Wednesday, November 4, 2015

Concussion concerns in sports

By Kyle Richardson

PLATTSBURGH—Head injuries and concussions in contact sports is a growing concern for athletes.  Lack of proper diagnosis and treatment of a concussion may result in serious long-term consequences, or risk of coma or death.
                        A concussion is caused by a bump, blow, or jolt to either the head or the body that causes the brain to move rapidly inside the skull.  Concussions change how the brain normally functions. 
            According to the Center for Disease Control (CDC), an estimated 1.6-3.8 million sports- and recreation-related concussions occur in the United States each year. The American Academy of Pediatrics has reported that emergency room visits for concussions in kids ages 8 to 13 years old has doubled, and concussions have risen 200 percent among teen’s ages 14 to 19 in the last decade.
            Derrick Denteh, a counselor at Behavioral Health Services North, sees kids come in with these head injuries from time to time. Counselors just try to limit and monitor their activities until doctors clear them.
            “These kids and there safety are our top concern, although we aren’t doctors, we do anything we can do to help ease the symptoms.”
            During the 2015 NFL season, concussion spotters will hold more power than ever. The NFL has now changed its policies regarding concussions and, now, concussion spotters who are not on the sidelines but are watching from the press box will be able to stop the game when they spot a player showing concussion-like symptoms according to CBS sports.  If the spotter stops the game, the player will be forced to sit out at least one play while undergoing a concussion test. Neither team will be charged with a timeout, but time will stop for a medical timeout.

            “I feel spotters should be in all contact sports with high cases of concussions,” said Ross Sloan, Plattsburgh State hockey player. Sloan suffered a concussion last year during a game; however, he didn’t realize until after the game when he started having symptoms.
“If there had been spotters, I could have been taken out the game and not at risk to causing more damage,” said Sloan.
After a concussion, athletes are usually out for at least two weeks, possibly more depending on the severity.  They have to go through a series of tests, and a resting stage before they can return to the playing field.
“Although we want our guys out on the field, there health is our main concern,” said Chris Manning, assistant basketball coach at St. Lawrence University.  We work along with the training staff to ensure that when our athletes return to the floor, they are 100 percent.”
At Plattsburgh State, athletes are required to take an ImPACT test before there season there first year.  It’s a sophisticated test of cognitive abilities that can help health care professionals track recovery of cognitive processes following concussion. 
If an athlete suffers a concussion, after they are symptom free for 24 hours, they retake the test and the results are analyzed to see if they are concussion free.  However, is this a true indication that an athlete is concussion free?
“What if there was an underlining injury that we didn’t know about when you first took the exam originally so when you first take it the results are skewed already,” said Alan Siergiej, an athletic trainer at SUNY Plattsburgh. “So now the second time you take it the results may show you don’t have a concussion when you do and vice versa.”
To reassure that the concussion is gone, athletes take an exertion test after the ImPACT following 24 hours being symptom free. It’s a physically demanding work out, where trainers try to bring back concussion like symptoms. 
“We do this to try and bring back symptoms, because if you feel light headed, dizzy, or nauseous, you still have a concussion,” said Siergiej.
The test consists of strength testing, balance testing, and senses testing, and had eye coordination.
“The worst test I ever took in my life,” said Shamoy McIntosh, former Plattsburgh State basketball player, “when I passed that, I knew my concussion was gone.”
It is very possible for a person to play, come out and then test normal according Dr. Richard Ellenbogen, the co-chair of the NFL's Head, Neck and Spine Committee, in 90 percent of concussions, symptoms can disappear just minutes after the injury.

This poses the question, how do you truly test and cure a concussion and are athletes at risk of potential fatal repercussions?

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