Surge Seen in Concussions Among College Football Players

THURSDAY, July 12 (HealthDay News) — Concussions among football
players at three U.S. service academies have increased since 2009,
according to a new study.

The increase comes after a 2010 National Collegiate Athletic
Association concussion-management initiative that required athletic
programs to report concussion signs and symptoms, and then take players
who exhibited the symptoms out of the game.

Study authors led by Dr. Kelly Kilcoyne, of the Walter Reed National
Military Medical Center, analyzed data from practices and games at the
United States Military Academy, United States Naval Academy and the United
States Air Force Academy. All players were males aged 18 to 22.

The total number of reported concussions increased from 23 during the
2009-10 season to 42 during the 2010-11 season.

The study was scheduled to be presented Thursday at the American
Orthopaedic Society for Sports Medicine annual meeting, in Baltimore.

“The timing of the new NCAA regulations and the increase in reported
concussions could certainly be attributed to under-reporting from players
and coaches in the past,” Kilcoyne said in a society news release. “[But]
such an increase is still notable, and we need continued studies in
football and other sports to find out more.”

Dr. Robert Glatter, an emergency medicine physician at Lenox Hill
Hospital in New York City, agreed.

“The degree of increase in reported rates is concerning, and will
require larger well-controlled studies to evaluate the increased
concussion rates observed in this limited study,” he said. “What is clear
is that many players have experienced a number of concussions prior to
participation in collegiate athletic programs, and that some have already
received undertreatment … for their head trauma when they begin their
college athletic careers.”

Top-of-helmet impacts are particularly dangerous ways of stopping an
opponent, Glatter said, yet these types of hits often are learned in youth
leagues or high school athletic programs as a result of improper
coaching.

“Other factors potentially leading to higher concussion rates could be
due to lack of proper conditioning to withstand hits, and poor
conditioning of [neck] muscles in college athletic programs,” he
added.

Children and young adults are especially vulnerable. “Their brains
continue to develop in their early 20s, and research has shown that
younger athletes, all other factors being equal, will typically require
more time to recover from concussions than their adult counterparts,”
Glatter said.

“If they sustain head trauma or concussions in their late teens and
early 20s, the window for repetitive injury is lengthened,” he said. “The
long-term complications of repetitive head trauma can have lasting effects
on younger athletes into their adult years.”

Recognizing the symptoms of concussions and seeking prompt medical
attention is key. Symptoms may include nausea, dizziness, headache and
disorientation, Glatter said. Symptoms can appear immediately after a head
injury, or develop over days after the blow.

In the past, concussions weren’t taken seriously enough, said Dr.
Jordan Metzl, a sports medicine doctor at the Hospital for Special Surgery
in New York City.

“We didn’t treat concussions with adequate respect and seriousness,” he
said. An increase in awareness about the long- and short-term consequences
of concussions has led to more diagnoses. Still, “every time somebody hits
their head, it’s not a concussion,” he said.

If someone does sustain a concussion, they need to be taken out of the
game right away. The best way to treat a concussion is to rest the brain,
he said.

Because this study was presented at a medical meeting, the data and
conclusions should be viewed as preliminary until published in a
peer-reviewed journal.

More information

Learn more about the signs and symptoms of concussions at the STOP Sports Injuries
campaign
.

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