The Concussion Conference: Connecticut

The new 2014 CT Concussion Law applies to students K-12 as well as athletes.

Is your school ready with updated policies/practices for the 2014-15 year?

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The Concussion Conference: 2014 Connecticut Concussion Law & Research-Based Best Practices for K-12 Schools

Wednesday, Sept 24, 2014 Hosted by Quinnipiac University Medical School, North Haven Campus Produced by Katherine Snedaker, LMSW Sponsored by Gaylord Center for Concussion Care

Register at TheConcussionConference.com - NY and AZ Conferences in 2015

Opening Remarks ESPN’s TJ Quinn

Keynote “Sports Concussions: What do we really know?”  Anthony Alessi, MD

Presentations from Medical, Academic, Legal and Athletic Concussion Experts for all levels of school staff

Administration Superintendents, Principals, Headmasters, Business Managers, ADs, Heads of Pupil Services Athletic Dept. Staff ADs, ATs, Coaches Clinical and Academic Staff School RNs, Guidance Counselors, Psychologists, Social Workers, ATs, Teachers

Schedule All Participants can come partial, half or full day

Continental Breakfast    7:45 AM Administration Sessions  8 AM -10 AM Athletic Dept. Sessions  8 AM-12 PM Clinical/Academic Sessions  8 AM-4:30 PM  

Questions Katherine Snedaker 203-984-0860 Katherine@SportsCAPP.com

Speaker Final(edit)

 

Guest Blog: Concussions: The Gender Differences

Arleigha Cook By Arleigha Cook as a Guest Blogger

“You just have to get back out there.”

“That’s not a concussion headache.  That’s just a hunger headache.”

“Just start exercising.  That helped me.”

These quotes are all from conversations I had regarding concussions.  At a glance, I’m sure you sense a pattern.  Each of the above is a well-intentioned piece of advice, but, characterized by the notorious word “just,” each of these replies is incurably dismissive. In fact, they all tore at something inside me, as if the speaker took a look at me, saw my hope for validation of my concussion symptoms, and then pulled out the carpet from underneath me with an overtly simplistic suggestion of a quick recovery method that I should have seen before.

Interestingly, these people were brain injury survivors themselves.  And they were all male.

Hearing from another concussed individual that I should have been doing something different from the get-go – especially something as simple as beginning to exercise or just “getting back out there” was devastating.  To this day, each time I hear a suggestion of that nature, I sigh and push away an emotional reaction.  It was especially invalidating to hear from one of my friends (a skier and rugby player who had previously sustained three concussions) who said, “That’s not a concussion headache.  That’s just a hunger headache.”  To me, the pain of a “hunger headache” is the same as that of a “concussion headache.”  A hunger headache is a concussion headache.  Likewise, I have not been able to exercise without almost immediately experiencing concussion symptoms for over a year and seven months – I’m sure you can imagine how quickly I dismissed his “advice.”

These interactions got me thinking: men seem to recover from concussions more quickly than women do.  And even when they don’t, they seem to have a dismissive or nonchalant attitude about their recovery. So I started researching that idea, but only came across studies suggesting the contrary.  For example, a recent study published in the journal Radiology suggests that men actually take longer to recover from a concussion than women (see a Huffington Post article about the study here).While I have always thought I sounded like a hypochondriac, my tendency to air on the safe side may actually prove more beneficial than the laissez faire attitudes of concussed males. More than a few times I’ve come across men with concussion experience who think I’m exaggerating my symptoms (hence, “That’s not a concussion headache.  That’s a hunger headache.”).  The study featured in the Huffington Post article above even found, through diffusion tensor imaging (DTI – a form of MRI), that men seem to sustain significantly more abnormalities in a particular area in the white matter of their brains, otherwise known to scientists as the Uncinate Fasciculus.

Is this related to a basic genetic difference between men and women?  Is it the significant change to the Uncinate Fasciculus that causes male concussion patients to underestimate the time, importance, and attention their brains need in order to recover more quickly and effectively?  Presently, it’s hard to say.

