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Saturday, August 8, 2015

The Rise In 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.

A world-renouned clinic in Massachusetts defines concussion as a traumatic brain injury that changes the way the brain functions. The effects may include headache, difficulty concentrating and problems with balance, coordination and memory. Even the mildest injury can cause permanent changes to the brain. The most common cause is a bump on the head, with or without loss of consciousness, although they can also occur as the result of rigorous shaking of the head and upper torso.

The symptoms of concussion may be very subtle and may not present themselves for days, weeks or even months after the injury. They include loss of memory, headache and confusion. They may also include slurred speech, nausea and vomiting, ringing in the ears, seeing stars or a feeling of pressure inside the head. Toddlers and children may become irritable or cranky, cry excessively, display altered eating and/or sleeping patterns or lose interest in their favorite toys.

A knock on the head does not need to be overtly serious in order to cause a lasting injury to the brain. Sports players are notorious for wanting to get back into the game after being knocked on the head. This should not be permitted, as people have died or become permanently disabled after seemingly trivial head injuries. This is a high price to pay for a moment of glory, and there is always next year!

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 involving the player's head or blind side was prohibited; this was to reduce the worrying numbers of concussions involving youngsters. To date, it does not appear to be working; rates of concussion are higher than ever. What is particularly alarming is that female players are suffering more concussions than male players. This is very odd because women's hockey does not permit bodychecking in any form.

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.

A chief neurosurgeon at a hospital in Massachusetts suggests that women may be more susceptible to concussions than men and that this merits further study. This increased vulnerability may be because women do not train their neck muscles as aggressively as do men. Higher rates may also indicate that women are more honest about reporting their head injuries.




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