a first-of-its-kind;

Sojourner Center Launches First-of-its-Kind Effort to Study Link Between Domestic Violence and Traumatic Brain Injury

Sojourner BRAIN Program to develop innovative screening, deliver treatment and share best practices

 

PHOENIX – Sojourner Center, one of the largest and longest running domestic violence shelters in the United States, announced plans to develop the first world-class program dedicated to the analysis and treatment of traumatic brain injury (TBI) in women and children living with domestic violence, a largely unrecognized public health issue.

With its Phoenix-based Continue reading

When and How ‘Not a Concussion’ Becomes a Concussion: Klay Thompson Injury

28 May

The Western Conference Finals not only provided an opportunity for the Golden State Warriors a chance at winning an NBA title it has provided a wonderful opportunity for people to learn more about concussions. The knee-jerk reaction to incidents like we have seen in Games 4 and 5 are often a mix of truth, hyperbole and eye-rolling; however what is clear they are cases that we can use to forge further understanding and education.

Last night in the would be close-out game of the WCF, Klay Thompson shot faked and the defender rose as he [Thompson] ducked and the defender’s knee blasted the side of Thompson’s head right in his right ear.

Unlike his teammate from the game before, Steph Curry, Thompson did not show overt signs, to my trained eyes, of a concussion. His face was “scruntched” in pain and he immediately grabbed for his ear, plus after the incident he immediately rose to his feet and walked straight to the locker room without assistance. As noted in Tuesday’s post signs are paramount when making critical in-game decisions about return to play; if they are there, there should be no doubt about removal.

The next report we received on TV or Twitter was about Thompson having an ear laceration and that they didn’t need to do a concussion evaluation. Which is entirely possible but unlikely, because I do believe they did a concussion “screen” at the time. The Warriors med staff probably didn’t do the full-blown evaluation because five minutes would not have been sufficient for that, but that was enough time to go over any symptoms and quick balance assessment (think roadside sobriety test). It is also important to know that because concussion are mainly subjective that a massive portion of any concussion evaluation is the interview: talking, questions and mental challenges about venue/score/date/etc.  Continue reading

“Contussiongate”*: The Steph Curry Incident

26 May

*I will admit that I could not come up with a catchy title for this post so I ripped this from Mike Freeman’s twitter feed (@mikefreemanNFL) last night:

But not only is this funny but it is about as accurate as it could have been when summing up the Steph Curry incident last night in Game 4 of the Western Conference series. So, thank you Mr. Freeman for your insightfulness and wonderful wordplay.

Those that were watching the game last night and happened to be on Twitter should know the entire process this sequelae; because of that I will be as brief as possible while injecting the overriding issues and thoughts on this.

It all began in about halfway thought the second quarter as the Warriors were getting throttled by the Rockets;

There is not speculation when looking at that vine, Curry hit his head on the court after taking an uncontrolled fall. What is not seen in the vine is Curry laying prone on the floor for a few minutes as the medical staff took a look at him (even noted checking his c-spine). When the world was brought back to the game from commercial we saw Steph getting assistance off the floor to the locker room, where further evaluation was to be done, obviously.

The first point to note in this event is that Curry not only immediately grabbed his head where it contacted the floor but he also was “down” for some time, that is obviously not normal. He hit his head and very hard so of course he would be slow to get up, but it was the amount of time that would and did have me concerned.

Before we go further we should define concussion for all of you out there, if you want the drawn out and dictionary definitions you can find it HERE, but for the simplest and most poignant way: a concussion is a disruption of normal brain function after a traumatic event. Notice there is nothing about getting hit Continue reading

More Concussions in Practices or Games?

22 May

There was a recent study released that has turned some heads in regards to where all the concussions come from in sports. In this JAMA Pediatrics study appearing at the beginning of the month the investigators have concluded that American football practices were “a major source of concussions” for all three levels of participation studied (youth, high school and collegiate).

Often when we see this type of information released there can be confusion due to the limitation of each individual study. The above data reflects a single sport, football, as compared to other data often cited that deals with all sports. Case in point this National Institute of Health study; which reports “athletes tend to have a higher risk of concussion in competition as compared to practice.”

The discussion topic of where concussion occurs more is not only often debated but it is an important set of data because we can control for one side of this equation, practice.

Reading the JAMA article one might be confused about the conclusions if you were to look only at the data and not have complete context of both the sport and participation. The rate of concussion was extremely higher in competition versus practice yet the majority of overall concussions came from practice. This can be explained by noting that there are far fewer games – thus exposure – and fewer participants in games – thus exposure. The sample set for the data (JAMA) was fairly robust: 118 youth football teams, 96 secondary school football programs and 24 collegiate programs. Ages of athletes exposed were 5 to 23, presenting a very good cross-section of the sport at all levels it is being played at. This information was collected in 2012 and 2013, and the researchers collected over 1,100 concussions over that time frame.

