Tony Moeaki Concussion

Look at #81 at the top of the screen after a hit by a Bronco defender. Not only the hit, but him trying to get back up.

Tony Moeaki Stumbles After Hard Hit

Thanks Coach F. for alerting me to this video.

If anyone knows how I can embed this, previous setting not working, simple paste of embed code in HTML page is resulting in just a link.

From the Mailbag

Below is an email I received from someone who would like to remain anonymous;

I incurred a concussion about halfway through the 2009-2010 hockey season after being hit from behind into the glass by someone over a foot taller and about 100 lbs. heavier.  I was wearing a helmet and a full face mask at the time, but since I didn’t see it coming at all, I had no way to brace myself.  I met with an ER doctor and had an MRI, which was negative, and then had a CT and met with a neurologist.  He told me that he didn’t want me playing for at least the rest of the season, and I didn’t.  My symptoms were typical of those from front and rear impacts, including trouble focusing and concentrating, headaches, and nausea.  During the summer, I tried hockey again.  It was pickup (less competitive than a traditional game), and the people were all more or less my size.  I accidentally collided with people on two occasions, but I didn’t think they were particularly hard impacts and none of us were moving very quickly.  The concussion symptoms came back.  That night, when I went out to dinner with a couple of people, one of them asked my age.  I couldn’t remember exactly what it was, which was especially terrifying.  About three weeks later, I met with a sports medicine doctor, who had me do ImPACT testing.  When I asked what the results were, he just said they “weren’t good” and recommended that I see a physical therapist.  I’ve been seeing him for about seven weeks now, but I’ve lost trust in him and still have concussion symptoms many months later.  I’m not playing hockey at all anymore, and it’s a very difficult emotional experience, knowing that I can’t participate in something I truly love without putting my future health at risk.

This email brings up a few great points, things we struggle with in the medical professional community.

  • Lack of communication between disciplines
  • Refusal to learn about new rehab techniques
  • Lack of professionals that know how to deal with concussions
  • Time it takes to get the “right” help
  • Overall education

The emailer also would like to think that this will help others, and I agree.  Please comment on this or send in your own testimonial about concussions.  The more we communicate the better we will be at identifying issues that can be resolved.

NHL Concussion Report 11/15

This is the list of current players on the injured list for concussions or suspected head injuries (^=new);

  • Matt Beleskey, ANA
  • Kyle Chipchura, ANA
  • Marc Savard, BOS
  • David Krejci, BOS
  • Raitis Ivanans, CAL
  • Peter Mueller, COL
  • Kyle Cumiskey, COL
  • Kyle Quincey, COL
  • Pierre-Marc Brouchard, MIN
  • Matthew Lombardi, NAS
  • Bryce Salvador, NJ
  • Ian Laperriere, PHI
  • Kurt Sauer, PHX
  • Carlo Colaiacovo, STL
  • David Perron, STL
  • Simon Gagne, TB^ (listed as neck)

The count is now 31

Week 10 NFL Live Blog

Its been a couple of weeks since we have done this, but why not…  I have some time today…  10 concussions last week, and hopefully less this week…

===============================12:15

Sheldon Brown of the Browns was on the field for a while after tackling Braylon Edwards with his head down.

===============================12:36

Follow up on Sheldon Brown, it was Edwards that went head down and inflicted some pain on Brown…  As some have noted, the offensive players should be held to the same standard as the defensive players…  That being said Brown still hit his head hard on the turf after a serious whiplash.

===============================12:49

Eugene Wilson of the HOU Texans collided with a JAX WR over the middle and was stuttering around after the hit.  Have not seen if he stayed in the game.  His head was down.

===============================2:25

Dwight Lowery of the Jets is out with a head injury.

===============================2:59

Cameron Wake of Miami has been out and is being reported he has a head injury.

===============================3:24

Will James, DB, 49ers is questionable with a concussion.

===============================3:47 Continue reading

Week 10 NFL Concussion Report

This is the list of players that have been listed with concussion, head or migraines and are probable;

  • Mewelde Moore, RB, PIT
  • Isaac Redmond, RB, PIT
  • Mike Adams, DB, CLE
  • DJ Moore, DB, CHI

This is the list of players that have been listed with concussion, head or migraines and are questionable;

  • Max Jean-Giles, OL, PHI

This is the list of players that have been listed with concussion, head or migraines and are doubtful/out;

  • Austin Collie, WR, IND
  • Asher Allen, DB, MIN
  • Greg Hardy, DL, CAR
  • Johnathan Stewart, RB, CAR

 

The Official The Concussion Blog Concussion List for the season can be found HERE

Concussions and Politics

Irvin Muchnick of BeyondChron out of San Francisco wrote an article about the concussion issue reaching a critical mass both in sports and in the political arena.

