Concussions Thread

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LeinsterLion
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Concussions Thread

Post by LeinsterLion »

Did a search but there was no one thread to add this to, more individual instances being discussed... So figured I's start an "official concussion thread" of sorts ( :lol: ) as it's something that is becoming more and more relevant and discussed.

Anyway, interesting piece in Outsider. Badly phrased (even dangerous) in parts to my mind, makes some misleading suggestions/hints and talks down some things which are finally being taken seriously, and treats some "feelings" as seriously as research proven ideas and theories. But worth a read in regard to the new treatments which can be effective:

http://www.outsideonline.com/fitness/bo ... overy.html
The New Science of Concussion Recovery
Breakthrough therapies are helping athletes recover from injuries previously thought untreatable. But many doctors remain unaware of the advancements.
By: Kelly Bastone Jan 9, 2015

In January 2013, 24-year-old Laura Fraser hit a tree while snowboarding at Fernie, British Columbia. Afterward, she felt a ringing in her ears that doctors attributed to a mild concussion, and within a few days she felt fine.

But then she had another, less traumatic fall in March 2014. That's when her life changed. Fraser became irritable, had difficulty concentrating, and experienced headaches that worsened with exertion. “It took me three times as long to do the things I used to do,” she recalls. Her local Nova Scotia doctors told her to avoid anything that provoked symptoms, but she didn’t recover. Instead, her mental focus became so poor that she had to drop out of school.

For decades, doctors have told concussed athletes like Fraser to rest, avoid bright lights, and limit activity. Having had one concussion places you at greater risk for another, they thought. But emerging science says that’s bunk: You can recover from a concussion, with active treatments that re-condition the injured parts of your brain.

Blame the NFL for perpetuating some of our concussion misperceptions. Highly publicized lawsuits between the NFL and former football players have raised public awareness about concussions, but they’ve also confused us. For example, concussions don’t automatically result in chronic traumatic encephalopathy, the disabling neurodegenerative disorder blamed for the deaths of former football players Mike Webster and Junior Seau.

Players represented in the lawsuits maintain that the NFL concealed the dangers resulting from head injuries. But only recently have doctors developed effective concussion assessments and treatments. “Just ten years ago, the only way coaches knew to check for concussion was to ask athletes, ‘How many fingers am I holding up?’” explains Michael “Micky” Collins, PhD, director of the University of Pittsburgh Medical Center’s Sports Medicine Concussion Program. That era of ignorance perpetuated pervasive myths about concussions, such as the need to rest in a dark room or that having one concussion puts us at greater risk for another. (It doesn’t, says Collins.) “We’ve learned a tremendous amount about this injury, and the truth is not as bad as it’s made out to be,” he says. “The reality is, it’s a treatable injury.”

UPMC and a handful of other concussion clinics across the country have developed a battery of active therapies that challenge patients’ vision, balance, and concentration. Standing on one foot, tracking a moving object, and other exercises retrain the brain and rehabilitate zones that may have shut down in response to head trauma.

Therapies are tailored to the patient’s particular symptom set, since researchers now recognize six different types of concussions: anxiety/mood; cervical, which can lead to headaches; post-traumatic migraine; ocular dysfunction; vestibular, or difficulty with balance, motion, and coordination; and cognitive/fatigue, which causes concentration issues. A person suffering from an anxiety/mood concussion, for example, might become prone to angry outbursts, while someone with ocular dysfunction might feel woozy when surrounded by moving objects.

The new therapies have an impressive success rate. Collins estimates that 90 percent of UPMC’s concussion program patients make a full, complete recovery. “With all the new research we’ve done and the nearly 200 papers we’ve helped to publish in the past decade or so, we now are able to provide proven treatments and evidence-based rehabilitation therapies,” says Collins. And treatments are still evolving. “As we see 18,000 patients a year, we get better at it.”

One of this year’s program visitors was Laura Fraser, whose concussion spanned three types (vestibular, ocular, and anxiety/mood). Her prescriptions included staring at a point on the wall while shaking her head, seeking out crowded places where people bustled around her, and focusing on objects at different distances. Her clinicians also insisted that she start exercising again. Running or biking, initially for 20 minutes a day, became part of her recovery program. “It was the opposite of what I’d been hearing for a whole year,” she says. But it worked. By December, she was symptom-free and cleared for more snowboarding.

“I could feel improvement every time I did the exercises,” says Fraser. “With the ‘just rest’ approach, I was waiting for something to happen,” she explains. By contrast, the active therapies gave her a sense of control over her injury.