The NIH study breaks down the information for 13 different sports in high school and college only. Their findings Continue reading

The “Mild” Concussion

13 May

Mild

This post was written originally in 2011, but has been re-posted numerous times, it will continue to be posted until we all get the message…

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Hogwash!  There is NOTHING mild about a concussion, period.  However media, teams, players and even medical staffs continue to use this nomenclature with this injury.  It is simply counterproductive to label this injury with a “mild” tag, and hampers the effort of everyone trying to increase awareness.

When public speaking I often times compare a mild concussion to being mildly pregnant. It is rather simple you are concussed or you are not, just like being pregnant.

Granted, those that have extensive training in the area of injuries, and particularly head injuries, understand the term “mild” when it is in concert with concussion.  This subset of the population is not the one that needs the education, rather it is the general public, which includes players, coaches and parents.  A common problem amongst people who are educated in a particular field is that they forget about both who they are servicing and the education level of people other than their peers.  It’s a fine balance to educate without talking down to others, but understanding the stigmas of the topics help with that effort.

One serious stigma is the “mild” tag that is placed on concussions.  Those that watch and participate in sports are so used to using that clarification when assessing and addressing injuries as a whole, that perhaps it carries over to the traumatic brain injury just sustained by the athlete.  We as athletic trainers and doctors Continue reading

Play Smart. Play Hard.

12 May

PSPHlogo

Today the Illinois High School Association (IHSA) launched a national initiative for overall student-athlete safety and participation in sport. It is called Play Smart. Play Hard. 

The campaign will focus on education and equipping athletes, parents, coaches and schools on ways to better safeguard the heath and welfare of student-athletes, including minimizing the risk of head injuries.

The main function of this campaign is to have readily available information and tools for player safety; taking on the current issues/risks as well as being forward-thinking and discussing and formulating plans for other issues that are of concern in sports. At the center of Play Smart. Play Hard. are the resources including a Player Safety Toolkit which is directed at concussions at this time. When going to the Play Smart. Play Hard. page (www.playsmartplayhard.org) in the resource tab you can find all the current Illinois and IHSA concussion information as well as the National Federation of State High School Association (NFHS) and Centers for Disease Control (CDC) concussion info.

Play Smart. Play Hard. may have been trumpeted by the IHSA and Illinois but there are many other state high school association supporters of this innovative approach, 27 to be exact, check the site to see if your state is part of it.

As mentioned on the blog yesterday Continue reading

Illinois Advisory Council on Player Safety

11 May

It was last month and I was routinely checking the inbox when I noticed a correspondence from the Illinois High School Association (IHSA) with the subject line “IHSA Request”. Of course this piqued my interest because it is not often I get information from the state high school organization and the ‘request’ portion may have been dealing with athletic training. As I opened the message I simply thought this was a blasted email with necessary information from the IHSA…  I was wrong, on so many levels.

This is how the email opened;

Good morning, Dustin.  I hope things are going well.

I wanted to write you today to invite you to be a member of the Illinois High School Association’s (IHSA) newly established Illinois Advisory Council on Player Safety, which aims to influence, shape and strengthen the IHSA’s commitment to protecting the welfare of all those involved in interscholastic competition in Illinois.

Needless to say I was kind of taken aback, but after that fleeting moment I was honored and excited and quickly read the entire correspondence and even more quickly responded to the IHSA with a definite yes (I didn’t want them to second guess my invitation, hahaha).

The Illinois Advisory Council on Player Safety aims to be a well-rounded plenary body – with much and varying expertise – that can guide discussion on ways the Illinois high school athletic community can improve, advance, set initiatives and create higher standards for player safety. This body cannot create policy but it can influence decisions and create internal debate. Initially the main focus will be on head injuries, however, it is thought that the Council will eventually take time to look at all player safety issues going forward (heat illness, sudden cardiac death, and many more). The Illinois Advisory Council on Player Safety is a part of a greater campaign that the IHSA is unveiling tomorrow (more on that then).

The Council is going to be made up of eight members from across the state; student-athletes, coach, official, athletic trainers, alumni and state legislators.  Below are the quick bios of the Council at this time: Continue reading

It. Has. To. Stop. (revisited)

10 May

This is one of my more outspoken and shared opinion pieces about concussions, it originally was penned in August of 2013.