He makes great points about the start of the investigations into the long-term effects of concussions, crediting Chris Nowinski of the SLI and formerly of  World Wrestling Entertainment (WWE).  We have shed a bright light on the issue many times here, however the angle that Muchnick takes is into the political scene.  With the election of Richard Blumenthal in Connecticut (home of the WWE), he feels that more attention needs to be given to the matter of concussions.

Although we as sports fans are not looking for an overhaul of the “distractions” we enjoy, particularly on Sundays in the fall, the impetus is now, and with help we can come up with resolute actions to protect EVERYONE.  This includes the professionals all the way down to the youth, and back up to the recreational athlete.   Plus, do not forget about the general public, as this is not a sports-only issue.  Sports will be the vehicle to get the action Muchnick is looking for.

SLU Helping the Invisible Injury of Vets

Photo Courtesy of US Dept. of Defense

P. Tyler Roskos of St. Louis University is concerned with the “invisible injury” of traumatic brain injury or concussions that our service men and women suffer while in action.

Each year, 1.5 million Americans suffer non-fatal brain injuries, and three-quarters of those injuries are mild traumatic brain injury, or concussion. A RAND Corporation survey of 1,965 service members who had been deployed to Iraq or Afghanistan found that 19 percent reported probable traumatic brain injury.

The problem is that this is not an injury that everyone can see.  Heck, even those that have the ailment don’t realize the problems.  Things such as sleep disturbance, depression, and altered state of being are signs of this horrible issue.  Dr. Roskos provides help in this area and suggests the following broad steps (detailed further in the full article at Health Canal);

  • Be Patient
  • Seek Treatment
  • Talk With Other Vets
  • Enlist Help Reentering Workforce

This is a project funded by the United States Department of Defense, and in a week where we honor those serving our country, this needs to be a high priority.

Post Week 9 Concussion Stats

Courtesy of hb9252 via Flickr

Please excuse the two posts, as my computer decided it was a good time to die.  Recovering files and spending money gave me a severe headache, however I can now bring you the stats up-to-the-minute.

Last week was the most reported concussions thus far, and if you include the Oakland Raiders report of Tyvon Branch, the total was 11 reported concussions from Week 9, surpassing Week 6’s seven reported.  There still remains some questions as to whether Zack Follett and Joseph Addai sustained concussions during Week 6 as well, so take these numbers for what they are worth; as accurate as the media and reports allow us to be with them.

74 concussions during regular season action.

  • .55 Concussions/game
  • 8.22 Concussions/week (up from 7.66)
  • 140 Projected concussions
  • Current Epidemiological Rate (Total Concussions/Total Active Players) – 8.24%
  • Current Incidence Rate (Total Concussions/Average Players Playing per team) – 13.24%
  • Current Chance to sustain a concussion on a given play – 2.34%

Below you can see the Official Concussion Blog List; Continue reading

82 – Concussion Tally Through Week 9

These players have been listed this week on the Official Injury Report by the NFL.  I will add them to the master list, as my previous computer has crashed and I am resolving that issue as we speak.  However there were 10 reported concussions this week;

  • Mike Adams, DB, CLE
  • Austin Collie, WR, IND
  • Asher Allen, DB, MIN
  • DJ Moore, DB, CHI
  • Greg Hardy, DL, CAR
  • Johnathan Stewart, RB, CAR
  • Will Allen, DB, PIT
  • Mewelde Moore, RB, PIT
  • Isaac Redmond, RB, PIT
  • Max Jean-Giles, OL, PHI

This brings the total to 82 concussions, 74 of which were in the 9 weeks of the regular season.  You might notice that from last week to this week there were a mysterious three concussions added.  I did some searching and found two were players that had been moved to IR before the listing on the injury report, and one was on a team going into a bye.  More stats to follow.

Happy B-Day Marines

Today is the 235th year of the United States Marine Corps, and we could not be where we are without them or the other branches.

I have known/know many Marines but there is one Marine that has shaped the way my life is and will continue to be.  His name is David Joseph Fink, and served this fine country during Vietnam.  Nothing haunts this man more than people who told him and continue to tell him that what he did was wrong, the crux of which was being spit on and told he was a “baby killer” when he returned to this fine country.  Well Dad, you did what was asked of you and you lost a lot of good friends, you protected this country and in turn you have instilled every virtue from the USMC that is necessary to have a successful life.  If more people had the “guts” and “drive” to do what you did and continue to do then maybe this country would be a better place.

