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The Straight Story

(48,121 posts)
Mon Jun 10, 2013, 08:43 PM Jun 2013

Childhood Concussion Studies Butt Heads

Childhood Concussion Studies Butt Heads

Second and third concussions take more recovery time, new research shows, but many concussions are not adequately identified in the first place

A long overdue and growing body of research on concussions is providing today’s young athletes, parents and coaches with more information about identifying and treating head injuries—but not all of that research is reliable. For instance, one new study on youth concussions offers valuable information about recovery time, whereas potentially flawed conclusions in a second new study illustrate one of the biggest challenges in studying youth concussions—missed diagnoses.

An estimated 170,000 children go to the emergency room for concussions annually, but this number does not capture the millions treated outside of hospitals by athletic trainers, family doctors or specialists. The sports with the most reported concussions are boys’ football and girls’ soccer, but bicycling, basketball and playground activities are also among the most common ways children sustain these head injuries. Symptoms can include dizziness, fatigue, nausea, headache and memory or concentration problems. After a concussion is identified, the primary treatment is physical and cognitive rest, although the amount of rest needed is not always medically clear.

The first study, published June 10 in Pediatrics, found that recovery takes up to two or three times longer if a child has sustained one or more concussions within the past year, further supporting reasons “to be cautious about returning young athletes to sports after a concussion,” says lead author Matthew A. Eisenberg of Boston Children’s Hospital. Eisenberg’s study notes.

Yet, ensuring a child has more time to rest after sustaining an additional concussion is harder to do if the injury is not properly identified. In fact, an estimated 70 to 90 percent of concussions in sports are never diagnosed, say Robert Cantu and Chris Nowinski, co-directors of the Center for the Study of Traumatic Encephalopathy at Boston University.

http://www.scientificamerican.com/article.cfm?id=concussions-studies-butt-heads

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