There's no silver bullet for detecting concussions, never mind preventing them.
Researchers
have developed advanced technologies and concussion protocols, but many
concussions still go undiagnosed. In fact, research shows we only identify 1 in
6 concussions.This
is a significant issue, because when athletes continue to play their sport with
a concussion, they are playing with an invisible injury , which, if left
unaddressed, can prevent them from playing their sport for good and lead to
serious long-term health issues.
So
where do we go from here? It turns out, our best chance of more accurately
detecting concussions might be a method used over 100 years ago.
In
1905, Harvard University football coach Bill Reid documented the team's
concussion protocol, which read as follows:
"In case any man
in any game gets hurt by a hit on the head so that he does not realize what he
is doing, his teammate should at once insist that time be called and that a
doctor come onto the field to see what is the trouble."
It
was a teammate's duty to report a potential head injury, since the injured
player might be incapable of taking himself out of the game, or may not even
realize he has an injury.Over the years, this message was relegated to the
history books. We prioritized toughness and playing at all costs. A player
coming out of a game was considered weak.
And
athletes suffered the consequences from this mindset.
That's
why the Concussion Legacy Foundation created Team Up Day, a movement that hopes
to change this attitude and encourage teammates to report each other's
concussions, just like Harvard did a century ago.
"Team
Up Day came out of our effort to change the culture around reporting
concussions," explains Chris Nowinski, CEO of the Concussion Legacy
Foundation. "We are trying to teach athletes to team up and speak out to
fight concussions."
Why
Athletes Should Report a Teammate's Concussion
You
can't count on a concussed athlete to take himself out of a game. He may
attempt to hide his symptoms or he may not even be aware he has a potential
concussion.Put simply, a concussed athlete is not a reliable athlete.
But
as a teammate, you are watching the game closely. You may notice your teammate
stumble after a hard hit, or maybe he acted strange on the sidelines. And you
may be the only one who notices these symptoms.
"Your
teammate might not be able to take himself out, but you might recognize that he
may have a concussion," says Nowinski.
If
you suspect a concussion, you must speak up and tell a coach, athletic trainer
or doctor about your suspicion. Not only will you be doing your teammate a
favor to protect his long-term health, you will be stopping him from making a
mistake (due to his impaired brain function) that could influence the outcome
of the game."A concussed athlete will make mistakes and hurt your ability
to win," adds Nowinski.
Why Haven't We Been
Doing This All Along?
Athletes
are ultra-competitive and will try to play their sport if at all possible. But
concussions aren't like other injuries. You don't feel pain. You just
experience symptoms, which are sometimes minor and hard to notice.
"The
brain can't send pain signals like the rest of your body can, because you don't
have those pain nerves in your brain," explains Nowinski.
Unfortunately,
the lack of pain signaling within a culture of playing sports at all costs has
allowed athletes to play with what could be serious head injuries.
"Throughout
history, players have been playing through concussions because it seemed that
it was OK to do at the time," Nowinski says. "We've realized that
behavior has led to athletes having to retire young from post-concussion
syndrome."
Reporting
a teammate's possible concussion is a tough call to make. As an athlete, you
don't want to upset your teammate. It's easy to imagine reporting a concussion
and the sudden anger of your teammate who still thinks he can play.
But it's the right
thing to do.
"You
need to look at this the same way you would if you had a friend who's drinking
and wants to drive, and you took away their keys," Nowinski says.
"They are going to be upset with you, but you know it's the right thing to
do,"
Getting on the Same
Page
Your
teammates, coaches and parents should all be on the same page. It should be
normal and expected to report a concussion, not something that's frowned upon.
However,
this is a big culture change for some individuals and programs. The message
needs to come from the top to get athletes to buy into it.
"Athletes
all want to do the right thing, so we just need to teach them what the right
thing is," Nowinski says. "Everyone wants to be a good teammate and
everybody wants to look out for their teammates, and so we're just changing the
definition of what being a good teammate is."
The
Team Up Day initiative is asking team leaders, whether it's a coach or captain,
to read a speech to their team on September 13th and post it on social media,
tagged with #TeamUpSpeakUp to help spread the word. This quick speech explains
that a teammate with a concussion needs your help, and as a concerned teammate,
you are expected to report it if you suspect a head injury—no questions asked.
You
don't need to be a medical professional to identify a suspected concussion.
Oftentimes, the symptoms are fairly easy to detect. Here are some things to
look for:
•Your teammate
complains of a headache.
•You see a big hit and
your teammate stumbles or loses balance, even for one step.
•Your teammate stays
on the field after a play but seems disoriented.
•Your teammate forgets
plays
•Your teammate slurs
his speech or acts strangely on the sidelines.
Nowinski
advises to have a low threshold for reporting concussions. He says, "The consequences of being wrong if they
don't have a concussion are nothing. The consequences of being wrong if they
did have a concussion and you left them in can be catastrophic."
How
to Get Involved
Team
Up Day already has major supporters, including The Ivy League, The National
Federation of State High School Associations, USA Rugby, Major League Lacrosse,
American Hockey Coaches Association, among others.
Bottom
Line: There is to much at stake. A
concussion is a permanent type of head injury,so don’t ignore it .
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