Concussion Assessment and Management Program
"Athletes should be better informed
about the cumulative and persistent
effects of sports concussion on mental
and physical processes"
Dr Louis de
Beaumont
University of
Montreal
Welcome to CAMP
Website
This website is dedicated to
furthering the knowledge of cerebral concussion and it's impact
on athletic competition. A key component to full recovery
is managing return to play for athletes in central New England.
In spite of new MIAA requirements
some athletic directors resist baseline
testing -
REPORTED IN
PEDIATRICS 2010, HALSTEAD et al.
Parents and student athletes now
required to take online concussion test
GRAFTON, MA
April 17, 2011 A new series of
policies are mandated by the MIAA and
the Massachusetts Department of Health
in support of concussion education
across the commonwealth. Athletic
directors in central Massachusetts
continue to resist the implimentation of
baseline testing for all athletes.
Why? The MIAA now requires
concussion education for all
people involved in youth sports.
It does not yet mandate baseline testing
for injured players. Yet it seems
as though many A.D.s believe baseline
testing is going to complicate the
return-to-play scenario rather than
provide the extra data needed to guide a
student's physician in clearing the
player to begin the re-exertion process.
Recent studies in official journal of
the Academy of Pediatrics cite the
importance of physical and cognitive
rest. Athletes with 2 or more
concussion had significantly lower grade
point averages when compared to those
who had not sustained a concussion.
The
Concussion Assessment and Management
program can help with setting up
programs for providing education and
concussion management in your school.
According to Michael Sefton, Ph.D. the
best practice now includes a seemless
baseline testing program as well as
return-to-school and return-to-play
scenarios for student athletes afflicted
with symptoms of concussion.
Contact Dr. Sefton for information about
policy requirements and assistance with
setting up your concussion protocols
soon.
micsefton@assumption.edu
Change in behavior sometimes a lingering
symptom of concussion
ATHLETE
MAY BE THE LAST TO NOTICE ANYTHING WRONG
Poor behavioral self-regulation is the
term given to the change observed in
athlete's who are suffering with the
lingering effects of cerebral
concussion. In his first game back
after suffering a concussion one college
lacrosse player got into a fight with an
opposing attack forward he believed had
cross checked his goalie. The
athletic trainer mentioned this in
passing in routine follow-up. The
NCAA takes a hard line against fighting
of any kind in all sports even hockey
and lacrosse where it is sometimes
condoned. The player will be
suspended for his next game according to
NCAA rules.
Behavior can take some unexpected twists
after brain injury. Changes in
mood are well documented - both Patrice
Bergeron and Marc Savard experienced
significant depression after they were
injured playing for the Boston Bruins.
Decreased insight and poor impulse
control too can be significantly altered
while players recover from concussion.
I asked the head trainer if the fight
was in keeping with the players
personality? Understandably an
athlete is going to take measures to
protect a member of his team if unfairly
hit but the extent of the athlete's
response may indicate a
concussion-related lapse in impulse
control and self-monitoring.
-Discussion
on Concussion
Tracking neurocognitive performance
following concussion
Grafton, MA
April 17, 2011 A
Michigan study followed high school
athletes for one month after injury.
According to Tracey Covassin, Ph.D.
and colleagues, concussed athletes
may have decreased reaction time for
up to 21 days or longer after
concussion is diagnosed. At
7-14 days post injury, athletes had
significant decreases in verbal
memory and processing speed in
addition to low scores on the
reaction time composite on the
ImPACT test. These results are
consistent with those reported in
other literature. The study
recommended the conservative
management of concussion in younger
athletes.
THE
PHYSICIAN AND SPORTS MEDICINE
UPCOMING
EVENTS
WATCH FOR UPCOMING SEMINAR AT
THE YMCA in Westborough, MA. The
topics will be concusion overview,
followed by return-to-play and
return-to-school education.
Information about the new MIAA standards
will be provided. Contact Dr.
Sefton if interested in attending.
Seminars are available for low cost to
help.
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