Concussions: Is Your Young Athlete at Risk?

The Children's Medical Center of Dayton

Multimedia

• "Don't even try to fool me because I'm watching you!" So says Jay Driscoll, ATC / CSCS, athletic director at Washington, DC’s St. Albans School, to his student athletes, alluding to the fact that some athletes cover up a mild brain injury so as to stay in the game. With a no-nonsense attitude and a keen sense of humor, Jay talks to BrainLine about his program on injury prevention, care, and rehabilitation services as well as how he helps his athletes meet and exceed demands by enhancing their physical fitness, performance, and health.
  
  Transcript of this video. Working the Sidelines
• Dr. James Kelly is professor of Neurosurgery and Physical Medicine and Rehabilitation at the University of Colorado Denver School of Medicine and associate director of the Colorado Area Health Education Center System. This is BrainLine's exclusive interview with Dr. Kelly recorded on July 11, 2008. Transcript of this video. Dr. James Kelly Talks About Children, Helmets, and Concussion
• Hear hockey great Pat LaFontaine recount his story and the steps he took during his recovery after several brain injuries. Produced by BrainLine. Transcript of this video. NHL Hall of Famer Pat LaFontaine Shares His Story
• Dr. James Kelly is professor of Neurosurgery and Physical Medicine and Rehabilitation at the University of Colorado Denver School of Medicine and associate director of the Colorado Area Health Education Center System. This is BrainLine's exclusive interview with Dr. Kelly recorded on July 11, 2008. Transcript of this video. Dr. James Kelly Talks About Second Impact Syndrome

More Information

• National Federation of High School Associations
• ACTive: Athletic Concussion Training™
• Free CD Toolkit on Concussions for High School Coaches
• National Federation of High School Associations
• National Alliance for Youth Sports

Children who are in sports frequently are victims of concussions. Many of these children continue to play, experience repeat concussions.

“Concussions are a widely recognized sports injury, but they are more common—and subtle—than people might think,” says Laurence Kleiner, MD, a pediatric neurosurgeon at Dayton Children’s.

Concussions are common among athletes—at least 10 percent of athletes suffer a concussion every season and that figure may double for football players. Athletes at greatest risks are those who play contact sports such as football, hockey, rugby, soccer and lacrosse. In addition to playing sports, active children also are at risk for concussions during recreational activities that include skateboarding, biking and skating.

Although concussions are generally thought to be trivial brain injuries, recent scientific studies have demonstrated that even the most minor concussions may produce negative effects on the athlete’s concentration, memory, reaction time and emotions.

Post-concussive syndrome has been well validated as a debilitating condition that can affect children, adolescents and young adults who have been repeatedly traumatized while playing sports.

It is important to know the symptoms of concussions to protect children from returning to play too soon.

Some common symptoms of concussion include

• Headache
• Nausea
• Memory difficulties
• Slowed thinking
• Tiredness
• Change in sleep
• Dizziness
• Ringing in ears
• Sensitivity to light or sounds
• Mood changes
• Blurred vision

These concussion symptoms may appear immediately, sometime after the injury or recurrently with exertion until the brain has recovered. “Never allow an athlete to return to play until all concussion symptoms are resolved—both at rest and with exertion,” says Dr. Kleiner.

Talk to your child’s physician if you notice any of these symptoms of a concucsion after a head injury—whether or not the child lost consciousness. According to Dr. Kleiner, loss of consciousness is not a primary indicator of a concussion. Rather, amnesia followed by confusion are more reliable indicators.

If your child is an athlete, be sure to work with your child’s doctor, coach or trainer to determine when it is safe for your child to return to play. This involves a “step-wise” approach with close monitoring for recurrence of concussion symptoms. Returning to play too soon after a concussion can result in serious brain injury.

About our expert

Laurence Kleiner, MD, is a pediatric neurosurgeon at Dayton Children's and medical director of neurosurgery. If you are a coach or trainer and want more information on this tool, call Dr. Kleiner at 937-641-3461.