Pediatric Concussion and ImPACT Testing

Concussions are becoming more and more commonplace in today’s world. Some say it is because of the aggression of play, especially in hockey and football. Others will argue that “an increase in the recognition and reporting may be primarily responsible for the increase in incidence since 1997” (Minigh 42). With the increase in concussions in the sports world today, it is imperative that sports medicine physicians and athletic trainers have a standardized way to diagnose and treat traumatic brain injuries. Providers believe standardization is important because it will help teach upcoming physicians how to go about treating concussions generally, as well as giving patients an idea of what to expect from their treatment. This is where technology gets put in the game.

Recent studies in science have concluded that multiple concussion injuries puts the player not only at immediate risk for problems, but long term health effects including memory loss. Even the most experienced player and coach may not have the proper training or education on recognizing or treating concussions. Concussions in sports remain a large problem. According to CDC research, it is believed that as many as 3.8 million concussions occur in youth through college sports. Unfortunately, less than half of these concussions are properly diagnosed and treated. The reason why so many concussions are left undiagnosed is because of lack of education of officials and coaches, and understanding of the long term effects.

We have all heard of the term “sports injury”. Usually an accident that occurs when engaged in a sport, the ideal can apply from something as frustrating as a rolled ankle to the more debilitating shock of a broken arm. Yet the fact remains that these physical ailments will heal, and properly, if they are treated properly. But what about concussions? What are the long term effects? In her brief editorial in TIME magazine, Alexandra Sifferlin explores the effects of concussions and specifically how they affect children if they aren't disclosed.

The treatment for a concussion used to be as simple as taking time to rest, or smelling bath salts before returning to play. In today’s world, concussions are more appropriately recognized as a serious head injury. In order to correctly diagnose and treat concussions, professional action needs to occur. Preventative measures, proper assessments and diagnosis, correct treatments, and increasing awareness are a few ways to reduce an issue down to a more manageable position. Concussions are a common threat in many aspects of life today. From contact sports to accidental falls, head injuries are an increasing issue that needs to be recognized as such. Two to four million concussion injuries occur from sports and recreation settings in the United States every year (The American Academy of Neurology). Most of these injuries result in a full recovery, but there are people who are left with dehabilitating injuries for the remainder of their lives. Thankfully it is becoming well known that these problems exist, and many people are starting to take action.

Concussions have a huge impact on athletics and student athletes in our generation today. They effect people's lives for the worse and cause setbacks in education and athletic opportunities. Many students who get concussions from athletic activities return to play their sport too soon after getting the concussion, which can cause even more serious issues. Considering 300,000 sports related concussions occur each year, they are very relevant to our everyday lives. Returning to play a sport too soon after suffering from a concussion can result in the risk for a further injury or worse concussion, severe symptoms and healing, and the very likely chance for another concussion to occur.

Concussions have become a major controversy in the United States. Because of uninformed students and negligent coaches, many student athletes are experiencing the severe complications that accompany the injury. High school athletes seem to be the most affected and for this reason are more vulnerable than other students to experience concussions. Not properly managing concussions in time could have significant and problematic injuries that could potentially effect the victims overall ability to live a healthy life. For this reason, athletes should have to stay out of any physical activity for the necessary time to allow their brain to properly heal.

In the sports world today, there are many different injuries that athletes experience and one of the most devastating injury is a concussion. Concussions can happen to anyone, in any sport, but we tend to see most concussions in contact sports (Świerzewski 1). While having an informal conversation with my dad about football, he told me it was common for athletes to receive a head injury in a game and continue to play as if nothing was wrong. While watching SportsCenter, I found that some of the greatest retired athletes don’t remember the best moments of their careers due to the lack of treatment. The worst aspect of concussions is that the symptoms can be delayed; in some cases, it’s only a headache so athletes don’t seek medical treatment. Multiple concussions over time can lead to life-threatening complications due to the damage they cause to the brain. Concussions can happen to anybody at anytime, but there is more to concussions than meets the eye.

