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Raising Awareness on Concussions in Fall Sports

September marks National Concussion Awareness Day, a critical period dedicated to shining a light on the pervasive issue of concussions, particularly as athletes embark on the fall sports season. This day, initiated by a young cheerleader who experienced the debilitating effects of a concussion, aims to educate the public and advocate for better safety measures in sports. The story behind this observance is one of resilience and determination, underscoring the urgent need for increased awareness and action.


Concussions are a type of traumatic brain injury (TBI), characterized by a temporary disruption of brain function due to a blow or jolt to the head. While often used interchangeably, the term "concussion" specifically refers to this temporary impairment, whereas TBI encompasses a broader range of brain injuries, from mild to severe. Understanding this distinction is crucial as we delve into the impact of concussions across various fall sports.



History of National Concussion Awareness Day


National Concussion Awareness Day was founded by Brooke Mills, a high school cheerleader who sustained a concussion during a cheerleading practice. Brooke's experience with the long-lasting effects of her injury and the challenges she faced in receiving proper treatment motivated her to raise awareness about the severity and commonality of concussions. Her advocacy efforts led to the establishment of this observance, which aims to educate athletes, coaches, parents, and healthcare providers about the risks and management of concussions.


Brooke's story is a testament to the resilience of young athletes and the importance of comprehensive concussion education. Since its inception, National Concussion Awareness Day has gained national recognition, with various organizations, schools, and sports teams participating in events and initiatives to promote concussion safety.


Impact and Reach National Concussion Awareness Day has significantly impacted the landscape of sports safety and concussion awareness. Schools and sports organizations across the country have adopted comprehensive concussion education programs. These programs often include mandatory training for coaches and athletes, emphasizing the importance of recognizing and reporting concussion symptoms.


Advocacy and Support The day also serves as a platform for advocacy, encouraging legislative efforts to improve concussion protocols and safety standards in youth sports. Brooke Mills, alongside other advocates, has worked with lawmakers to push for stronger concussion management policies, including mandatory rest periods and return-to-play guidelines.


Community Engagement National Concussion Awareness Day fosters community engagement through various activities such as awareness walks, educational workshops, and social media campaigns. These events aim to spread knowledge about concussion prevention and management, making concussion safety a communal effort.


Collaborations and Partnerships The observance has seen collaborations with numerous organizations dedicated to brain health and safety. Notably, Power of Patients® has partnered with several sports teams and educational institutions to promote concussion awareness and provide resources for proper concussion management. The organization's innovative tools, such as the virtual therapy dog Sallie™, offer continuous support and monitoring for individuals recovering from head injuries​​​.


Research and Development The data collected from these awareness efforts and educational programs contribute to ongoing research in concussion management and prevention. Organizations like Power of Patients use this data to develop better assessment tools, such as the Impact Injury Severity Score (IISS)™, which will be explored in the next part of this series​​​​​.


As National Concussion Awareness Day continues to grow, its mission remains clear: to ensure that every athlete, parent, and coach understands the risks associated with concussions and the importance of proper management. The observance has become a crucial part of the effort to create safer sports environments and protect the well-being of athletes at all levels.


High-Profile Fall Sports and Concussions


Friday Night Lights – Football, particularly at the high school level, is well-known for its physicality and the high risk of concussions. The sport's inherent contact nature, involving tackles, collisions, and falls, makes it a prime candidate for head injuries.


  • Statistics and Stories: High school football accounts for the highest rate of concussions among all sports. According to the National Federation of State High School Associations (NFHS), football players experience 6.1 concussions per 10,000 athletic exposures. Stories like that of Jake, a high school quarterback who suffered multiple concussions over his playing career, illustrate the severe and sometimes career-ending consequences of these injuries. Jake's repeated head trauma led to chronic headaches, memory loss, and ultimately, his decision to retire from the sport.


The long-term effects of concussions in football are well-documented. Research published in the Journal of the American Medical Association (JAMA) has shown that repeated concussions can lead to chronic traumatic encephalopathy (CTE), a degenerative brain condition associated with memory loss, behavioral changes, and cognitive decline. These findings underscore the need for stringent concussion management and preventive measures in football.


US Open and Tennis Ball Injuries While tennis may not be the first sport that comes to mind when discussing concussions, the high-speed nature of the game poses significant risks. Players are vulnerable to head injuries from falls, collisions with the net or other players, and being struck by the ball.


