Each year, U.S. emergency departments treat an estimated 173,285 sports- and recreation-related traumatic brain injuries, including concussions, among children and adolescents from birth to 19 years. According to the Centers for Disease Control and Prevention, those visits have increased by 60 percent over the past decade with bicycling, football, playground activities, basketball, and soccer leading the charge as culprits.
In April 2013, Tennessee became the 44th state to pass a sports concussion law designed to reduce youth sports concussions and increase awareness of traumatic brain injuries for all public and private school sports and under-18 recreational leagues that require a fee.The legislation, Public Chapter 148, has three main components:
To inform and educate coaches, youth athletes and their parents and to require them to sign a concussion information form before competing,
To require the removal of a youth athlete who appears to have suffered a concussion from play or practice at the time of the suspected concussion, and
To require a youth athlete to be cleared by a licensed healthcare professional before returning to play or practice.
While the law is a step in the right direction, Belmont University professor and exercise physiologist Patrick Sells, DA, said getting athletes to actually fess up to possible injury is the toughest part.
“Kids are hesitant to tell you if they took a blow to head because they know what the ramifications are and how long they could be out of the game,” Sells said. “I’ve seen kids go head-to-head or head-to-ground with no headache reported and find out later on they were afraid of the repercussions. That’s the competitive spirit of an athlete – they don’t want to quit because of injury … so as a parent, coach or doctor, you have to take measures to get kids to buy into this.”
Sells said it’s essential to educate athletes on the importance of telling an adult when something isn’t right. He stresses to students, parents and coaches the importance of being able to identify key symptoms including headache, confusion, difficulty remembering or paying attention, balance problems or dizziness, loss of consciousness, feeling sluggish, nausea or vomiting, or blurry vision. He also encourages parents to understand the qualification of the league and the system children are playing under and to take the time to verify the coaches understand risks and Tennessee’s newest sports concussion law.
Identifying and preventing concussions is of special interest to Sells, who has performed baseline tests on local youth football leagues pre- and post-season to determine changes in memory recall. He said several area schools are wising up and offering similar testing to athletes as a standard practice. Another tool used to gauge players’ health is a specially designed football helmet that measures the G-force behind each hit.
“It’s ultimately the responsibility of the school, athletic league and state organization to ensure coaches are knowledgeable about designing safer practices, hydration, and concussion signs and symptoms,” Sells said. “Coaches especially need to be well versed in a multitude of assessments in order to make that decision as there’s not one certain way to tell if a player might be in trouble.”
WEBSITE:
Tennessee Sports Concussion Law