Concussion specialists hope that the earlier treatment and active therapies can reduce or eliminate concussions’ long-term consequences. “The old exams missed a lot,” says Jeffrey Bytomski, DO, a concussion specialist at Duke Sports Concussion Clinic. Now, assessments combine vestibular, cognitive, and ocular testing that does a much better job of identifying concussions. “If we see patients early, we get them better, faster,” adds Collins. As with any other injured body part, the brain responds better to prompt treatment.

Science hasn’t yet confirmed whether the advances can stave off CTE and other residual, concussion-related damage to the brain. But they might. “We hope that better therapies will make a difference,” says Robert Cantu, MD, a leading CTE researcher at Boston University.

That’s why the National Football League has committed huge sums to concussion research. (A recent settlement with injured players also requires the NFL to pay money for research.) Its Head Health Challenge partnership with General Electric and Under Armour has devoted $40 million toward research and technology development to better understand, diagnose, and protect against brain injury.

For now, though, the new concussion treatments and findings from the NFL-funded research haven’t trickled down to community physicians, most of whom still espouse the “rest-and-do-nothing” strategy. “We’ve learned so much in such a short period of time that we’ve outpaced the general medical knowledge,” says Collins, explaining that most family physicians and even sports medicine specialists haven’t been trained in the emerging therapies.

To help spread the word, UPMC just launched its ReThinkConcussions initiative. The site offers information about the new treatments and includes video testimonials from the likes of Dale Earnhardt Jr., who sought treatment for concussions in 2012 and 2013 after back-to-back crashes. He attests to the healing power of the new protocols.

But until the new treatments reach local doctors, you’ve got to be an advocate for your own brain health. Here’s a quick guide to seeking a specialist’s help.

Should You Visit a Concussion Clinic?


There are two things to consider when evaluating the seriousness of your concussion: the severity and duration of your symptoms, and the number of concussions you’ve had.

Head injury symptoms that clear up overnight or within a few days shouldn’t pose a concern, experts say. Even a repeat concussion shouldn’t require a specialist’s care, so long as those effects also fade quickly. But when symptoms last weeks or more, or if they result from multiple head injuries, people should see a specialist—which, for now, may mean traveling out of state to concussions centers in Colorado, Pennsylvania, Massachusetts, or North Carolina. Visit ConcussionClinics.org to find one near you.

Infrequent concussions from skiing, snowboarding, mountain biking, and team sports are not all worrisome. “Sports where you’re rarely hit in the head are much less risky than ones where it’s routine,” says Cantu, who feels that concussions incurred during recreational action sports aren’t likely to result in later-life implications. “I’m more worried about 1,000 sub-concussive blows every year.”
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LeinsterLion
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Re: Concussions Thread

Post by LeinsterLion »

Seeing as it's got attention again... ;)

Our local health board has set up a concussion support group, which is fantastic. As a community with a lot of outdoor/extreme activities, concussion is not uncommon. It's not seen as a big deal to many, to my mind, and the impact and effects on well being and mental health are often ignored or misunderstood. To see a health board acknowledging it's seriousness and offering support (thanks to a private individuals efforts to be fair) is fantastic.
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Re: Concussions Thread

Post by fatcat »

Poor old Georgie North. Being looked after by a bunch of selfish incompetent cunts.

Sparked twice but all is okay.
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Re: Concussions Thread

Post by LeinsterLion »

This was posted back when the NFL reached a settlement with former players suffering from the effects of head injuries. Well worth a watch for the examples Olbermann uses: https://www.youtube.com/watch?v=d6OklMbxkw8
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Re: Concussions Thread

Post by LeinsterLion »

fatcat wrote:Poor old Georgie North. Being looked after by a bunch of selfish incompetent cunts.

Sparked twice but all is okay.
:roll:
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Re: Concussions Thread

Post by fatcat »

LeinsterLion wrote:
fatcat wrote:Poor old Georgie North. Being looked after by a bunch of selfish incompetent cunts.

Sparked twice but all is okay.
:roll:
Sorry pal, Ireland didn't play tonight. Let's chat tomorrow or whenever.
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Re: Concussions Thread

Post by LeinsterLion »

fatcat wrote:
LeinsterLion wrote:
fatcat wrote:Poor old Georgie North. Being looked after by a bunch of selfish incompetent cunts.

