This “throwback Thursday” thing is kinda cool for a guy that has a ton of stuff on this site that new people may have missed. With that I will attempt to drudge up some “oldies-but-goodies” for you the audience. I am certain I will re-read some of this and laugh at myself or have changed in the way of thinking but I will leave it as it was originally printed.
This week’s #tbt post comes from March of this year (original LINK – you can go there if you want to see original comments).
Here is the presser for the updated AAN Sports Concussion Guidelines; their guidelines are simple and to the point, via YouTube;
- No Grading System of concussion
- 10 day rest period – “key” – Dr. Jeffrey Kutcher
- Greater risk if you have had a concussion
- Addressing of youth and recovery
- Helmets are not the full answer
- Licensed Health Care Providers should be clearing
- Repetitive head injuries are bad
- The discovery and annotation of “Chronic Cognitive Impairment”
- No single test, CLINICAL assessment
- “Kids are not little adults.” – Dr. Christopher Giza
Here is the LINK to the Updated Guidelines (can someone give me permission to post it here?)
Here is the LINK to the Sports Concussion Toolkit from AAN
Here is the LINK to the Concussion Quick Check from AAN
What does this mean in comparison to the Zurich Statement? That is a great question; both groups used “consensus” however this group is much more centered on American practices. Both have similar approaches, both advise nearly the same thing; but which one carries more weight. I have been told the AAN will be much more “powerful”, respected and learned than Zurich.
This is a good debate, regardless, there is ample evidence to sit kids and any concussed individual. This statement also continues the wave of information that cumulative and repetitive trauma to the brain (still figuring out thresholds) is not good. Based on this and the Zurich statement the only way that we can collectively abate concussions at this point is exposure limitation. No where in that last sentence does it state “stop playing sports,” or “get rid of football”.
When dealing with the brain and the injury of the brain less is better, which is ironically simple and a “no brainer”.