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mercredi 5 août 2015

The Increased Need For Concussion Treatment In Toronto

By Jana Serrano


Reports are coming out of the Canadian province of Ontario indicating that the incidence of head injuries has gone up. Between the years 2003 and 2010, numbers of young people turning up in hospitals for concussion treatment in Toronto went up 50 percent. While this may be an indication that parents are becoming better informed about the risk of head injury, the increase is still cause for concern.

The Mayo Clinic defines concussion as a trauma to the head that causes changes in brain function. These changes may be expressed in the form of memory loss, problems with coordination and balance, headache or difficulties in concentration. Even a seemingly innocuous head injury can cause lasting damage to the brain. Concussions are most commonly the result of a severe blow to the head, although they may also be a consequence of violent or prolonged shaking of the upper torso and head.

The symptoms may not express themselves for several days, weeks or longer after the original blow. These include headache, confusion and memory loss. Additionally, there may be nausea and vomiting, ringing sounds in the ears, a feeling of pressure within the head, seeing stars or slurred speech. Children and toddlers may lose interest in their favorite toys, appear cranky or irritable, cry more than normal or change their sleeping and eating habits.

A knock on the head does not need to be overtly serious in order to cause a lasting injury to the brain. Sports players are notorious for wanting to get back into the game after being knocked on the head. This should not be permitted, as people have died or become permanently disabled after seemingly trivial head injuries. This is a high price to pay for a moment of glory, and there is always next year!

People who take part in vigorous contact sports are particularly prone to concussive head injury, especially in the sport of hockey. In this sport, there is a defensive move called bodychecking in which the defensive player throws his entire body weight against the player who has the puck. The defender uses his or her hip, shoulder, upper arm and elbow to make contact.

Bodychecking was outlawed in 2010 in order to protect younger players from suffering concussions from a body check to the head. However, this strategy does not appear to be working. Not only are the overall numbers of concussions on the increase, but women are receiving more head injuries than the guys.

It turns out it is not just female hockey players who are getting more brain injuries, it is women in all sports and at all ages, from pro to college and even down to girls of nine or ten years old. Pee wee coaches are reporting more concussions among their players. In spite of the fact that women's hockey does not permit bodychecking, the incidence of concussions among these players is on the rise.

There is a chief neurosurgeon at a major hospital in Massachusetts who thinks that the reason for this disproportionate increase in concussions could indicate that women are more susceptible than their male counterparts and that more research is needed. Alternatively, it could be that women are not training their neck muscles as much as men do, or that they are more open about reporting such injuries.




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