|Sport-related concussion||838.000000000000||Sport-related concussion||Sport-related concussion||S||English||Neurology||School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)||Head||Brain||Conditions and diseases||Caregivers
Adult (19+)||Headache;Nausea;Vomiting||2017-06-14T04:00:00Z||Shawna Silver, MD, FRCPC, FAAP, PEng||10.3000000000000||52.1000000000000||1095.00000000000||Health (A-Z) - Conditions||Health A-Z||<p>Find out how sport-related concussions can occur and how best to respond to them.</p>||<p> <a href="/Article?contentid=766&language=English">Concussions</a> can occur in any sport or recreational activity. Sport-related concussions are the most common type of concussion among older children and teenagers.<br></p><p>It is important for coaches, families and athletes to recognize and properly respond to concussions when they first occur to help prevent further injury and long-term problems.</p><h2>How to recognize a possible sport-related concussion</h2><p>To help recognize a concussion, watch for a forceful blow to the head or body that results in rapid movement of the head and any change in the athlete’s behaviour, thinking or physical functioning.</p>||<h2>Key points</h2><ul><li>A sports-related concussion is the most common type of concussion among older children and teenagers.</li><li>If a child is hit in the head during a sport, they should be tested for a concussion and allowed to sit out the rest of the game or practice session.</li><li>You can help prevent concussions, and repeat concussions, by having your child wear protective equipment, play smart and share any concussion symptoms openly.</li><li>If your child has had a concussion, they should only return to play when a health-care professional says they are ready. Returning too soon can slow their recovery.</li></ul>||<h2>Signs and symptoms of sport-related concussion</h2><p>The signs and symptoms of a sport-related concussion are similar to those from a regular concussion. However, a sport-related concussion often has more serious complications because athletes feel pressure to return to their sport before they are ready. This often puts athletes at a higher risk for multiple concussions.</p><h3>Signs of concussion observed by coaching staff and parents</h3><ul><li>Appearing dazed or stunned</li><li>Confusion about assignment of position</li><li>Forgetting plays</li><li>Being unsure of game, score or opponent</li><li>Moving clumsily</li><li>Answering questions slowly</li><li>Losing consciousness (even briefly)</li><li>Behaviour or personality changes</li><li>Inability to recall events before or after the hit or fall</li></ul><h3>Signs and symptoms of concussion reported by the athlete</h3><ul><li>
<a href="/Article?contentid=29&language=English">Headache</a> or “pressure” in the head</li><li>Nausea or
<a href="/Article?contentid=746&language=English">vomiting</a></li><li>Balance problems or dizziness</li><li>Double or blurred vision</li><li>Sensitivity to light or noise</li><li>Sluggish hazy, foggy or groggy feelings</li><li>Concentration or memory problems</li><li>Confusion</li><li>Not feeling “right”</li></ul><p>The signs and symptoms of concussion can show up immediately. However, in some cases, signs and symptoms evolve over a number of minutes to hours. If your child reports any symptoms of concussion or if you notice the signs yourself, take them out of play and seek medical attention right away.</p>||<h2>Effects of multiple concussions</h2><p>Athletes with a history of concussion have increased risk of subsequent head injuries. Subsequent concussions are typically more severe, even when they occur with less force, and need a longer recovery time.</p>||<h2>How to respond to a suspected sport-related concussion</h2><p>There is a tendency in sport, especially in important games, for athletes to push through pain to demonstrate their toughness and their commitment to the team. However, playing through a concussion can be very dangerous for a child’s health. Never encourage this, whether you are a parent or a coach. </p><p>If your child has experienced a bump or blow to the head, even if it seems mild, look for signs and symptoms of concussion. Coaches and parents can use the
<a href="https://bjsm.bmj.com/content/bjsports/47/5/267.full.pdf" target="_blank">Pocket Concussion Tool</a> to do a basic concussion test at the scene of the injury. The
<a href="https://bjsm.bmj.com/content/bjsports/47/5/259.full.pdf" target="_blank">Sport Concussion Assessment Tool 3rd Edition (SCAT3)</a> is a more detailed test of different aspects of brain function and should only be used by health-care professionals or by trainers and coaches who are trained in concussion testing.</p><p>The child should sit out the rest of the game or practice. They should not be left alone, as sometimes symptoms of concussion may only appear several hours after injury. Make sure that your child sees a doctor as soon as possible that day. Their symptoms should also be monitored closely over the next few days because symptoms may evolve over time. Your child should not return to play until a health-care professional says that it is okay. Your child may need a post-concussion management plan.</p><p>If your child is knocked out, call an ambulance right way. Do not move them or remove sport equipment in case their neck or spinal cord is injured.</p>||<h2>How to prevent and handle a sport-related concussion</h2><h3>Have your child wear the right protective equipment</h3><p>Make sure that your child wears the right protective equipment for their sport. Protective equipment should fit properly and be well maintained. Helmets are not designed to prevent concussion, but wearing one is essential to reduce the risk of serious brain injury or skull fracture.</p><h3>Encourage your child to play smart</h3><p>Even if your child plays by the rules, they may still get hit hard enough to sustain a concussion. However, teaching your child to play smart and avoid putting their body in a position of unnecessary harm will help them minimize the risk of serious injury while they play. Encourage your child to follow the rules of play and practice good sportsmanship at all times.</p><h3>Take a conservative return-to-play approach</h3><p>A repeat concussion, before the brain fully recovers from an earlier injury, can delay recovery or increase the chance of long-term problems. This is why it is important to
<a href="/Article?contentid=963&language=English">take a conservative approach to your child's return to play</a>. </p><p>Athletes who return to play too soon, while the brain is still healing, have a greater risk of repeat concussions. If your child has experienced a concussion, do not let them return to play on the day of injury until a health-care professional confirms that they are ready.</p><h3>Encourage your child to be open about symptoms</h3><p>Athletes may not report their concussion symptoms for fear of losing playing time. Parents and coaches should create an open environment that supports reporting symptoms, proper evaluation and a conservative return-to-play approach. </p><p>Tell your child’s coach about any previous concussions. They may not know about a concussion your child received in another sport or activity.</p><h3>Consider neuro-cognitive testing</h3><p>For elite athletes in high-risk sports such as football and hockey, a health-care professional can perform baseline neuro-cognitive or neuropsychological testing before the start of the season. This type of testing measures an athlete’s balance and brain function, including learning and memory, concentration and problem solving,
<em>before</em> they have any injury. If an athlete experiences a concussion during the season, the results of the baseline tests can help identify the effects of the injury and inform decisions about returning to school and play.</p>||<h2>Sources</h2><p>Canadian Paediatric Society (2013).
<a href="https://www.cps.ca/en/documents/position/paediatric-patient-with-acute-head-trauma" target="_blank">
<em>Management of the paediatric patient with acute head trauma</em></a>.</p><p>Ontario Neurotrauma Foundation (2014).
<a href="http://onf.org/documents/guidelines-diagnosing-and-managing-pediatric-concussion" target="_blank">Guidelines: Diagnosing and Managing Pediatric Concussion</a></em>.</p>||https://assets.aboutkidshealth.ca/AKHAssets/sport-related_concussion.jpg||sportconcussion||Sport-related concussion||False|