Sparked twice but all is okay.
:roll:
Sorry pal, Ireland didn't play tonight. Let's chat tomorrow or whenever.
WTF?! It was not because you brought up North (given I bumped the thread for that exact reason... ). It's your hysterical, nonsensical comment on the medical staff.
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Re: Concussions Thread

Post by Hong Kong »

I was reffing a game once when the 1/2 back got a full whack on the head, accidental, and I was berated for telling him to get off the field. The physio was a mate and he was taking instructions from the coach who was saying keep him on. I had spectators shout out "it's his decision, leave him alone" and other bullshit.
I stood my ground and ordered him off. He later was admitted to hospital....
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Re: Concussions Thread

Post by LeinsterLion »

Hong Kong wrote:I was reffing a game once when the 1/2 back got a full whack on the head, accidental, and I was berated for telling him to get off the field. The physio was a mate and he was taking instructions from the coach who was saying keep him on. I had spectators shout out "it's his decision, leave him alone" and other bullshit.
I stood my ground and ordered him off. He later was admitted to hospital....
Good on ya HK. I wonder how many berating you sheepishly thought about that fact when he was admitted.
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Re: Concussions Thread

Post by fatcat »

LeinsterLion wrote:
Hong Kong wrote:I was reffing a game once when the 1/2 back got a full whack on the head, accidental, and I was berated for telling him to get off the field. The physio was a mate and he was taking instructions from the coach who was saying keep him on. I had spectators shout out "it's his decision, leave him alone" and other bullshit.
I stood my ground and ordered him off. He later was admitted to hospital....
Good on ya HK. I wonder how many berating you sheepishly thought about that fact when he was admitted.
Hysterical and nonsensical.
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Re: Concussions Thread

Post by Hong Kong »

fatcat wrote:
LeinsterLion wrote:
Hong Kong wrote:I was reffing a game once when the 1/2 back got a full whack on the head, accidental, and I was berated for telling him to get off the field. The physio was a mate and he was taking instructions from the coach who was saying keep him on. I had spectators shout out "it's his decision, leave him alone" and other bullshit.
I stood my ground and ordered him off. He later was admitted to hospital....
Good on ya HK. I wonder how many berating you sheepishly thought about that fact when he was admitted.
Hysterical and nonsensical.
:roll: player in question was out of the game for 2 months and the following weekend came up, shook my hand and thanked me for telling him to leave. Did I save his life? Fark knows but the idiots of the side line who were yelling at me that it was not my decision (it is) were as brain dead as the player could have been had he played on and recieved another knock.
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Re: Concussions Thread

Post by Kiwias »

Hong Kong wrote:
fatcat wrote:
LeinsterLion wrote:
Hong Kong wrote:I was reffing a game once when the 1/2 back got a full whack on the head, accidental, and I was berated for telling him to get off the field. The physio was a mate and he was taking instructions from the coach who was saying keep him on. I had spectators shout out "it's his decision, leave him alone" and other bullshit.
I stood my ground and ordered him off. He later was admitted to hospital....
Good on ya HK. I wonder how many berating you sheepishly thought about that fact when he was admitted.
Hysterical and nonsensical.
:roll: player in question was out of the game for 2 months and the following weekend came up, shook my hand and thanked me for telling him to leave. Did I save his life? Fark knows but the idiots of the side line who were yelling at me that it was not my decision (it is) were as brain dead as the player could have been had he played on and recieved another knock.
Good on you, HK

I can only hope fatcat was referring to the spectators, physio, and coach
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Re: Concussions Thread

Post by LeinsterLion »

fatcat was just butthurt because of my comment about his post, no reflection on HK's.
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Re: Concussions Thread

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Edit for clarification

Clongowes could be in the shit here - the SCT captain hooker Moloney clearly sparked here from 50seconds. The Clongowes medical staff said he showed no signs of concussion, admittedly things do look different with the benefit of tv than pitch side.

http://www.irishtimes.com/sport/rugby/s ... -1.2109663
The spokesman added that the player was being kept away from rugby for the week.

Clongowes meet Belvedere College in the Leinster Schools Senior Cup semi-final on March 3rd in Donnybrook Stadium.
:roll:
Last edited by Duff Paddy on Thu Feb 19, 2015 8:16 pm, edited 1 time in total.
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Re: Concussions Thread

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Duff Paddy wrote:Clongowes could be in the shit here - the SCT captain hooker Moloney clearly sparked here from 50seconds. The Clongowes medical staff said he showed no signs of concussion. A relative of his then took him off the pitch and brought him to hospital, where he was allegedly diagnosed as concussed.

http://www.irishtimes.com/sport/rugby/s ... -1.2109663
The spokesman added that the player was being kept away from rugby for the week.