My observations – which largely consist of college-age male athletes who receive concussions from football, lacrosse, and soccer – indicate that most men may have an oversimplified idea of the effort and duration involved in a timely and effective recovery.  While many women who have sustained one or moreconcussions seem to doubt their recovery or want to protect themselves through limiting exercise or other potentially dangerous activities, men seem to bear few reservations about returning to physical activity post-injury.  And, research has shown that maintaining a lower level of physical activity – if possible – can aid in the recovery process (see University of Buffalo’s 2013 study “Exercise treatment for postconcussion syndrome: a pilot study of changes in functional magnetic resonance imaging activation, physiology, and symptoms”).

This leads me to consider whether or not one’s cognitions can influence recovery speed.  There are biological differences thatinfluence concussion incurrence rates and recovery in men (such as neck strength, which can affect the damage done to the brain upon impact), but psychological state may be crucial in regards to recovery as well.  My questions: Is a healthy mental state essential for faster recovery?  Do males with concussions tend to have healthier mental states than do females with concussions?  If so, how and to what degree does this impact recovery?  My personal observation dictates that many athletes who have ended their careers as a result of concussion buildup have experienced long-term depression and anxiety because of the sudden life change due to the incurrence of brain injury.  I have especially noticed this in females.  This is not to say that males do not experience these manifestations of psychological distress; rather, it is to insinuate that psychological elements of recovery seem to affect women to a more severe degree and for a longer duration.

For now, we can only hypothesize.  The question of gender influences on concussion recovery is one that is currently being studied, and with the accelerating growth of the concussion field, there is much more to learn about gender, psychology, and outside factors that impact the recovery process.  And of course, with the more that we learn, the more we discover there is to learn.  There may be a large psychological component in recovery, and males may be predisposed to more easilyreframing cognitions surrounding this invisible injury.  Certainly there should be research done on this in the future.

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Arleigha Cook is a brain injury survivor and a former soccer player and sprinter for Trinity’s Womens’ soccer and track and field teams.  After surviving her fourth concussion and receiving a diagnosis of Post-Concussion Syndrome, she has turned her focus to educating others about the effects of concussions.  An English major with a concentration in creative writing, Arleigha started a blog, www.brainmatter4.blogspot.com, on which she posts her thoughts about her own personal experiences with brain injury.  She has also been a guest blogger for B Stigma-Free and has spoken with Elite Sports Medicine at the Connecticut Children’s Medical Center about concussions, using her personal story as an example.  Currently, she is over 1.5 years into her recovery.

 

Briana Scurry Guest Soccer Inspiration/Concussion Education

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Mind Your Melon Invites

Youth Soccer Families to an Evening of

Soccer Inspiration and Concussion Education

with Special Guest Briana Scurry

Legendary US Goalkeeper

World Cup Champion

and Two Time Olympic Gold Medalist

Thursday, May 1, 2014

Sponsored by Shoreline Football Club

This event is pro-sport, upbeat and educational for young players from age 7 and up. Learn about the joys of soccer plus concussion education. Produced by Katherine Snedaker, MSW, the Mind Your Melon speakers don’t believe in scaring kids. We provide kids with helpful information to help make playing all sports safer.

3 PM Hangout with Briana @Location TBA in Darien/Stamford Briana and Katherine meet and chat with athletes with concussions or post concussion syndrome for a quiet, supportive 45 min talk – any age – no cost  - Please RSVP with tickets here.

7-8 PM Soccer Inspiration and Concussion Education Event @Bluestreak Briana gives talk of inspiration and concussion education, plus local youth players/parents tell their stories followed by Katherine’s educational game “Concussion Simon Says.” General public, please buy tickets here. Shoreline Families have been sponsored by their Club and just reserve a free ticket.

