december 2015
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8 Sports<br />
Dazed and Confused<br />
Concussions are in the news more than ever, and schools have their heads up<br />
By Dan Albanese<br />
Concussions. Horror stories are<br />
everywhere. In just the past two calendar<br />
years, four Syracuse University<br />
football players have been medically<br />
disqualified from playing football<br />
following several head injuries. That<br />
means they’ll never play football at<br />
SU again.<br />
The latest Syracuse player to be<br />
disqualified is sophomore quarterback<br />
AJ Long, whose college football<br />
career ended only six games into the<br />
<strong>2015</strong>-2016 season.<br />
The NCAA defines a concussion<br />
as “a change in brain function<br />
following a force to the head, which<br />
may be accompanied by temporary<br />
loss of consciousness, but is identified<br />
in awake individual by measures<br />
of neurologic and cognitive dysfunction.”<br />
Short-term symptoms include<br />
headaches, blurred vision, nausea,<br />
vomiting, confusion and trouble<br />
concentrating. Long term symptoms<br />
could include things as drastic as<br />
memory loss, dementia, and in some<br />
cases, CTE. Chronic Traumatic Encephalopathy<br />
is a progressive degenerative<br />
brain disease first discovered<br />
in NFL players that has helped raise<br />
awareness of the dangers of concussions<br />
at all levels of play.<br />
Bonnie Adams, MPH’s Registered<br />
Nurse, said concussions can<br />
have vicious short- term and longterm<br />
effects.<br />
“There can be post-concussion<br />
symptoms that go away after a few<br />
weeks,” she said. “There are situations<br />
where it is prolonged over a<br />
month, and we’ve had the case where<br />
it has been prolonged almost an entire<br />
school year.”<br />
With more than 7 million kids<br />
playing sports, there’s more being<br />
done now to keep kids safe than ever<br />
before. New York state has a concussion<br />
management protocol that all<br />
public high schools are required to<br />
follow. MPH follows the state guidelines,<br />
even though it isn’t required<br />
to as a private school. These protocols<br />
help student-athletes who have<br />
sustained a concussion transition<br />
back to the classroom, as well as the<br />
playing field, with reduced activity<br />
and academic modifications.<br />
Within the first four months of<br />
school at MPH, three students have<br />
sustained concussions.<br />
“The short of it is they are not<br />
allowed to participate or do anything<br />
until they are cleared by their doctor,”<br />
said MPH Athletic Director<br />
Don Ridall.<br />
MPH uses a five-day re-immersion<br />
program to help students get<br />
back into the classroom and onto<br />
the field. Ridall said once a student<br />
is cleared by their doctor, then the<br />
protocol starts with limited activity<br />
and leads up to full activity.<br />
According to the CDC, 1.6 million<br />
- 3.8 million concussions occurred<br />
in 2012, double that reported<br />
in 2002. According to the NCAA,15<br />
percent of students-athletes reported<br />
experiencing a concussion or what<br />
they thought was a concussion.<br />
Cady Ridall, an MPH senior,<br />
suffered a concussion last year after a<br />
kicked ball hit her in the head during<br />
a soccer game.<br />
“My initial reaction was a lightsout<br />
sort of thing,” she said in an<br />
email. “I fell to the ground instantly<br />
and blacked out for a brief few seconds.<br />
My coach, Ms. B, asked me,<br />
‘Are you okay?’ And I remember<br />
Photo courtesy of Concussion mechanics.svg<br />
responding, ‘I think so.’ Tears were<br />
running down my face but I don’t<br />
remember feeling too much pain because<br />
I think I was in so much shock.<br />
I actually went back into the game<br />
and continued to head the ball.”<br />
Don Ridall said concussions have<br />
only come to the foreground of discussion<br />
within the past several years.<br />
“I think what really put the<br />
movement on has been football,” he<br />
said. “Starting from the top to the<br />
bottom, you’ve been seeing more<br />
football players that have been getting<br />
concussions and they’re going back<br />
too soon and causing brain damage<br />
and injury, and in some cases possibly<br />
death, because there was no<br />
protocol there.”<br />
The NFL recently settled a classaction<br />
lawsuit with thousands of former<br />
players who claimed the league<br />
hid the dangers of concussions. Since<br />
then, the NFL has said it is dedicated<br />
