It seems that I often am applauding the efforts north of the border in Canada, it really seems that they have put a concerted COMBINED effort to seek out and implement innovative ideas. I don’t think it says much about the United States other than we are all trying to do our best in our own little areas. There is little consortium or conglomeration of effort, rather “‘A’ has found this”, “‘B’ has discovered this”, “‘C’ is saying this”, etc, etc, etc…
It may be the same up north but with the population centers mainly in fewer areas in Canada it seems that the Toronto, Ottawa, Montreal, and Vancouver areas seem to all be on the same page. This could also be because of the overall influence of the Brain Injury Association of Canada and its influence on such things.
This idea is not from the BIAC, but it has some solid foundations none the less, including our partner in concussion awareness stopconcussions.com with Kerry Goulet and Keith Priemeau at the lead. They have created a vision and group of like-minded individuals to create what they are calling Sports Concussion Care Clinic. Here it is in a press-release; Continue reading
There have been many attempts to create a concussion “game changer”, something that will bring the assessment and/or recovery into better focus and provide more concrete answers for all of us. One thing many people keep forgetting is that the human brain is not only very complex but it is also very individual. Creating blanket statements, guidelines, and recommendations are very difficult; unless of course you use a multidisciplinary approach that touches on every part of the concussion sequale.
If you have read long enough and seen the comment section you will know that we have been clamoring for a more comprehensive, evidence-based, set of recommendations that broach all four parts of a concussion: physical, cognitive, sleep, and social/behavioral. Perhaps the Ontario Neurotrauma Foundation has done just that (.pdf at end of post and in “Current Concussion Management Page” or you can go to the ONF website);
ONF is pleased to publicly release the Guidelines for Mild Traumatic Brain Injury (MTBI) and Persistent Symptoms. The Guidelines were generated through a consensus process using existing evidence and clinical expertise. 10 to 15% of people who sustain MTBI do not recover well or as expected. The guidelines are therefore aimed at treating and reducing the impact of persistent symptoms following MTBI in adults. On behalf of the project team that oversaw this work, ONF welcomes feedback on the Guidelines to firstname.lastname@example.org
There have been other guidelines, one we hold as the standard (note not gold standard) Continue reading
Dr. Charles Tator of Toronto Western Hospital in Canada is beginning the process to study brains for lasting effects of head injuries. The study will not be unlike what Boston University is doing in conjunction with Sports Legacy Institute. Dr. Tator is trying to focus his study on the hockey community as he feels that it has been under-studied in this sport.
A similar project at Boston University has been focusing largely on football, examining 17 brains of former NFLers and one NHLer, Reggie Fleming, revealing CTE is a degenerative disease similar to Alzheimer’s. It can lead to personality changes and dementia.
Interestingly, the first brain donated to the Toronto Western study is that of former Canadian Football League player Jay Roberts.
Tator said he is hoping that as players learn of this study, they will donate their brains so that those following behind will benefit from the information gleaned from the study.
St. Catharines Standard STORY
This is also a good time to recognize what they are doing north of the border by developing ThinkFirst, a concussion education and prevention programe (I threw the ‘e’ in there for the Canadians). Good work ‘eh, keep it coming!