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2011 Baseline Assessment Program - Are you MIAA compliant?

 

The 2011 season has been an active one at CAMP.  Several new schools were added to the baseline assessment program.  An important component of the CAMP Baseline Assessment protocol is an accurate medical and concussion history.  The new MIAA and Massachusetts DOH expectations are rigorous.  Individual schools are required to track injuries and provide return-to-school protocols after injury.  According to CAMP Program Director Michael Sefton, Ph.D., school districts in Massachusetts are scrambling to provide for the educational requirements including the expectation that all athletes take an online concussion education program. 

 

Players with a history of concussions are significantly more vulnerable to receive a second or subsequent concussion.  Dr. Sefton will review each athletes medical history in confidence with team physician's or trainers to identify players who may be at risk.  For example, a high school junior is playing his third year of varsity football and received a concussion in September in his freshman year. In his sophomore year he received a second concussion nearly a year to-the-day later.  The CAMP program worked with the players trainer to modify his practice plan and provide education to both he and his parents in an effort to avoid a third concussion.  At the 2009 Sports Concussion program held at Gillette Stadium, it was emphasized that "it isn't the number of concussions but the recovery from them" that makes the determination for return to play so difficult.


Return to Play Guidelines

  • 1st Concussion - Return to play after 1 week symptom free
  • 2nd Concussion - Return to play after  2 weeks symptom free
  • 3rd Concussion - Return to play after 2-4 weeks symptom free


Second Impact Syndrome
A potentially fatal injury to an athlete that is associated with a second blow to the head  while competing  prior to complete healing of initial injury.  It is rare but associated with the metabolic dysregulation associated  with cerebral concussion.

 

LAX 1853


History of Concussion an Important Factor

Athletes with a history of concussion comprise a fairly large sample of all college and high school athletes.  It is reported that in a high school roster of 50 football players 2-3 athletes or more will receive a concussion each season.  In one college hockey program - men's and women's, approximately 41 percent of athletes had had at least one prior concussion.