Take pride in what you have done, learned and passed along, without you none of this is possible, thank you Dad.

Now let’s make sure our service men and women can return to their lives with as much support and help as possible, especially with the concussion issue.

Good News from College Hockey

Well not completely concussion related it’s always good to share a positive injury story.  Denver University senior Jesse Martin had successful spinal surgery on Monday and was able to walk for the first time since a hit on  October 30th fractured his C2 vertebra.  The hit did result in a 5 minute major penalty (No word on if the NFL will try to fine the NCAA hockey player).

Read The Full Story HERE

Bye Week Team Concussions

We have decided to scour the news for reports on concussions from players on teams leading into a bye week, since they do not have to report the injury until the following week.

This week the Raiders, Saints, Packers and Chargers are on byes, we came up with this short list of one, will keep ears to the ground for a more accurate number.

  • Tyvon Branch, DB, OAK

Rough Night to be a Steeler

Will Allen, Melwede Moore, and Isaac Redmond all sustained concussions in last nights game versus the Bengals.  NFL.com Story

I also noticed some very tough hits late in the game that were clean, and still the big blows that we as a consumer yearn for.  Troy “Hair” P drove a shoulder into the upper body of T.O. across the middle, and James “Don’t know how to tackle” Harrison put a licking on Jordan Shipley on the last chance for the Bengals.

Good job players, and tough luck for those that were hurt, we will see if they are on the injury report this week.

NHL Concussion Report 11/8 (UPDATED)

This is the list of current players on the injured list for concussions or suspected head injuries (^=new);

  • Matt Beleskey, ANA
  • Kyle Chipchura, ANA
  • Brian Little, ATL
  • Marc Savard, BOS
  • David Krejci, BOS^
  • Raitis Ivanans, CAL
  • Peter Mueller, COL
  • Adam Foote, COL
  • Kyle Cumiskey, COL^
  • Kyle Quincey, COL^
  • Pierre-Marc Brouchard, MIN
  • Antti Miettnen, MIN
  • Matthew Lombardi, NAS
  • Bryce Salvador, NJ
  • Ian Laperriere, PHI
  • Kurt Sauer, PHX^
  • Carlo Colaiacovo, STL
  • David Perron, STL^

The count is now 29…  Make that 30 (11/9)…

Mouth Gear Controversy (UPDATED)

Courtesy of Jonathan Harford via Flickr

It is called “mouth gear” because many outfits are trying to cash in on the concussion issue. This is certainly a hot topic and one that I am not afraid to wade into. I also feel that it is good time to bring it up because, well, my inbox is slammed full of information.

It began with an email from Mark (REDACTED), EVP of (REDACTED) who makes mouth “orthotics” and mouth guards.  For the purposes of this discussion, we will call anything inserted to the mouth, mouth gear.  I was presented some research material that showed that using such mouth gear that concussions could be reduced(Dental_Traumatology%20Publication).  In the discussion it presented that more information and study is needed to look into this orthotic for the mandible area.  But what they are using to base that on is a very limited and uncontrolled subject pool.  28 subjects that have not only grown in age, but in size, and awareness of concussions.  This subject pool only was defined as “competitive” seasons as the longevity of the study.  Did that mean the subjects went from high school sports to college, or just competitive intramural sports in college?  Did the subject stop playing football during that time and pick up golf?  It does not say, all limitations to the study and huge factors in reducing concussions.

Heck even the website has some misinformation on it, look for yourself (unlinked) the text says;

“I previously had 3 concussions.  I started wearing the Maher Mouth Guard 3 years ago and have not had a concussion since.  I feel very comfortable wearing The Maher Mouth Guard and recommend it for any contact sport.  It is perfect!” -Assante Samuel, New England Patriots. Continue reading

Collecting Information

Fred Mueller has been running the National Center for Catastrophic Injury Research in North Carolina for three decades, as Alan Schwarz writes on Ocala.com.

Finding information about injuries has become easier throughout the year with the invention of the world-wide web.  Before that the Center had to hire news reading services to find what he was looking for.  Now with the awareness after a horrible event, some even call Fred Mueller.

Not only did Alan Schwarz once again explain a part of the process that someone is doing, he shed light on things that may be missing in the recent concussion discussions.  Fred Mueller has written a book, it will be out very shortly, titled Football Fatalities and Catastrophic Injuries 1931-2008.

As that book goes to press, Mueller continues to take his phone calls and scours the Web alongside file cabinets that read “Football Fatality Reports” and “Cat. Cases,” short for catastrophic. He seeks the stories nobody wants to hear, the most gruesome job in sports.

