SportsEvents Magazine

SEP 2016

SportsEvents is edited for those who plan tournaments or other sports events.

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September 2016 14 www.sportseventsmagazine.com ONE-on-ONE W 0OFPO0OFGFBUVSFTBOJOUFSWJFXXJUIBOJOnVFOUJBMNFNCFSPGUIFTQPSUTDPNNVOJUZDPODFSOJOH BTQFDJmDUPQJD5IJTNPOUIDr. Michael D. Lewis, founder of the Brain Health Education and Research InstituteEJTDVTTFTUIFCBTJDTPGDPODVTTJPOT ,IQXPEHUVPDNH\RXUKHDGVSLQSOHDVH WDNHSURSHUSUHFDXWLRQVEHIRUHDWWHPSWLQJ WRZUDS\RXUEUDLQDURXQGWKHVHVWDWLVWLFV The Concussion Legacy Foundation reports that the CDC estimates there DUHPLOOLRQFRQFXVVLRQVLQWKH8QLWHG States each year, and just one in six ó about 17 percent ó is diagnosed. 7KDW∑VDORWRIKHDGEDQJLQJ Sports concussions have grabbed plenty of headlines recently as former NFL players, boxers, soccer players and RWKHUDWKOHWHVKDYHFRPHIRUZDUGWRGLV- cuss their long-term health problems from head trauma. While many sports fans can recall LPDJHVRIDKRUUL¿FFROOLVLRQLQYROYLQJ the head, everyone involved in sports at DQ\OHYHOVKRXOGNQRZWKHEDVLFVRIFRQ- FXVVLRQVVRWKH\FDQEHRQWKHORRNRXW and be prepared to react. Recognition of DFRQFXVVLRQFDQVDYHDOLIHDVZHOODV ZHHNVPRQWKVDQGVRPHWLPHV\HDUVRI misery. The Basics ìIn basic terms, a concussion is a bruising RIWKHEUDLQµ/HZLVVDLG¥,QPHGLFLQHZH EUHDNLWGRZQDOLWWOHELWLQWRDSULPDU\DQG secondary phase or injury. That primary SKDVHLVWKHPHFKDQLVPZKHWKHULWLV KLWWLQJ\RXUKHDGRQWKHEDVNHWEDOO¡RRURU DQHOERZWR\RXUKHDGSOD\LQJVRFFHURUD KHDGDJDLQVWWKHZLQGVKLHOGLQDFDUFUDVKµ While the most violent head traumas manage to catch our attention, less dra- matic hits to the head can often slip by unnoticed. ¥7KDW∑VWKHSULPDU\LQMXU\EXWZKDW∑VQRW appreciated necessarily by the general pub- OLFLVWKDWLVMXVWWKHEHJLQQLQJµ/HZLVVDLG ¥7KHUHLVDZKROHVHFRQGDU\LQMXU\RUVHF- RQGDU\SKDVHWRDKHDGLQMXU\HYHQZKHQ the primary injury might not be apparent ´ZKHUHLWGLGQ∑WVHHPOLNHLWZDVWKDWELJ of an event and the person might not even QRWLFHDQ\WKLQJZURQJµ Not all concussions have immediate symptoms obvious to the individual receiv- LQJWKHEORZRUVRPHRQHREVHUYLQJWKDW individual (See Letters from the Sandbox on page 4). ìThey might not even notice the primary event but the secondary event sets off this biochemical cascade that continues WRFDXVHGDPDJHµ/HZLVVDLG¥,W∑VOLNHD ¿UHWKDW∑VEXUQLQJLQDKRXVHWKDWWKH¿UH GHSDUWPHQWVHHPVWRKDYHSXWRXWEXWLW∑V VPROGHULQJXQGHUQHDWK$ORWRIWKDWLQ¡DP- PDWLRQLVPHGLDWHGVRZKDWFDQKDSSHQLV WKDW\RXJHWDFKURQLFFRQGLWLRQLQ¡DPPD- tion that continues to burn in the brain and FDXVHVV\PSWRPVµ Four Areas To Watch Concussion symptoms ó that might not be immediately apparent ó fall into four categories: cognitive, physical, emotional and sleep. ¥7KHFRJQLWLYHRUWKLQNLQJRUPHPRU\ W\SHRIV\PSWRPVDUHZKHUHSHRSOHZLOO W\SLFDOO\FRPSODLQWKH\MXVWDUHQ∑WWKLQNLQJ FOHDUO\PD\EHIHHOLQJOLNHWKH\VORZHG GRZQµ/HZLVVDLG¥2QHWHUPYHU\FRP- PRQO\XVHGLVDEUDLQIRJZKHUH\RXIHHO OLNH\RXKDYHDEDGKHDGFROGEXWGRQ∑W KDYHDUXQQ\QRVHDQGZKHUHHYHU\WKLQJ IHHOVOLNH\RXUKHDGLVVWXIIHGZLWKFRWWRQ,W PDNHVLWGLI¿FXOWWRFRQFHQWUDWHDQGPDNHV LWGLI¿FXOWWRUHPHPEHUWKLQJV,WFDQEH VKRUWWHUPPHPRU\LVPRUHRIDQLVVXHµ Physical symptoms are much easier to diagnose. ìOn the physical side, it can be head- aches, it can be blurred vision or it could be nausea and vomiting early on right after WKHLQMXU\LILWLVPRUHVHULRXVRIDQLQMXU\µ /HZLVVDLG¥:KDWZHVHHPRUHFRPPRQO\ is an acute sensitivity to light or noise. So IRUDNLGJRLQJEDFNWRVFKRROWKHQRLVH and the stimulation of, say, the lunchtime FDIHWHULDFDQEHMXVWFRPSOHWHO\RYHUZKHOP- LQJWRDWHHQDJHVWXGHQWRUHYHQ\RXQJHUµ Fatigue and exhaustion are other physi- cal symptoms. ¥2QHRIWKHWKLQJV,VHHµ/HZLVVDLG ¥LVH[KDXVWLRQ-XVWIHHOLQJWLUHGZLWKQR energy, even after minimal exertion. That FDQEHDWHHQDJHUWRR,VDZD\HDUROG SDWLHQWZKRKDGDQLQMXU\IRUDFRXSOH\HDUV DQGLVVWLOOVWUXJJOLQJWRJHWEDFNWRQRUPDO DQGKHMXVWVD\VKHZDQWVWRWDNHDQDS DOOWKHWLPH+HZDNHVXSWLUHGDQGLWMXVW GRHVQ∑WJHWEHWWHUGXULQJWKHGD\µ The emotional side is sometimes an area someone other than the patient can notice. ìA third area is the emotional side, or PRRGLUULWDELOLW\DQGQHUYRXVQHVVµ/HZLV BY JOHN REZELL One- on- One Head's Up! Inside The Brain Of A Concussion Expert Lewis

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