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There is a lot of belief and trust each and every one of us has in those that are medical professionals.  The further you go up the chain in those professionals our trust is greater and our belief is stronger that they know more.  The sad fact that in some instances those near or at the top of the chain don’t know enough and are putting people, in this case a kid, in danger; not only in the near future but the long-term.

Compared to a physician (MD/DO) I would say my medical skills are pale in comparison, and rightfully so; their schooling and experience far outpace what I have learned in the medical field.  Because of this the athletic trainer (I) am not held as in high regard when it comes to decisions about the care of an athlete; which I am fine with… 97.43% of the time (I just made up that number, ha).  However there are times when a MD/DO – those making the final and binding (in parents and patients minds) decisions – make a mistake.  This is not just some Monday morning quarterbacking either, its FACT.

Just recently I had an athlete take a blow to the body and head in a practice, and they immediately came to me distressed.  How distressed?  Well that is one advantage I have over a MD/DO, especially the ER doc, I know the kids and have the resources of his/her peers as well as coaches who have known the kid for many years.  In this case the Continue reading

Concussion = Brain Injury (revisited)

10 May

This post originally appeared in February of 2012, it is a good summation of the minutiae surrounding concussion.

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For years we in the medical community have been struggling with the terms “concussion” and “traumatic brain injury”; is there a difference?  The simple answer is no.  As you have seen on the blog, we use the term interchangeably, however just like anything in life semantics make a difference.  The perception of a “concussion” is that of sports and “not really that big of a deal”, and that would be horribly wrong.

As Broken Brain — Brilliant Mind posts today this injury is to the brain and confusion about semantics need to be cleared in order to gain a firm grasp on the issue at hand;

I’ve been giving a fair amount of thought to concussions over the past couple of years. In the course of my tbi rehab, my neuropsych has referred to my mild tbi’s as “concussions” and oddly, I never really thought of them that way. I’m not sure why I didn’t make the connection. I guess I thought, like so many others, that concussions are not that big of a deal — just a bump on the head. Getting your bell rung. Getting dinged. Big deal, right? Then, when my neuropsych talked about all the concussions I’ve had, the light went on.

My mild traumatic brain injuries were concussions. Concussion sounds a lot less dramatic than TBI, but essentially, it’s the same thing (I won’t go into the distinctions that SUNY-Buffalo Concussion Clinic people make).

By the way if you have not been going to BB–BM you should, as his/her perspective on dealing with brain injury is a massive resource.  Needless to say, whether you use the term “concussion” or “brain injury” the results Continue reading

Fish Oil Revisited

9 May

This post originally appeared on the blog in 2011, not much has changed in this area, it is still not definitively known if this is good, bad or indifferent (probably the latter).  However, this is a supplement that is good for all athletes for a myriad of reasons. I have chosen to post this again because it is one of the most popular and commented on post in the blog history.

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After posting about the “7 Ways To Help With Concussion Management” I realized that I had not posted about the possible benefits of Omega-3 fatty acids/DHA supplements for concussion management.

In a July publication of The Journal of Neurosurgery, Dr. Julian Bailes (BIRI) and Dr. Barry Sears (leading authority on anti-inflammatory nutrition, creator of Zone-Diet) found that supplementing rats with O3/DHA after head injuries reduced the observed issues with a concussion; (SOURCE via weightlosingideas.com)

“Animals receiving the daily fish oil supplement for 30 days post concussion had a greater than 98 percent reduction in brain damage compared with the animals that did not receive the supplement,” Dr. Sears said. “It is hypothesized that the omega-3 fatty acids in the fish oil reduced the neural inflammation induced by the concussion injury.”

O3/DHA has been documented to help with the inflammatory response of the body, many people use this SAFE and AVAILABLE supplement when training to temper swelling.  It is also has shown great promise for the cardiovascular system, mainly heart health.  Further investigation is underway Continue reading

The Fencing Response

9 May

Originally posted January 7, 2011 this was one of the first places to examine and educate people about the Fencing Response, since that time this post has been viewed nearly 50,000 times. This is a great resource.

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The fencing response is an unnatural position of the arms following a concussion. Immediately after moderate forces have been applied to the brainstem, the forearms are held flexed or extended (typically into the air) for a period lasting up to several seconds after the impact. The Fencing Response is often observed during athletic competition involving contact, such as football, hockey, rugby, boxing and martial arts. It is used as an overt indicator of injury force magnitude and midbrain localization to aid in injury identification and classification for events including, but not limited to, on-field and/or bystander observations of sports-related head injuries.