Tennis-related concussions may not be as frequent as those in contact sports, but their occurrence is a stark reminder of the risks athletes face. The emphasis on quick reflexes and high-speed play increases the likelihood of accidental head impacts, necessitating proper concussion protocols and awareness. One example within tennis is highlighted when a young 13-year-old player was injured while at tennis camp one summer. The young player (Alex) was dutifully picking up tennis balls and another player continued to hit them. While standing up, Alex, was struck dead-center in her eye, causing momentary unconsciousness and a bloody nose. The bloody nose was the focus of the coach, not the suspicion of a head injury. Alex suffered detached vitreous, but was not diagnosed with a concussion for years. The mom was assured that baseball players get hit in the head all the time and she’ll “be fine”. Alex did not receive proper rehab, sustained many more repeated concussions and struggles with chronic impairments and eye “floaters”.


Concussions in Under-Recognized Sports


Cheerleading: An Underappreciated Risk Cheerleading, often perceived as a support activity rather than a competitive sport, involves complex stunts, tumbling, and high-flying acrobatics that pose significant risks for concussions. Despite its physically demanding nature, cheerleading does not receive the same level of attention as other contact sports regarding concussion prevention and treatment.


  • Case Study/Story: Sarah, a high school cheerleader, suffered a severe concussion during a routine practice. She was thrown into the air and, upon landing, collided with another teammate. The impact resulted in immediate dizziness, headache, and confusion. Unfortunately, due to the lack of awareness and protocols in place, Sarah's symptoms were initially dismissed, delaying her diagnosis and treatment. This case highlights the need for better concussion education and management in cheerleading.


Statistics reveal that cheerleading accounts for a significant proportion of sports-related concussions among female athletes. According to the American Academy of Pediatrics, cheerleading is the second leading cause of sports-related injuries for female athletes, following gymnastics. The high incidence of concussions in this sport underscores the necessity for improved safety measures and awareness.


Girls' Volleyball: Hidden Dangers Volleyball, another fall sport, involves frequent jumping, diving, and rapid directional changes, all of which increase the risk of head injuries. Despite its non-contact nature, volleyball players are susceptible to concussions from collisions with teammates, the ground, or the ball.


  • Example: Emily, a competitive volleyball player, experienced a concussion when she collided with a teammate while both were attempting to save a point. The force of the collision left her with a headache, nausea, and balance issues. Emily's recovery process was prolonged due to a lack of immediate recognition and appropriate management of her symptoms.


The Centers for Disease Control and Prevention (CDC) reports that volleyball is one of the top sports for concussion incidents among female athletes (NCBI). The repetitive impact on the head, whether from falling or ball contact, contributes to the significant risk. These statistics highlight the need for greater attention to concussion protocols and education in volleyball.


Impact of Concussions

Short-Term and Long-Term Effects Concussions can have a wide range of effects, both immediate and long-lasting, impacting an athlete's physical, cognitive, and emotional health.


Short-term effects of concussions typically include headaches, dizziness, balance issues, and visual disturbances. These symptoms can last from a few days to several weeks, depending on the severity of the injury and the individual's response to treatment. Immediate recognition and proper management are crucial to prevent further complications and facilitate recovery.


Long-term effects of concussions, especially when they occur repeatedly, can be more severe and lasting. Chronic traumatic encephalopathy (CTE) is one of the most concerning outcomes of repeated head injuries. This condition is characterized by progressive cognitive decline, mood disorders, and behavioral changes. CTE has been notably observed in former football players and athletes from other high-contact sports, highlighting the critical need for preventive measures and long-term monitoring of athletes.


Post-Injury Care for Fall Sports Brain Injuries

Managing head injuries in fall sports like football, cheerleading, volleyball, and tennis requires a comprehensive approach encompassing recognition, evaluation, and rehabilitation. Proper post-injury management ensures player safety, reduces the risk of long-term complications, and promotes overall well-being.


Symptom Recognition


Educating players, coaches, and medical staff about the signs and symptoms of head injuries is essential for prompt identification and intervention. Common symptoms include headache, dizziness, confusion, memory problems, sensitivity to light or noise, nausea, and changes in mood or behavior. Players should be encouraged to report any unusual sensations or symptoms immediately, and coaches should be trained to recognize potential signs of head trauma during practices and games.


