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Concussion and the lower limb and as a public health issue

Discussion in 'Biomechanics, Sports and Foot orthoses' started by toomoon, Oct 17, 2012.

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  1. toomoon

    toomoon Well-Known Member


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    If I am reading this correctly, it is saying that concussion like symptoms occur in the general public, and that heavy exercise can exacerbate the problem..hmmm..

    Abstract
    Concussion is a common injury in collision sports and is evidenced by a variety of signs and symptoms. The recording of neurological symptoms is an important component of screening for a concussion and in return-to-play decisions. However similar symptoms are prevalent in the general population and are reported to be associated with participation in physical activities. The purpose of this study was to document the neurological symptoms reported by healthy individuals following controlled bouts of exercise. A crossover randomised design with 2 levels of exercise intensity, moderate intensity and high intensity, each of 15min duration was used. Participants completed a standardised postconcussion symptom checklist prior to exercise (pre), immediately following exercise (post-1) and again after 15 min of rest (post-2). 60 participants were recruited into the study. A summed symptom score was calculated and analysed with a 2-way repeated measures ANOVA procedure. The intensityxtime interaction (F(2,118)=23.94, p<0.001) demonstrated a significant increase in symptom scores for the high intensity condition immediately following exercise (p<0.001). Although the moderate intensity showed a similar trend this was not significant. These findings suggest that sports medicine professionals need to be aware of the effect of exercise on symptom reporting when assessing and in making return-to-play decisions.
    Does exercise evoke neurological symptoms in healthy subjects?
    Sridhar Alla, S John Sullivan, Paul McCrory, Anthony G Schneiders, Phil Handcock
     
  2. Craig Payne

    Craig Payne Moderator

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    Re: An interetsting paper from my old mate Paul McCrory

    Hypoconnectivity and Hyperfrontality in Retired American Football Players'
    A. Hampshire et al.
    Scientific Reports, 17 October 2013. DOI: 10.1038/srep02972
     
  4. Re: An interetsting paper from my old mate Paul McCrory

    Yep, got an elbow in the eye socket once from a cheating centre as I went in to wallop him. I went down for the next scrum and there were four blindsides in front of me. I hadn't got a clue which one to abuse, grab hold of, generally slow down and/ or put off their game... My one and only early shower was that day. Concussion is not funny. Got told off by the coach (ex-42 commando) for holding an ice pack to my eye in their bar afterwards- "never let them know they hurt you, Spooner". "Yeah, cheers Molly but my eye's 'kin killin and I've got to go to work on Monday morning." :drinks
     
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    Re: An interetsting paper from my old mate Paul McCrory

    Press release:
    Concussion secrets unveiled in mice and people
    NIH scientists film early concussion damage and describe brain's response to injury
    ###
     
    Last edited by a moderator: Sep 22, 2016
  6. Admin2

    Admin2 Administrator Staff Member

    Re: An interetsting paper from my old mate Paul McCrory

    Press Release:
    How a Concussion Can Lead to Depression Years Later
    After brain injury, cells on ‘high alert’ prolong immune response, affecting behavior
     
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    Re: An interesting paper from my old mate Paul McCrory

    Press Release:
    Study links nonconcussion head impacts in contact sports to brain changes and lower test scores
     
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    Re: An interesting paper from my old mate Paul McCrory

    Press Release:
    Are concussions related to Alzheimer's disease?
     
  9. David Smith

    David Smith Well-Known Member

    Re: An interesting paper from my old mate Paul McCrory

    I think the point they are making is this; when using certain diagnostic tools to assess symptoms that indicate levels of concussion, it is useful to know that high level exercise will elicit similar symptomatology to that of real concussion and so may introduce a confounding factor into one's diagnosis and recommendations.
    The fact that concussion symptomatology had been noted in the general public who had reported no head trauma highlighted the need to investigate why this was so. This doesn't mean that intense exercise causes concussion but rather concussion like symptoms which may confuse or exacerbate the clinical diagnosis of concussion of keen or professional sportsmen who will also be participating in high level exercise.

    Cheers Dave Smith
     
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    Judge fears $765 million not enough
     
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    Press Release:
    Compulsory concussion education for professional game in England
    13 January 2014
    Online concussion education module for players, coaches and healthcare providers
    RFU Chief Medical Officer Simon Kemp outlines need to broaden understanding
     
  12. Craig Payne

    Craig Payne Moderator

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    Re: An interesting paper from my old mate Paul McCrory

    PSYCHOSOCIAL AND PSYCHOLOGICAL FACTORS RELATED TO DELAYED RECOVERY FROM CONCUSSION IN HIGH SCHOOL STUDENTS
    M Hutchinson, P Comper, B Csenge, D Richards
    Br J Sports Med 2014;48:610 doi:10.1136/bjsports-2014-093494.136
    Abstracts from the IOC World Conference on Prevention of Injury & Illness in Sport, Monaco 2014

     
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    A systematic review of concussion in rugby league
    Andrew Gardner, Grant L Iverson, Christopher R Levi, Peter W Schofield, Frances Kay-Lambkin, Ryan M N Kohler, Peter Stanwell
    Br J Sports Med doi:10.1136/bjsports-2013-093102
     
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    Press Release:
    Good News for Athletic Trainers and Team Physicians: Baseline and Return-to-Play Concussion Assessments Now Made Easier
    Tekscan to Debut its BESS Software Application-
    First and Only Objective Computerized Testing for Balance Assessments
    June 24, 2014 10:22 AM Eastern Daylight Time
     
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    Press Release:
    First comprehensive pediatric concussion guidelines, available now
     
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    Press release:
    AAN: Doctors Have Ethical Obligation to Educate, Protect Athletes from Concussion
    Position Statement Released as AAN Hosts First Sports Concussion Conference in Chicago
     
  19. NewsBot

    NewsBot The Admin that posts the news.