Source: Hosseini, A. H., and J. Lifshitz. Brain Injury Forces of Moderate Magnitude Elicit the Fencing Response. Med. Sci. Sports Exerc., Vol. 41, No. 9, pp. 1687–1697, 2009.

Concussion by Sport (revisited five years later)

8 May

This was another very early post of this blog back in 2010, September to be exact. As you can tell I was very green to the whole linking of articles and writing. However, this is an important article regarding concussion statistics by sport from five years ago. I would be interesting to do a follow-up to this with what we know now. Looking back at my observations have not changed much in the five years, I may move wrestling above cheerleading but that is about all.

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Concussions are not exclusive to American football, although it is the most covered sport as it relates to concussions.  This is a good time to note that in the United States the next most concussive sport, is soccer, the number one sport in the world.

A reasearch project by University of North Carolina reported concussion rates by 100,000 athlete-exposures Continue reading

The Need for Sleep

8 May

This post appeared in the infancy of this blog back in October of 2010, I have made some editorial changes since that time.

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It used to be that doctors would tell you to keep people awake with head injuries.  That has changed, quite a bit.  Keeping someone awake might be indicated for a possible brain bleed, but concussions need the sleep and recovery time.

Sleeping is first. If you’re not sleeping, forget it,” said Cara Camiolo Reddy, the co-director of the UPMC Rehabilitation Institute brain program and the medical adviser to the Sports Medicine concussion program. Sleep is vital in the recovery process because the injured brain needs rest to begin to heal itself. The concussion program and Camiolo prescribe medications, however, only to post-concussion syndrome sufferers who are three weeks or longer into their injury.

This quote was from and article by Chuck Finder of Scrips Howard News Services and appeared on NewsChief.com today.

In the article you will find that this prescription is not widely accepted by the community that deals with concussion management.  However in my experience it is vital to let the brain rest.  When I am debriefing with the athlete and their parents, the most often question I get is “can you sleep too much?”.  My answer is no. Parents often time are apprehensive if they subscribe to the old method of waking every hour, but I try to educate using the snow globe example. If the must wake their child I encourage it at infrequent and few times as possible.

With my experiences at the schools I’ve been an AT at, the kids and parents that abided by the recommendations of sleep and complete brain rest have recovered at a much quicker rate.  The kids and parents that did not listen often times have delayed recovery.

I know that is not a research study in its most proper form, but the observational evidence tells us, and those in the above article that sleep is indeed needed.

The Future is Good. Things are Changing.

7 May

Sq 300 JHello, once again, let me reintroduce myself. I am Dustin Fink, an athletic trainer in Illinois that has made it a special interest and hobby of mine to learn and talk about concussions [/sarcasm].

It has been some time since I have delved back into the blogosphere and I don’t feel I owe an explanation (to be honest many of you wouldn’t care, it’s rather boring), however things are about to change.  I cannot promise that this space will be as prolific as it once was with concussion news and commentary however I think it will be more active that it has been the past year or so.

The exact details about how and why this change is occurring I cannot say quite yet, all I can tell you is that nearly five years of work has been realized and this now gives me the reason to get back to this part of my life. To say I am excited is a vast understatement at this point.

While I have been away I have seen my growing family get more active and my resources as an athletic trainer get more useful and respected within my workplace/school. It has been quite the adjustment going from covering a small school to a medium school with all the events and time constraints. And back to the kids, my kids, they are crazy busy with baseball, volleyball, basketball, softball, flag football, etc. it will be entertaining trying to watch this family juggle three kids in all of that (will take unsolicited advice from parents any time).

Concussions have not and will not go away from the sports scene no matter how much snake oil we throw at it. Simply, concussion is a risk associated with activity – any activity – not just sports. It seems that the general media (those beyond the taboo “blogs”) have become a bit more familiar with it and there are plenty of organizations and people stepping in dog doodoo when handling the actual injury or the public relations portion of it, so coverage has been decent. We have continued to field interviews and speak to classes and groups about concussion as well as advise those that ask, in reality The Concussion Blog has not gone anywhere (still Tweeting up a storm).

There are many opportunities coming down the pipe in terms of concussion legislation, concussion rehabilitation, concussion identification, and a myriad of other things related to this brain injury (including the shams and rhetoric about the danger). This provides a chance for us to discuss those many things; highlight the positives and critically examine the questionable topics.

I am looking forward to letting you all in on the news, next week, but for the time being you will be seeing many old posts come back to the top of this blog as a reminder of where we stand and where we are.

I appreciate all of you that have stuck with this blog for so long and continue to click on it even though the content is not as fresh as it once was. I don’t know how long this adventure will last but lets take advantage of the time while we have it!

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