Friday 14 August 2015

The Increased Need For Concussion Treatment In Toronto

By Jana Serrano


Reports are coming out of the Canadian province of Ontario indicating that the incidence of head injuries has gone up. Between the years 2003 and 2010, numbers of young people turning up in hospitals for concussion treatment in Toronto went up 50 percent. While this may be an indication that parents are becoming better informed about the risk of head injury, the increase is still cause for concern.

The Mayo Clinic defines concussion as a trauma to the head that causes changes in brain function. These changes may be expressed in the form of memory loss, problems with coordination and balance, headache or difficulties in concentration. Even a seemingly innocuous head injury can cause lasting damage to the brain. Concussions are most commonly the result of a severe blow to the head, although they may also be a consequence of violent or prolonged shaking of the upper torso and head.

The evidence of concussion may be very subtle and not even noticeable for days, weeks or months. Symptoms include headache, confusion and memory loss, as well as nausea/vomiting, ringing in the ears, seeing stars, slurred speech or a sense of pressure from within the head. Pre-schoolers may lose interest in their favorite toys, change their sleeping and eating habits, cry a lot and become even more cranky and irritable than the typical toddler.

A trauma to the head does not have to seem serious in order to cause serious brain injury. Many sports players, when injured, insist on continuing to play after receiving a blow to the head. Sadly, this can end in tragedy, as the death of British actress Natasha Richardson, shortly after refusing treatment for a bump on the head while skiing.

Concussions are particularly common in people who participate in contact sports. Hockey players are in a particularly high-risk group. Bodychecking is a defensive maneuver in which the player forcibly drives his shoulder, hip, elbow and upper arm into an opponent. According to the rules, this move is only legal when carried out against the player who has control of the puck.

In 2010, bodychecking to the player's blind side or to the head was outlawed in an effort to reduce the number of concussions suffered by young players. So far, this has not been the case. What is particularly worrying is that women hockey players, in whose sport bodychecking is prohibited completely, are experiencing higher rates of concussion than their male counterparts.

It turns out it is not just female hockey players who are getting more brain injuries, it is women in all sports and at all ages, from pro to college and even down to girls of nine or ten years old. Pee wee coaches are reporting more concussions among their players. In spite of the fact that women's hockey does not permit bodychecking, the incidence of concussions among these players is on the rise.

There is a chief neurosurgeon at a major hospital in Massachusetts who thinks that the reason for this disproportionate increase in concussions could indicate that women are more susceptible than their male counterparts and that more research is needed. Alternatively, it could be that women are not training their neck muscles as much as men do, or that they are more open about reporting such injuries.




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