“You could look at it that way,” Mueller said. “But you can also look at it as the best. You’re preventing deaths and disability injuries. That can be pretty satisfying.”

NFL Concussion Report Week 9

There are the players listed with head/concussion/migraines that are probable:

  • Rodney Pool, S, NYJ^
  • Dennis Pita, TE, BAL
  • Chris Ivory, RB, NO
  • Dunta Robinson, DB, ATL
  • DeSean Jackson, WR, PHI

These are the players listed with head/concussion/migraines that are questionable:

  • none

These are the players listed with head/concussion/migraines that are doubtful or out:

  • Matt Hasselbeck, QB, SEA

^NEW listing since Wednesday…  Will be added to the Tally post…

Is It Worth It?

Derek Hart of the Bleacher Report has written an article about the costliness of playing professional football.  Before recent studies and investigations, general orthopedic injuries made lives difficult for former champions of the gridiron.  Now it’s repeated head trauma that may in fact make playing in the NFL a scary proposition.

So when I hear about guys like Campbell, Jacoby and Marsh becoming cripples, or kids becoming virtual vegetables like Brad Ebner, the high school player mentioned earlier, or Eric LeGrand, the Rutgers player who was paralyzed from the neck down during the their game against Army this year, as well as the life span of ex-NFL players being shorter than the average American male, I can’t help but ponder…

Read more about this story HERE

Another Win

As an athletic trainer there are only so many games in a season, so when a team exceeds their expectations and goes deep into the playoffs, it is a great ride. As I have previously mentioned, the volleyball team has been playing well and had a Sweet-16 game last night. After 90 minutes of intense, nerve-racking rallies and points, we won the match and are advancing to the Elite 8 tomorrow.

It was not as easy as the first game led all to believe.  The ladies pounded the other team in the opening game and the thoughts of cruising to a quick victory ran through everyone’s mind. That was until the other team took the momentum and won game two. Then in game three, they held a 20-14 lead when the grittiness of the ladies came through and went on a 11-3 run to close it out and give the high school their first Sectional Championship in 15 years.

In volleyball, the athletic trainer does not get a lot of action, which is nice as it allows you to be a fan, compared to football.   Last night was the second time all year I had to go on the court for an injury.  It was not a major one, a torn finger nail, but one that was quite interesting.  As the player came off and we are getting her wrapped up, she informed me that her blood was on the court.  By rule you have to get it cleaned up, and not by just wiping up the floor.  You have to disinfect the blood then wipe it up, so it’s a process.

At the time we were losing in the 3rd game and the momentum was clearly not with us.  I informed the official of the blood and the match was stopped to clean it up.  As you can maybe imagine, the player was all over the court during the bloodletting.  There were drips all over the court, the entire width and half the length.  Apparently she was EXTREMELY active in the back row. What makes this interesting (well to me) is that the fans of the other team began to boo me and the host AT as we cleaned it up. Comments from the crowd included “they are slowing the game down on purpose,” to irate parents wanting us to lose a point for delaying the match.  It was quite comical.  After finding and taking care of all the blood, the officials thanked us and returned to action.  The player had her nail covered and the blood never reappeared.

The point being that with the athletic trainer there, the coaches were allowed that “free” time to address the team, instead of worrying about getting the player taken care of and the court cleaned.   The importance of an athletic trainer goes beyond just concussions and injuries.  It is also piece of mind for the coaches and players.

I would also like to extend an invitation to all AT’s out there to send me your stories, as we will run them from time to time.  With the concussion issue, it is a great time to promote the need and education of the athletic trainer, because one day we will have the concussion issue well in hand.

Education is the key

Courtesy of Uncle Saiful via Flickr

A report just released about rugby and concussions sponsored by Dr. Michael Cusimano of Toronto, tells us that education is the key, versus helmets and mouth gear.

A new review has suggested that mouth guards and headgear have little or no impact on reducing concussions in rugby players. However, educational programs that promote proper playing techniques and enforcement of rules do result in a significant reduction in concussions and head, neck and spinal injuries.

This information will be published in Neurosurgery this month.  Even though this information is tailored to the sport of rugby, this should be a lesson to all other sports.

LINK

Coming next week, information on the seemingly controversial topic of mouth guards…

The Winter Wednesdays

Courtesy of Airman 1st Class Kerelin Molina

OK, it’s not winter yet, and not a “catchy” title, but with football over I thought I would amuse the followers of The Concussion Blog with the continuation of real stories.  Both on the concussion front and in athletic training.

Time to roll out the balls & mats

With the end of fall sports… Oops…The transition to the winter sports (as our volleyball team is in the Sweet 16 of the state series, sorry gals).  It is time to get ready for some gym madness, either on the court or in the circle.  Basketball practice has begun and wrestling is about to get underway, so it’s time to change gears.