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    Press Release:
    Is it really a concussion? Symptoms overlap with neck injuries, making diagnosis a tough call -
     
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    Press Release:
    More needed to protect our sportspeople from brain injury, say Birmingham experts
     
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    Sports-related concussion increases the risk of subsequent injury by about 50% in elite male football players
    Anna Nordström, Peter Nordström, Jan Ekstrand
    Br J Sports Med 2014;48:1447-1450
     
  22. Craig Payne

    Craig Payne Moderator

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    Press Release:
    Test Detects Early Brain Damage in Football Players
    November 24, 2014
    New Contrast-Enhanced MRI Developed by BGU Visualizes Brain Injury in the Blood-Brain Barrier Offering Significant Diagnostic Capabilities
     
  24. admin

    admin Administrator Staff Member

    Re: An interesting paper from my old mate Paul McCrory

    I just got a snarky anonymous "whats this got to do with podiatry" message via the contact us form about this thread. Normally I just ignore these sorts of messages. However, today I am in the mood to respond, so rather than respond privately, I will post it here.

    What has concussion got to do with Podiatry?

    Simple:
    Podiatrists work in multidisciplinary teams in sports medicine. Concussion is a hot topic in these environments and is a significant public health issue (just read above to see how significant). Everyone involved in sports medicine (and health care in general) needs to take an interest in and be active in public health issues. We need to be cognizant of all the issues to be a part of the conversation and addressing these public health issues --> become part of the solution as individuals. Its that simple. Its relevant ... and besides, if you don't agree, just don't bother reading the updates that get posted in this thread.
     
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    Press Release:
    Significant increase in concussions among Ontario children and youth: York U study
     
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    Sports-Related Concussion in Helmeted vs. Unhelmeted Athletes: Who Fares Worse?
    S. L. Zuckerman, Y. M. Lee, M. J. Odom, J. A. Forbes, G. S. Solomon, A. K. Sills
    Int J Sports Med
     
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    Why University Athletes Choose Not to Reveal Their Concussion Symptoms During a Practice or Game
    Delaney, J. Scott MDCM; Lamfookon, Charles MDCM; Bloom, Gordon A. PhD; Al-Kashmiri, Ammar MD; Correa, José A. PhD
    Clinical Journal of Sport Medicine: March 2015 - Volume 25 - Issue 2 - p 113–125
     
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    Press Release:
    Expanding sports concussion laws may help teenage athletes
    Connecticut study among the first to test whether recent sports-related concussion laws work
     
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    Concussion Frequency Associates with Musculoskeletal Injury in Retired NFL Players.
    Pietrosimone, Brian; Golightly, Yvonne M.; Mihalik, Jason P.; Guskiewicz, Kevin M.
    Medicine & Science in Sports & Exercise: April 11, 2015
     
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    Scottish Guidelines released:
    http://www.sportscotland.org.uk/concussion
     
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    PUBLIC RELEASE: 20-MAY-2015
    'Insufficient evidence' on degenerative brain disease in athletes
     
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    Acute Lower Extremity Injury Rates Increase following Concussion in College Athletes.
    Lynall, Robert C.; Mauntel, Timothy C.; Padua, Darin A.; Mihalik, Jason P.
    Medicine & Science in Sports & Exercise: June 8, 2015
     
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    Young Athletes' Concerns About Sport-Related Concussion: The Patient's Perspective.
    Stein, Cynthia J. MD, MPH; MacDougall, Robert BS; Quatman-Yates, Catherine C. DPT, PhD; Myer, Gregory D. PhD; Sugimoto, Dai PhD; Dennison, Roberta J. MD; Meehan, William P. III MD
    Clinical Journal of Sport Medicine: November 04, 2015
     
  40. Craig Payne

    Craig Payne Moderator

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    This upcoming movie with Will Smith is getting a bit of buzz:

    Concussion (2015 film)

    Concussion is a 2015 American biographical sports drama film directed and written by Peter Landesman, based on the exposé "Game Brain" by Jeanne Marie Laskas, published in 2009 by GQ magazine.[5] Set in 2002, the film stars Will Smith as Dr. Bennet Omalu, a forensic pathologist who fights against the National Football League trying to suppress his research on chronic traumatic encephalopathy (CTE) brain degeneration suffered by professional football players. It also stars Alec Baldwin, Gugu Mbatha-Raw, and Albert Brooks.

    The film premiered at AFI Fest on November 11, 2015 and was released by Columbia Pictures on December 25, 2015. The film grossed $48 million worldwide and received mixed reviews, although Smith earned a Golden Globe nomination.

    1. ^ a b c Busch, Anita (September 30, 2015). "'Concussion' To Get World Premiere At AFI Fest". Deadline Hollywood. Penske Business Media. Retrieved February 8, 2017. 
    2. ^ "CONCUSSION (12A)". British Board of Film Classification. November 2, 2015. Retrieved November 2, 2015. 
    3. ^ McDonald, Adrian (June 15, 2016). "2015 Feature Film Study" (PDF). Film L.A. Archived from the original (PDF) on August 10, 2017. Retrieved June 16, 2016. 
    4. ^ a b "Concussion". Box Office Mojo. IMDb. Retrieved August 21, 2016. 
    5. ^ Laskas, Jeanne Marie (September 14, 2009). "Bennet Omalu, Concussions, and the NFL: How One Doctor Changed Football Forever". GQ. Condé Nast. Retrieved February 17, 2016. 
     
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