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SPORTS MEDICINE :
MEDICAL: RESEARCH :
MEDICAL: CONDITIONS: CONCUSSIONS :
MEDICAL: TREATMENTS:
Study: Removing Athletes from Play Improves Post-Concussion Recovery
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Study: Removing Athletes from Play Improves Post-Concussion Recovery
August 29, 2016 12:00 AM
By Elizabeth Bloom
Pittsburgh Post Gazette
http://www.post-gazette.com/sports/highschool/2016/08/29/
Concussion-study-fortifies-appropriate-treatment-for-young-athletes/
stories/201608290020
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A shorter URL for the above link:
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http://tinyurl.com/jd97ba6
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Researchers at UPMC and three universities have found that young athletes
who continued to play a sport immediately after a concussion took twice as
much time to recover and experienced worse and more symptoms than athletes
who were removed from that activity. Their study, Removal From Play After
Concussion and Recovery Time, was published online and is included in the
September issue of the journal Pediatrics.
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Scientists have long accepted the notion that athletes should be removed
from play after concussions. This study fortifies that viewpoint, and
researchers hope it will persuade athletes to sit on the sidelines after a
concussion.
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I am very confident in these results, said Elbin, the lead researcher on
the study, who is now on the faculty of the University of Arkansas.
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While a study published in April used medical records to study the effect
of delayed reporting and removal from activity on concussion recovery,
this is the first study to use clinical data to study that issue. The
study also supports removal from play status as a predictor of protracted
recoveries ones that take at least 21 days. That variable whether an
athlete was removed from play was a stronger predictor of such lengthy
recoveries than previously known factors such as sex and age, according to
the research.
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Being or not being removed from play carried a lot more variance than any
of those other variables, said Michael Micky Collins, director of the UPMC
Sports Medicine Concussion Program and a member of the research team.
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Athletes wouldnt run a marathon on a sprained ankle or throw a football
with a broken arm, yet they often downplay concussion symptoms to return
to competition. In the heat of a game they might not even recognize the
injury, so its important that clinicians be on hand to identify the
symptoms and remove players, Collins said.
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The study was based on an analysis of two groups of athletes age 12-19 who
were treated at UPMCs concussion clinic. One cohort of 35 players was
removed from a sport after a concussion, while the remaining athletes
continued to play for an average of about 19 minutes. The cohorts
represented contact and non-contact sports, including football, soccer,
ice hockey and volleyball.
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The researchers compared players baseline and post-concussion
neurocognitive scores, which were measured with the UPMC-designed ImPACT
tool. Collins and fellow researcher Philip Schatz of Saint Josephs
University in Philadelphia are a shareholder of and consultant for ImPACT,
respectively.
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The athletes were evaluated at two clinical visits, one that took place
within a week of the injury and another 8-30 days after it.
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On average, the recovery time among athletes who continued to play after a
concussion was twice as long (44 days) as those of athletes who were
removed from activity (22 days). During recovery, the cohort that was not
removed from play exhibited worse symptoms, such as poorer visual and
verbal memory, and more of them. And they were 8.8 times more likely to
have a recovery of at least three weeks.
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The complete article may be read at the URL above.
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Removal From Play After Concussion and Recovery Time
R.J. Elbin, Alicia Sufrinko, Philip Schatz, Jon French, Luke Henry, Scott
Burkhart, Michael W. Collins, Anthony P. Kontos
Pediatrics
August 2016
Abstract
OBJECTIVE: Despite increases in education and awareness, many athletes
continue to play with signs and symptoms of a sport-related concussion
(SRC). The impact that continuing to play has on recovery is unknown. This
study compared recovery time and related outcomes between athletes who
were immediately removed from play and athletes who continued to play with
an SRC.
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snip
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CONCLUSIONS: SRC recovery time may be reduced if athletes are removed from
participation. Immediate removal from play is the first step in mitigating
prolonged SRC recovery, and these data support current consensus
statements and management guidelines.
Accepted June 6, 2016.
Copyright 2016 by the American Academy of Pediatrics
http://pediatrics.aappublications.org/content/early/2016/08/25/
peds.2016-0910?sso=1&sso_redirect_count=1&nfstatus=401&nftoken=
00000000-0000-0000-0000-000000000000&nfstatusdescription=
ERROR%3a+No+local+token
OR
http://tinyurl.com/j3v6d3x
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Playing With a Concussion Doubles Recovery Time
By RACHEL RABKIN PEACHMAN
August 29, 2016
New York Times
http://www.nytimes.com/2016/08/29/well/move/
playing-with-a-concussion-doubles-recovery-time.html
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A shorter URL for the above link:
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http://tinyurl.com/htlrtjt
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The findings may help doctors promote the message that taking immediate
precautions after concussion will actually allow the athlete more
opportunities to keep playing, not fewer. Resting immediately in the 24 to
48 hours following a concussion (and then slowly returning to normal
activities under the supervision of a physician) reduces the possibility
of further stress on the system and allows brain cells to heal faster so
that athletes can get back to their sport more quickly. Its something that
we consistently preach to coaches, parents and kids, said R.J. Elbin, who
led the study while at the University of Pittsburgh but who now is
director of the Office for Sport Concussion Research at the University of
Arkansas. However, until now, there really has not been any data that
supports this idea.
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Estimates show that each year in the United States, there are up to 3.8
million sports-related concussions, which can happen when there is a blow
or jolt to the head that causes the brain to bounce within the skull,
stretching and damaging brain cells. Symptoms of concussion may include
dizziness, confusion, nausea and sensitivity to light.
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Young athletes are particularly prone to prolonged recovery and
complications from concussion. The developing brain has been shown to be
more vulnerable to the physiological effects of the injury, said Tad
Seifert, a neurologist and director of the Sports Concussion Program for
Norton Healthcare, in Louisville, Ky.
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Despite increased awareness of the dangers of concussions and efforts to
educate those in the sports community on how to recognize and treat the
head injury, an estimated 50 to 70 percent of concussions go unreported.
While some athletes and coaches may not always recognize the signs of
concussion, the larger concern is a sports mind-set that frowns on leaving
the game.
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The idea of being a football player is that were tough. We get back up. We
dont cry. We dont make a big deal out of it, Mr. Dicks said. There is the
idea that you must sacrifice your body and your brain for the overall
greater good of the team.
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The complete article may be read at the URL above.
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David Dillard
Temple University
(215) 204 - 4584
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