People tend to think that athletic trainers and concussions go into “hibernation” just like the bears of North America, but they could not be further from the truth.  Sure, at the professional level you see both occurring year round, but at the high school level there is a stigma attached to the winter, non-bladed, sports about the incidence of concussions and need for an athletic trainer.  The traditional sports of basketball and wrestling are CONTACT sports, and injuries, including those to the head, occur all the time.

This week we are pre-testing our athletes with the ImPACT neurocognitive system to get baseline results in the unfortunate case of a concussion.  The school where I work is pretty small, so most of the kids that play in the winter have played a sport in the fall and have been tested prior.  However, with incoming freshman and those that chose not to play in the fall, the tests are mandated at our school.

My head hurts

I always get a kick out of those taking this exam for the first time.  After some serious rules are laid down about taking it seriously and letting them know they cannot fail the test, I always have one or two kids who need help understanding where to put their name on the computer screen.

Upon getting to the task of putting in information about any current symptoms, the athletes learn some of the common signs and symptoms of a concussion.  “So you mean that if I am in a ‘fog’ after hitting my head I might have a concussion?”  “What does it mean by trouble concentrating?”  “What if tests give me headaches?”  And so begins the early stages of educating the athlete about concussions. Continue reading

69 – Concussion Tally Through Week 8

Only three new additions to the injury list for Week 9 (Steelers and Bengals have not reported yet, will add if information becomes available).

Sicko Scott TE DAL -1
Murphy Louis WR OAK -1
Curry Aaron LB SEA -1
Clayton Mark WR BAL 0
Grant Ryan RB GB 0
Bing Darnell LB HOU 0
Addai Joseph RB IND 0
Ware DJ RB NYG 0
Ghee Brandon DB CIN 1
Sorensen Nick DB CLE 1
Lacey Jacob DB IND 1
Keiaho Freddy LB JAX 1
Thomas Jay DB OAK 1
Furrey Mike WR WAS 1
Moore Matt QB CAR 2
Martin Charly WR CAR 2
Hillenmyer Hunter LB CHI 2
Ware DeMarcus DL DAL 2
Boss Kevin TE NYG 2
Bradley Stewart LB PHI 2
Kolb Kevin QB PHI 2
Ryan Clifton DL STL 2
Davis Will LB ARI 3
Mitchel Carlton WR CLE 3
Witten Jason TE DAL 3
Follett Zack LB DET 3
Gay Randall DB NO 3
Moore Evan TE NYG 3
Dahl Craig DB STL 3
Bryant Anthony DL WAS 3
Redding Corey DL BAL 4
Trusnik Jason LB CLE 4
Manningham Mario WR NYG 4
Ryan Clifton DL STL 4
Martin Sherrod DB CAR 5
Cutler Jay QB CHI 5
Shipley Jordan WR CIN 5
Scheffler Tony TE DET 5
Cooper Riley DB PHI 5
Samuel Asante DB PHI 5
Thomas Demaryius WR DEN 6
Johnson Landon LB DET 6
Rodgers Aaron QB GB 6
Gay Randall DB NO 6
Bell Jacob OL STL 6
Macintosh Rocky LB WAS 6
Robinson Dunta DB ATL 7
Cribbs Josh WR CLE 7
Massaquoi Mohamed WR CLE 7
Garrard David QB JAX 7
Abdullah Husain DB MIN 7
Edelman Julian WR NE 7
Brandon Myers TE OAK 7
Jackson DeSean WR PHI 7
Cooper Riley WR PHI 7
Ryan Clifton DL STL 7
Cooley Chris TE WAS 7
Cox Perrish DB DEN 8
Fluellen Andre DL DET 8
Hall Max QB ARI 8
Thurmond Walter DB SEA 8
Johnson Chris DB OAK 8
Satele Samson OL OAK 8
Shaughnessy Matt DL OAK 8
Smith Jason OL CAR 8
Pitta Dennis TE BAL 9
Ivory Chris RB NO 9
Hasselbeck Matt QB SEA 9

-1=Training Camp, 0=Preseason

Rodney Pool, DB, NYJ was added to the injury report…

Not appearing on the official list are Joseph Addai with “neck” and Ben Hamilton who was reported to have sustained a concussion in the media.  Also, on the official list but not on this one because they are not new injuries are Dunta Robinson and DeSean Jackson.  The number is now 69 – a good drop in the numbers.

  • Concussions per week = 7.66
  • Projected Concussions = 130
  • Current Rate = 7.67%