Want a Ball signed by Briana for Your Child? The Education Event will end with Briana handing out up to ten pre-signed balls to raise funds to cover event expenses. Your child will be called up on stage to receive the ball from her, and be thanked as a supporter. Suggested donation of $200 for a soccer ball for Briana will sign with your child’s name and hers before the event. Please buy balls here BEFORE the event.

8:15-9 PM Intimate “Meet and Greet” Reception @BlueStreak (Total of 6 family tickets are available) Briana meets with kids and their families after the event. Dessert. Briana will sign photographs which we supply. Suggested donation of $400 for one family up to 5 members – Please buy tickets here.

Briana was a goalkeeper for the United States women’s national soccer team for most of the years between 1994-2008, earning a record 173 caps for the United States. She started 159 of those games and finished her international career with a record of 133-12-14. She also earned 71 shutouts.

 

Event would not be possible without support of our sponsors:

Bluestreak InjureFREE SoccerAndRugby and Fairfield County Sports Commission

Mind Your Melon is the youth outreach program of SportsCAPP.com

See all our websites for more information on Concussions

SportsCAPP.com Youth Sport Concussion Education for Players-Coaches-Parents

PinkConcussions.com Info & Research on all Types of Female Concussions

TheConcussionConference.com Professional Training for School Nurses-Staff-MDs-ATs on Return To School next event is May 7, 2014, Parents are welcome to attend. 

It's 10 o'clock and do you know where your bed is? Effect of late nights and sub-optimal sleep on the brain.

Our focus is on concussions and sub-concussive hits damage to the brain, but good to be reminded about the effect of late nights and sub-optimal sleep on the brain.Lose Sleep, Lose Your Mind And Health

Explore more infographics like this one on the web's largest information design community - Visually.

 

Launch of National Study of Female Athletes and Concussions

Press Release For Immediate Release: Tuesday, September 17, 2013 

Launch of National Study of Female Athletes and Concussions

Study begins October 1, to explore Female Athletes’ Experiences with Concussions

 

Contact:

Katherine Snedaker, MSW, PinkConcussions.com / 203-984-0860 PinkConcussions@gmail.com

Dr. Jimmy Sanderson, Clemson University / 864-656-3996             jsande6@clemson.edu

 

Norwalk, CT – Men’s football concussions are in the news daily from former and current players, but there's rarely news about female athletes' experiences with concussions. Female athletes experience a significant number of concussions, yet they seem too often overlooked when concussions are discussed in mainstream media. Mentioned in the report American Medical Society for Sports Medicine Position Statement: Concussion in Sport 2012data suggest that in sports with similar rules female athletes sustain more concussions than their male counterparts. In addition, female athletes experience or report a higher number and severity of symptoms as well as a longer duration of recovery than male athletes in several studies.

This new study will be focused on female athletes from all sports, and their past and present experiences with concussions. Current and former athletes are eligible for this study conducted by researchers from Clemson University with the advocacy group, Pink Concussions. For this study, female athletes, age 18 and over, who are willing to participate can sign up now at PinkConcussions.com. On October 1, participants will be emailed a link to a twenty-minute online survey about their experiences with sports and non-sport concussions and reporting concussions.

 

This research study will also explore female athletes' experiences with reporting concussions, another salient avenue in the concussions dialogue, as many athletes do not report concussions willingly or are mis-diagnosed.

The research also will investigate female athletes' willingness to have genetic testing that may show links to the repair and recovery of brain cells after concussion. After finishing the survey, participants in the study can opt for an additional study and consider submitting DNA collected by a cheek swab to be tested for variants at the Apolipoprotein E (APOE) gene.  Testing for certain genes has previously documented an association between specific genetic factors and outcomes from injuries such as concussion.

Apolipoprotein E is a protein that is important in the repair and recovery of brain cells that have been damaged due to concussion. The clinical studies point to a relationship between certain genetic signatures and poorer overall concussion response. While additional evidence is needed to better understand the relationship between APOE status and concussion outcomes, the American Academy of Neurology introduced APOE testing into concussion management guidelines this year.