Clongowes meet Belvedere College in the Leinster Schools Senior Cup semi-final on March 3rd in Donnybrook Stadium.
:roll:
There's two separate incidents in that article, Duff. Nowhere does it say Moloney went to hospital or was taken off by a relative.
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Re: Concussions Thread

Post by LeinsterLion »

Duff Paddy wrote:Clongowes could be in the shit here - the SCT captain hooker Moloney clearly sparked here from 50seconds. The Clongowes medical staff said he showed no signs of concussion. A relative of his then took him off the pitch and brought him to hospital, where he was allegedly diagnosed as concussed.

http://www.irishtimes.com/sport/rugby/s ... -1.2109663
The spokesman added that the player was being kept away from rugby for the week.

Clongowes meet Belvedere College in the Leinster Schools Senior Cup semi-final on March 3rd in Donnybrook Stadium.
:roll:
Jesus, that does not sound good :uhoh: Given all the publicity and the efforts from the IRFU there is either something very flawed in the recommended process or somebody really fcuked up...
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Re: Concussions Thread

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CM11 wrote:There's two separate incidents in that article, Duff. Nowhere does it say Moloney went to hospital or was taken off by a relative.
Actually, you are right. Very oddly/badly written piece now that I've read it and comes across as a bit of a witch hunt to base an entire piece around a single clip from a schools game. Even without the context though, the footage doesn't look good.
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Post by CM11 »

LeinsterLion wrote:
CM11 wrote:There's two separate incidents in that article, Duff. Nowhere does it say Moloney went to hospital or was taken off by a relative.
Actually, you are right. Very oddly/badly written piece now that I've read it and comes across as a bit of a witch hunt to base an entire piece around a single clip from a schools game. Even without the context though, the footage doesn't look good.
Haven't watched the video but the description doesn't look good.

Not sure why they added the other bit though.
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Post by Duff Paddy »

You're right Statto, very misleading to put it in at the top of the article. In any case, Moloney looked like bambi trying to get up there, he should be off for 6 weeks on that evidence alone.
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Re: Concussions Thread

Post by CM11 »

BB
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Re: Concussions Thread

Post by Blackrock Bullet »

Ta

SCT is life and death in fairness. If you're seeing stars out there your head is in the clouds ect.
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Re: Concussions Thread

Post by Toulon's Not Toulouse »

I'd contribute something, but i seem to have forgotten what this thread was about.
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Re: Concussions Thread

Post by Laurent »

Toulon's Not Toulouse wrote:I'd contribute something, but i seem to have forgotten what this thread was about.
BISOUS

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Re: Concussions Thread

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http://www.rugbyonslaught.com/2015/02/h ... s.html?m=1

No way players are passing this without faking low scores preseason, no way players don't have a headache.
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DragsterDriver wrote:http://www.rugbyonslaught.com/2015/02/h ... s.html?m=1

No way players are passing this without faking low scores preseason, no way players don't have a headache.
When he went back to the words from the start I thought "fcuk, I'd fail now and I'm having breakfast."

The bit about having a video review of the incident available is interesting from a George North perspective.
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Re: Concussions Thread

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DOB wrote:
DragsterDriver wrote:http://www.rugbyonslaught.com/2015/02/h ... s.html?m=1

No way players are passing this without faking low scores preseason, no way players don't have a headache.
When he went back to the words from the start I thought "fcuk, I'd fail now and I'm having breakfast."

The bit about having a video review of the incident available is interesting from a George North perspective.
:thumbup: I was struggling with a lot of it, I guess my baseline score preseason would have been 1/5 without cheating.
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Fail for me :blush:
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Re: Concussions Thread

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waguser wrote:Fail for me :blush:
Now imagine being game fatigued and having a smack in the face first...how does anybody pass?
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Re: Concussions Thread

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DragsterDriver wrote:http://www.rugbyonslaught.com/2015/02/h ... s.html?m=1

No way players are passing this without faking low scores preseason, no way players don't have a headache.
That's a great watch, thanks :thumbup:

Encouraging as well tbh. You can't fake low scores, 'cos if you'd have to be fcuking stupid to not be able to pass. And if you are concussed you would be stalling and struggling. Even if the player lied about how they felt (the questions about light, haziness etc) they would struggle with the other questions. Even more encouragingly, changes in behaviour are looked for.
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Re: Concussions Thread

Post by LeinsterLion »

