THE
FENCING RESPONSE
The
AFC Championship game brought us another example of the fencing response. It is minimally a clinical sign of brain
trauma, often more specifically a concussion.
Dustin Fink on the Concussion
Blog
who sites THIS study
from Medicine & Science in Sport and
Exercise (2009) provides the best definition. Briefly, it is an unnatural position of the
arms following an impact to the head that result from forces applied to the
brain stem. Stevan Ridley clearly
demonstrates the fencing response in this video. While most statements regarding concussion
recognition do not list the fencing response as a specific sign of concussion
there seems to be a growing number of examples of athletes who demonstrated
this response and were ultimately diagnosed with a concussion. It is important to note that the fencing
response can be an important part of the puzzle, but you can still be diagnosed
with a concussion without demonstrating the fencing response.
Dave
Siebert through the Bleacher Report
posted an interesting analysis of the Stevan Ridley hit, click HERE to
check it out.
COMPREHENSIVE
STUDY ON YOUTH CONCUSSION
Earlier
this month the Institute of Medicine (part
of the National Academies) announced the launch of a comprehensive study of
youth concussions in the United States.
According to information available on their website, the Committee
on Sports-Related Concussion in Youth will consider the following topics/questions
among others:
- the acute, subacute and chronic effects of single and repeated concussions
- risk factors for concussion, post concussive syndrome (PCS) and CTE
- physical and biological triggers and threshold for injury
- the effectiveness of protective equipment
The
study will include elementary school age children through young adulthood,
including those who serve in the military and their dependents. The study hopes to publish its results along
with recommendations to key organizations by the end of 2013.
If you
would like to keep pace with the status of this project you can sign up for the
project list serve through the IOM’s Committee on Sports-Related Concussion in
Youth website. For inquires you can send
emails to YouthSportConcussions@nas.edu.
CONCUSSION
RECOVERY TIME
According
to a recent study from the University of Oregon, concussion recovery time may
be longer than expected for adolescents.
Previous research on the cognitive recovery from concussions has focused
on neuropsychological testing. Lead
researcher David Howell attempted to measure attention and executive function
using laboratory based measures following concussion. Executive function is simply the umbrella
term for all those cognitive processes that help us problem solve, focus,
switch between tasks, and control our inhibitions. The study followed concussed adolescents for
two months and demonstrated additional recovery time may be required for full
recovery. There is also hope that these laboratory
tests may be helpful as part of the complement of follow up testing options
after a concussion. The study, published
in Medicine and Science in Sport and
Exercise, can be found HERE. For the University Oregon announcement
discussing the study results and the researchers, click HERE.
COACHES
AND CONCUSSION EDUCATION
Based
on current research it appears that the concussion education for coaches is
beginning to have a positive effect.
According to a study published in Athletic
Training & Sports Health Care (Jan./Feb. 2013) participants correctly
identified more concussion-related symptoms and subscribed to fewer concussion
misconceptions than did that those previously studied. While qualified healthcare professionals
should always make medical decisions, until athletic trainers (or other
qualified healthcare providers) are available in all high schools coaches must
continue to be educated on recognizing and referring athletes who suffer from
concussions. Coaches must also
understand that following appropriate return to play guidelines is critical. To read the full article:
Submitted by Heather L. Clemons, MS, MBA, ATC
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