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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.

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