DragsterDriver wrote:
waguser wrote:Fail for me :blush:
Now imagine being game fatigued and having a smack in the face first...how does anybody pass?
Don't have to be perfect though - 2 or less at the end, minimum standard and retries of the numbers. Bear in mind too that they've been removed from the field and are really concentrating.
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Post by DOB »

LeinsterLion wrote:
DragsterDriver wrote:
waguser wrote:Fail for me :blush:
Now imagine being game fatigued and having a smack in the face first...how does anybody pass?
Don't have to be perfect though - 2 or less at the end, minimum standard and retries of the numbers. Bear in mind too that they've been removed from the field and are really concentrating.
I presume the tests that they take in the days after to determine if they can return to contact training etc are a bit more involved and scientific?
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Re: Concussions Thread

Post by LeinsterLion »

Good to see the Irish meds making an immediate decision today. No faffing about, straight away signalled that O'Brien was off.
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LeinsterLion wrote:Good to see the Irish meds making an immediate decision today. No faffing about, straight away signalled that O'Brien was off.

I hate seeing lads staggering around like that. Scary stuff.
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Re: Concussions Thread

Post by ehr »

Healy looked knocked out for a split second tbh. Thought he should have been taken off as per protocol.
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Re: Concussions Thread

Post by Magic Johnson »

Hong Kong wrote:
fatcat wrote:
LeinsterLion wrote:
Hong Kong wrote:I was reffing a game once when the 1/2 back got a full whack on the head, accidental, and I was berated for telling him to get off the field. The physio was a mate and he was taking instructions from the coach who was saying keep him on. I had spectators shout out "it's his decision, leave him alone" and other bullshit.
I stood my ground and ordered him off. He later was admitted to hospital....
Good on ya HK. I wonder how many berating you sheepishly thought about that fact when he was admitted.
Hysterical and nonsensical.
:roll: player in question was out of the game for 2 months and the following weekend came up, shook my hand and thanked me for telling him to leave. Did I save his life? Fark knows but the idiots of the side line who were yelling at me that it was not my decision (it is) were as brain dead as the player could have been had he played on and recieved another knock.
I got concussed once during a game, clash of heads.

Soon as i got up the ref told me i have a concussion and i was off. Nobody argued that was that. I didn't feel right for a good two months (made a thread about it on here). Even now months later, when i go to the gym and work hard i get a headache.

My point is that i'm glad the ref made the decision for me because i wasn't sure what was going on. Had someone told me to go back to the field of play i probably would have and who knows what might have happened then.
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Re: Concussions Thread

Post by LeinsterLion »

ehr wrote:Healy looked knocked out for a split second tbh. Thought he should have been taken off as per protocol.
Nah, it was a shot to the jaw and he was feeling it. Doc's could tell straight away that was it. Over reacting to this issue does it a disservice tbh, so while I think it's a massive issue personally and am glad it's finally being taken seriously, I don't want that taken too far and the backlash doing ultimately more harm than good. Every time someone goes down or takes a knock doesn't mean there's an issue - they might just be gingerly getting up after a hard bone hit to the jaw.
mr flaps wrote:
LeinsterLion wrote:Good to see the Irish meds making an immediate decision today. No faffing about, straight away signalled that O'Brien was off.

I hate seeing lads staggering around like that. Scary stuff.
Didn't look at all good, not nice to watch. Irish TV kept saying it was off camera but we saw it clear as day (it's on the 6N youtube channel too). No idea what happened but he was laid out then staggering and the doc's countenanced no tests or anything, just straight off.
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Re: Concussions Thread

Post by LeinsterLion »

Take a bow Eanna Falvey. Not the first time he's been adament about this sort of thing either (BOD v NZ springs to mind)

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Post by Salanya »

Must have been a knee or something as SOB was on the floor, didn't look like anything hit him particularly in the carry or tackle.

Well done the medics, and although it was very worrying to see him doing a bambi-impression, he walked off the field well enough by himself.
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Re: Concussions Thread

Post by Duff Paddy »

Salanya wrote:Must have been a knee or something as SOB was on the floor, didn't look like anything hit him particularly in the carry or tackle.

Well done the medics, and although it was very worrying to see him doing a bambi-impression, he walked off the field well enough by himself.
there was a hint of knee to the head I thought
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Re: Concussions Thread

Post by LeinsterLion »

Can't make anything out clearly, but doesn't look like intent, that's for sure.

----


Look at that first pic - player gunning to get back in (as players will) and Falvey physically stopping him. Good man :thumbup:
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