The results of this research will help further concussion research by focusing on the communicative element present in this issue, and the results of the study will be helpful for athletes, parents, administrators, physicians, and advocates. This research will be beneficial in shedding light on female athletes’ experiences with concussions and reporting concussions. Often female athletes are omitted from the public discourse surrounding concussions and the results of this research will assist concussion advocates in raising more awareness about concussion issues in sports.

Co-Researchers in this study are Dr. Jimmy Sanderson and Dr. Melinda Weathers in the Department of Communication Studies at Clemson University, along with Ms. Katherine Snedaker, MSW, of PinkConcussions.com.

# # #

For more information about this study, help in recruiting athletes or to be a participate, please fill the contact form at PinkConcussions.com or contact:

Dr. Jimmy Sanderson

Clemson University

jsande6@clemson.edu

864-656-3996

Katherine Snedaker

PinkConcussions.com

PinkConcussions@gmail.com

203-984-0860

Why the fuss over Wambach's concussion?

Here are the issues why there is a fuss over Soccer's Abby Wambach's recent head injury and the ref's decision to stop the AT from examining her after she collapsed in the game. 1. Asking a concussed player if he/she is ok to play is like asking a drunk if he/she is ok to to drive. 2. Women are different than men when it comes to head injuries. 3. Children role model their play on how professional athletes play.

Concussed players are impaired and cannot make a determination if they are ok to play. This is one of the main the reasons that ATCs and other medical staff are present at games.

On the second point, we know women concuss at a higher rate then men but we are only at the point of guessing why due to neck strength, hormones, and/or genetic factors. And in general, women in general take longer to recover from concussions.

From American Medical Society for Sports Medicine Position Statement: Concussion in Sport 2012, page 6:

"Recent data suggest that in sports with similar rules female athletes sustain more concussions than their male counterparts.

- In addition, female athletes experience or report a higher number and severity of symptoms as well as a longer duration of recovery than male athletes in several studies."

And I am convinced that it is not because women being more honest, sensitive or fearful to return to sports. There is a real issue here. I recently presented in Washington, DC, at the Institute of Medicine (IOM)/National Research Council (NRC) workshop on sports-related concussions in youth where almost every presentation brought up the issue of women and concussions and the need for more studies. The most alarming moment was when Tim Kelly, Head ATC of West Point spoke of how he sees a longer recovery time needed for his female cadets athletes than his male cadets. If there ever was a cohort of similar males to females as far as physical strength, personal determination and fortitude, I think West Point Cadets is it. Women are not just more honest, sensitive or fearful to return to sports. There is a real issue here.

So the bottom line is we have to educate parents, girls, coaches, trainers and doctors about head injuries and the risks. I spent my days working on this issue but there is no funding and only a few select media moments where we can get the message out.

On Super Bowl Sunday 2013, JIm Nantz provided one moment when he stated on a pre-game show with Roger Goodell that “women’s soccer players are 2 1/2 times more likely to suffer a concussion than college football player." What Nantz meant to say was to compare women’s soccer to "men soccer", not to football players. This “misquote” caused controversy as press, and soccer-football fans alike scrambled to google the correct statistics. It also was the inspiration for our website www.PinkConcussions.com all about the issues of female concussions.

And on the last point, children are watching and do model their style of play on adults. How an athlete plays to how they celebrate a victory after a goal are all absorbed in by young players. Wambach's decision to play on and ref and trainer's response was a golden teachable moment. The medical staff, coaching staff and the ref had a chance to stop play and check her out which would have been following their own protocol. This did not happen and thus Stefan's article and the media response has been a windfall to spread concussion education to more people, parents and players.

Sports Culture will always be more powerful than any warning from a doctor or lecture from an educator... We are hoping to change the current sports culture about playing thru head injuries and making refs. coaches and ATCs more aware of the need to check out players right after the hit and not just after the game.