Medical Evaluation


Following a head injury, players should undergo thorough evaluation by qualified medical professionals to assess the severity of their condition and determine appropriate management strategies. This evaluation may include a comprehensive neurological examination, cognitive testing, imaging studies (such as CT or MRI scans), and assessment of balance and coordination. Timely diagnosis and treatment are critical for ensuring optimal outcomes and preventing further injury.


Gradual Return to Play


After a head injury, players should follow a structured return-to-play protocol under the guidance of healthcare providers. This protocol typically involves several stages, each with specific criteria for progression, to ensure players can safely resume physical activity without exacerbating their symptoms or risking recurrent injury. The initial phase may involve rest and symptom management, followed by a gradual reintroduction of light aerobic exercise, sport-specific drills, and full-contact practice. Monitoring symptoms throughout this process is essential to ensure safe and effective rehabilitation.


Partnering with Power of Patients® to Enhance Safety in Fall Sports

Power of Patients®, a leading platform in concussion and TBI management, offers a holistic approach to promoting safety in sports like football, cheerleading, volleyball, and tennis, supported by data-driven technologies to assist players recovering from head injuries.


At the core of Power of Patients® is its virtual therapy dog, Sallie™, designed to aid individuals recovering from head injuries. The Sallie™ app guides users through symptom tracking, management, and rehabilitation. Beyond symptom management, Power of Patients® provides educational materials on head injury prevention, expert guidance from medical professionals, and a wealth of resources to empower athletes and their caregivers.


By aggregating and anonymizing user data, the platform contributes valuable insights into the epidemiology, progression, and management of head injuries in these sports. Researchers and healthcare providers leverage this data to inform clinical studies, develop innovative therapies, and improve patient outcomes. Power of Patients® continues to play a pivotal role in advancing research and treatment strategies for head injuries, working towards creating a safer and more responsible environment for athletes at all levels.


Start tracking and managing your symptoms today by registering with Power of Patients® and joining the effort to enhance safety and well-being in sports.


Empowering Change On and Off the Field

To promote player safety in sports like football, cheerleading, volleyball, and tennis, it is essential to translate knowledge into actionable steps. Here are some practical measures to advocate for positive change:


Attend Safety Workshops and Training Programs


Participate in workshops and programs that focus on concussion recognition, safe techniques, and equipment fitting. These educational opportunities empower stakeholders with the knowledge and skills necessary to minimize head injury risks.


Advocate for Rule Changes and Policy Reform


Support initiatives aimed at reducing dangerous play and enhancing player safety. Advocate for rule changes that minimize head impacts and enforce strict penalties for infractions.


Promote Cultural Shifts and Attitude Changes


Foster a culture of safety and accountability within the sports community. Encourage a shift in focus from toughness to smart play, prioritizing player well-being over competitive success.


Engage in Community Outreach and Education


Raise awareness about head injuries in sports through community outreach and educational efforts. Organize informational sessions, distribute educational materials, and collaborate with local organizations to provide accurate information and support.


Participate in Medical Research


Support ongoing research efforts to understand and mitigate the risks of head injuries in sports. Participate in studies that investigate the long-term effects of head impacts and contribute to developing effective preventive measures.


Join us in Improving TBI Care in all Sports

Head injuries in many sports present a significant challenge that requires a multifaceted approach to address. By understanding the risks, implementing preventive strategies, and leveraging innovative platforms like Power of Patients®, we can enhance player safety and well-being.

 

National Concussion Awareness Day serves as a vital platform to advocate for increased recognition, better management, and prevention of concussions across all sports. By understanding the risks and implementing effective safety protocols, we can protect athletes from the immediate and long-term consequences of concussions. Support initiatives that raise awareness, educate coaches and players, and promote comprehensive concussion management strategies. Together, we can ensure a safer environment for all athletes, fostering a culture of safety and health in sports. Visit our website to learn more and register today.


As we move forward, it is essential to embrace innovative solutions like the Impact Injury Severity Score (IISS)™, which will be discussed in detail in Part 2. This tool has the potential to revolutionize concussion management and prevention, providing athletes with the necessary resources to stay safe and healthy. Stay tuned for a deeper exploration of how IISS™ can transform the landscape of sports safety and concussion prevention.






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