The purpose of the study is to bring awareness about the seriousness of concussion injuries. Examining the severity of high school athletes who suffered sport related concussions is critical to determine the short term/long term damaging effects. When athletes’ concussions go undiagnosed, the risk of further damages increases since they are not fully recovered. This means that athletes will return to participation unknowingly since the injury goes undetected. In addition, when parents, coaches, doctors, and athletes are aware about the dangers of concussions, they can have a conversation and discuss the best options to ensure the safety of athletes. This means that injured athletes will not be allowed to participate under any

Sports hold tremendous value in American society and all athletes have at least one thing in common: the risk of getting a concussion. A concussion is a traumatic brain injury (TBI) that results from a direct/indirect action or force that causes the brain to shake rapidly within the skull (Centers for Disease Control and Prevention [CDC], 2016). This injury can mildly or severely affect the brain’s function by damaging brain cells and producing chemical alterations (CDC, 2016). Throughout the years, concussions have been more prevalent not only in professional sports, but among youth, college, and recreational sports as well. Despite the remarkably high statistics on concussions in the U.S., many cases still go unreported (Groce & Urankar, 2016, p. 22). Sustaining this injury can significantly set a person back physically, mentally, and emotionally. Due to the risks and health issues associated with concussions doctors, athletic trainers, coaches, and lawmakers are getting involved to protect athletes of all levels from receiving concussions.

Professional and amateur sports in the United States are big money. It is big money for the teams and the companies manufacturing sports equipment and clothing. It is also a literal headache for many participants. Sports concussions that occur frequently have terrible outcomes. We live in a sports oriented culture, which promotes a hard-nose on field mentality. Athletes learn early on to not report injuries or to play through an injury, especially an injury causing problems with mental processes. This denial has dangerous consequences. The attitude begins with youth sports and is reinforced by parents and society. For the past twenty years, reevaluation of sports-related concussions has become a real and pressing need. This interest has

ImPACT is the most widely used computer-based testing program in the world and is implemented effectively across high school, collegiate, and professional levels of sport participation.

In recent years an abundance of brain injury research has provided evidence of the lifelong impairments affecting children who have sustained a sports related concussion. Although the information on and how to prevent sports related concussions have been distributed among both athletic coaches, faculty and parents alike, sports related concussions often go unreported. Lack of proper education has lead parents and coaches to believe sports related concussions as being “minor injuries” (Macdonald).

When a parent's child have a concussion due after a hit that occur in the head or was hit with any kind of object you should Tell your child what to expect as he gets better. Encourage your child to talk with you about any symptoms he or she is having, and to come to you with any questions or concerns. Children who are given information about their concussion and reassured that they will get better tend to recover more quickly. Sharing information about the concussion with the other important people in your child’s life is also recommended so they can understand what has happened and how to help. This includes your child’s siblings, teachers and other school staff, coaches, and babysitters.

A recent study of college football players has shown that those who participate in high contact sports and have had a concussion before have a 300% higher chance of having another one in comparison to athletes that have never had a concussion before (Jolicoeur et al, 2007). The NFL and NCAA have enacted several rule changes in order to minimize the occurrence of concussions. These new rules, like many before them, have come under the scrutiny of the very athletes that they were meant to protect. The NHL and NHL Players Association in 1997 together created a program in order to get a better understanding of concussions and how to prevent them (Burke et al, 2011). According to Covassin (2008), athletes who have had more than one concussion take a longer time to recover with each concussion that they suffer from.

“CDC reports show that the amount of reported concussions has doubled in the last 10 years. 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 teens ages 14 to 19 in the last decade” (Head Case, 2013). It is reported that between 5-10% of athletes will suffer concussion during any given sports season. Football is the most common sport with concussion risk for males with a 75% chance. It has also been found that 78% of concussions happen during games as opposed to during practices (Science Daily, 2014).