Thursday, August 6, 2015

The Increase In Concussion Treatment In Toronto Hockey Players

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 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.

An adrenalin-fueled sports player is likely to insist on getting back in the game after suffering a blow to the head, especially if they do not perceive the knock as serious. This can be a big mistake, as players can become severely disabled or even die if they do not receive treatment.

People who take part in vigorous contact sports are particularly prone to concussive head injury, especially in the sport of hockey. In this sport, there is a defensive move called bodychecking in which the defensive player throws his entire body weight against the player who has the puck. The defender uses his or her hip, shoulder, upper arm and elbow to make contact.

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.

The increase in numbers of concussions in female hockey players, and indeed sportswomen in general, is not confined to professional or even college players. Pee wee coaches of girls aged 9 and 10 are reporting high numbers of head injuries. Despite the absence of bodychecking in the women's game, women are experiencing similar, or even higher, levels of concussive head injury.

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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