to implementing rules and protocols<br />
to help keep players safe.<br />
A new movie, “Concussion,”<br />
starring Will Smith, is an adaptation<br />
of the events that led Dr. Bennet Omalu<br />
to discover the first documented<br />
cases of CTE in ex-NFL players and<br />
Omalu’s critical comments of the<br />
NFL’s handling of brain injuries.<br />
The movie, which will be released<br />
on Christmas, has not been without<br />
controversy of its own. According to<br />
The New York Times, leaked emails<br />
revealed that Sony executives altered<br />
some scenes in the movie to avoid<br />
antagonizing the NFL.<br />
CTE is described by the Center<br />
for Disease Control as progressive<br />
degeneration of the brain with symptoms<br />
like memory loss, depression,<br />
thoughts of suicide, and, eventually,<br />
progressive dementia. There’s news<br />
all the time of ex-football players<br />
who suffer from brain damage and<br />
have become shells of their former<br />
selves. Three years ago, NFL legend<br />
Junior Seau shot himself in the chest.<br />
This may seem like a strange occurrence,<br />
but this is not the first time a<br />
former NFL player has committed<br />
suicide with a shot to the chest rather<br />
than the head. Seau sensed that there<br />
was something wrong, and wanted<br />
his brain to be studied.<br />
The healthy brain of a 65 year old man v.s. a brain affected by CTE.<br />
Dave Duerson, the star safety for<br />
the 1985 NFL champion Chicago<br />
Bears took his life in 2011 by shooting<br />
himself in the chest. Examinations<br />
of both players’ brains revealed<br />
they suffered from CTE.<br />
Researchers in the Department<br />
of Veteran Affairs at Boston University<br />
discovered traces of CTE in the<br />
post-mortem brains of 96 percent of<br />
NFL player brains they examined<br />
in <strong>2015</strong>. In total, the research group<br />
found full-blown CTE in the brains<br />
of 131 out of 165 individuals who<br />
played football, ranging from the<br />
professional level to high school.<br />
The NFL isn’t the only major<br />
sports organization enacting changes<br />
to help players. The United States<br />
Soccer Federation recently unveiled<br />
new protocol banning children under<br />
age 10 from heading the ball. Players<br />
are also taking notice of the problem.<br />
U.S Soccer’s Ali Krieger wore a headband<br />
manufactured to help prevent<br />
concussions during international<br />
matches in the World Cup this past<br />
summer. Two girls’ soccer players<br />
at MPH also wear concussion headbands.<br />
At the college level, the NCAA<br />
is also working to keep athletes safe.<br />
Brad Pike, Assistant Athletic Director<br />
for Sports Medicine at Syracuse<br />
University, said the NCAA developed<br />
its concussion guidelines in<br />
2014-<strong>2015</strong>.<br />
Pike said SU has worked hard to<br />
implement policies to help students<br />
transition back to the classroom and<br />
back to athletics. This past summer,<br />
Pike re-wrote SU’s concussion-management<br />
policy in part to meet the<br />
NCAA’s standards on the return-tolearn<br />
policy and in part just to take a<br />
stronger stance overall.<br />
“A part of our concussion policy<br />
is we have a return-to-classroom,<br />
or a return-to-learn program,” Pike<br />
said. “Basically anybody who gets<br />
a documented concussion by our<br />
doctor, we send a note over to our<br />
learning specialist, who has a liaison<br />
to the Office of Disability Services,<br />
and we’ll make sure that the Office<br />
of Disability Services will help assess<br />
the student-athlete and monitor their<br />
return.”<br />
Pike said if a player gets a concussion,<br />
he or she is out of action,<br />
even practice, for several days until<br />
the player is 100 percent symptom<br />
free.<br />
“Well you can’t put a finite [number],”<br />
he said. “Typically I’d say the<br />
least amount would be a week. Basically<br />
you have to be symptom-free<br />
before you can go into our returnto-play<br />
protocol, so whenever your<br />
symptoms clear, it’s going to take at<br />
least between six or seven days to get<br />
through that progressive return to<br />
play protocol.”<br />
Pike also said that too many<br />
people associate concussions with<br />
only football.<br />
“Everybody wants to just say<br />
football, football, football with concussions,”<br />
he said, “but concussions<br />
happen in all sports.”<br />
Photo courtesy of MPH<br />
Jordan Dunaway-Barlow is one of<br />
two MPH players who wear concussion<br />
headbands while playing soccer.