#pinkTBI Summit 2016: A recap


pinktbiThe meeting at Georgetown University this past weekend was more than fruitful for this athletic trainer. I went in trying to get two things done: one, provide info to you the follower as best as possible and move along the discussion on female concussion and two, to learn something that is applicable to me as a “boot on the ground” athletic trainer.

The first was probably painfully obvious that I accomplished if you follow on Twitter and didn’t mute me and were not interested in this event (you should have been interested). The second objective I did meet by learning some techniques when working with females, not only at incident but with recovery, education and overall attitude.

Certainly I could write 4000 words on this event but that would be boring to you and I am still recovering from the weekend the the docs there asked that I “rest” my fingers. That being said I will give quick synopsis’s of each speaker, info that I took away as an athletic trainer and advocate for education about mTBI/concussion. It is entirely possible that I misrepresented some thoughts and missed some very valuable info for some out there; don’t worry speakers and audience this was done the best possible.

Lets begin, and this will be in chronological order of the event with presenters last name, in bullet form. My hope is that you will use this as furthering your info about the female sequale and in some cases change how you treat.

  • Kerr:
    • The concussion rate is higher in females in males in college and high school sports, particularly in basketball, soccer, and softball/baseball.
    • Research suggests differences in symptoms reported as well as RTP.
    • More research needed at the youth level.
  • Covassin:
    • Showed that neck strength is a confounding effect on possible injury.
    • MOI is different in the sexes: males contact with player while female is contact with ground/equipment.
  • Lincoln:
    • Exposed us to the lacrosse injury and problems that exist, which is important because this is an emerging sport.
    • No head gear in woman’s lacrosse.
  • Casswell:
    • Impact sensors and injury and how it may relate to injury.
    • Different types of injury for females vs. males (building on Covassin).
  • Colantonio:
    • Logitudial study showed about 24% of female pop has had mTBI.
    • Females seek and get less care overall.
    • Reproductive impact after a mTBI need to be understood.
  • Gioa:
    • Static and dynamic symptoms are different in female vs. males – needs research.
    • Academic performance shows no difference between sexes. 
  • Moser:
    • Elderly, in particular falls are less know and studied.
    • mTBI in falls overlooked due to co-morbidities.
  • Garary
  • O. Harris
  • Bazarian:
    • Menstrual cycle info and outcomes.
    • Follicular & Pill mTBI have different outcomes than mTBI in the Luteal phase (progesterone interruption?)
    • Worse outcomes in the luteal phase.
    • Introduction of pituitary injury during mTBI.
  • Pins:
    • Rat model showing that socialization is impacted in females more than males after mTBI.
    • Don’t overlook this when treating
  • Lin:
    • MR Spectroscopy and using that for outcomes when looking at the NAA marker.
    • New way of possibly objectifying this injury.
  • Turtzo:
    • Introduced Traumatic Meningeal Injury, unique to mTBI in her study.
    • Estrogen could be problematic because it is both pro and anti inflammatory.
  • Gill:
    • Increased Tau in biomarkers at 7 days vs. males may be a reason for delayed recovery and increased symptoms.
  • Seifert:
    • Migraines are way more commonin women.
    • Migraines could be a predictor of mTBI and recover from injury.
  • Moser:
    • Symptom clusters are different on symptoms scales.
    • Perhaps a need for a different type of evaluation tool for females?
  • Wang:
    • Overlapping Concussion Syndrome: lasting recovery greater in females.
    • And this: 
  • Arbogast:
    • Youth needs to be studied to see when the differences in sexes begin.
    • Point of entry into the care continuum is a factor for recovery.
    • 40% of female concussions are from non-sport.
  • Schneider:
    • Differential treatment plans for rehab on females.
    • Possibly more neck/musculosketal and vestibular for eye issues in women.
  • Kelly:
    • Specific graded return to “play”/duty.
    • Fewer females in military so hard to create a personalized plan for them.
  • Bauman:
    • Her clinic showed 1/3 males recover at 0-2 months vs. females where 1/3 are at 6 months +.
    • More pronounced with age as well in females.
    • Doubled down on Arbogast’s thoughts on delayed treatment of injury.
  • Esty:
    • Neurotherapy and biofeedback (over my head but interesting)
    • Uncommon symptoms to be aware of: dysautonomia, endocrine changes (weight/libido) and appetite changes (more/less).
  • B. Harris:
    • Education about Tau deposits and DAI.
    • 13/32 CTE cases in the studyhe presented were female
  • Robbins/Nowinski:
    • Concussion Legacy Foundation
    • Simply a call for more female brains to study (don’t hurry).
    • Big announcement about a female donating coming this week.
  • Hunnicutt:
    • Intimate Partner Violence (building off Garay)
    • Call for more education and research in this area as everyone is impacted by this, directly or indirectly.

 

And here are a couple of notes that were outside the presentations: Haniline of the NCAA revealed that after recent football summit there may be a trend/idea that practices will be on air/non-contact… Athlete Panel at reception had some very brave stories and I was taken aback at all the negative incounters they had with the injury, makes me wonder if the males would say the same… Press Panel just killed it with responses to them “sensationalizing” the stories around mTBI/concussion… I was set up in that photo by Baugh :)… Finally the paper, that I was lucky enough to provide some input on in discussion, should serve as a call to action to really start to focus some of our efforts (and money) on the female concussion, good luck writing that!

In closing I would like to commend Katherine Snedaker on a very fine event and I ask that everyone be on the lookout for next years #pinkTBI summit and make every effort to get there. Not only is she highly motivated but those that were there this weekend are too. Don’t let this opportunity to be trailblazers go by.

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3 thoughts on “#pinkTBI Summit 2016: A recap

  1. SportsCAPP.com February 29, 2016 / 14:12

    Awesome recap love to talk to you when you have a second free

    Katherine Price Snedaker LCSW PinkConcussions/SportsCAPP 203.984.0860

    >

  2. Zack Kerr February 29, 2016 / 14:32

    Great to meet and thanks to everyone involved with Pink Concussions for the great dialogue this past weekend!

  3. ptatcsport February 29, 2016 / 17:42

    Excellent recap. Sorry I was unable to make it. Katherine clearly did an outstanding job putting this together.

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