rules by the nfhs and the ohsaa
TRANSCRIPT
Rules by the NFHS and the OHSAA
Lake Health Sports Medicine Department
A Change in Terminology
(Candace, 2010)
TBI Videos - “Heads Up”• National Athletic Trainers Association;
Riddell, Inc. (2006). Heads Up-Reducing the Risk of Head and Neck Injuries in Football. Retrieved May 15, 2010, from Vimeo.com: http://www.vimeo.com/6398919
(National Athletic Trainers' Association, 2009) (Riddell, Inc., 2010)
TBI Videos - “What is a Concussion?”
• National Athletic Trainers Association; National Academy of Neuropsychology Foundation; National Hockey League; National Hockey League Players Association. (2009). What is a Concussion? - When in Doubt, Sit Out. Retrieved May 15, 2010, from Vimeo.com: http://www.vimeo.com/6089854
(National Athletic Trainers' Association, 2009) (National Hockey League, 2010) (National Hockey League Players' Association, 2010)
(National Academy of Neuropsychology, 2010)
National Federation of High Schools (NFHS) Rule
• “Effective with the 2010 high school football season, any player who shows signs, symptoms or behaviors associated with a concussion must be removed from the game and shall not return to play until cleared by an appropriate health-care professional.”
(National Federation of High Schools, 2010)
Ohio High School Athletic Association (OHSAA) Rule
• The OHSAA approved two modifications to the general sports regulations that address concussions.– First, the Board adopted a more stringent set of
regulations than what the National Federation of State High School Associations (NFHS) has in place for a student to return to play after sustaining symptoms or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion or balance problems). (Ohio High School Athletic Association, 2010)
– “Second, the Board stipulated which medical professionals may grant written permission for a student to return to play. Those professionals include a physician, as authorized under ORC Chapter 4731, doctors of medicine (M.D.), doctors of osteopathy (D.O.) and an athletic trainer, licensed under ORC Chapter 4755.”
• The physician is defined as one with traumatic brain injury experience.
• This is to prevent OBGYNs, cardiologists, etc. from clearing student-athletes without an appropriate educational experiences.
(Ohio High School Athletic Association, 2010)
Why were Athletic Trainers (ATs) given
the ability t make RTP decisions for
student athletes after suspected TBIs?
Reasoning:• M.D./D.O.s are not regularly at games below
the varsity level• For a concussion to occur, there must be a
mechanism of injury (collision)• Athletes may complain of a headache for
reasons other than sustaining a concussion (lack of sleep, etc.)
• Officials may send an athlete out of a game for any headache
Only when a TBI is NOTsuspected, will the AT
allow an student athlete to RTP that same day.
If there are ANY reasons to believe that an athlete has
sustained a TBI, then a referral for further
assessment will be made.
(Lench, 2009)
Athletes must report all head
injuries or symptoms of TBI to your
team athletic trainer
immediately.
(Shanks, 2010)
Symptoms Include:• Confusion • Loss of memory
about the accident • Low-grade
headaches or neck pain
• Nausea
• Having trouble: – Remembering things – Paying attention or
concentrating – Organizing daily
tasks – Making decisions
and solving problems
(Health and Wellness, 2007)
• Blurred vision or eyes that tire easily
• Decreased sense of taste or smell
• Ringing in the ears
• Mood changes: – Feeling sad, anxious,
or listless – Becoming easily
irritated or angry for little or no reason
– Lacking motivation
(Murphy, 2008)
(The Deaf Blog, 2009)
Children May Exhibit These Symptoms:
(Smoots, 2006)
(DeQuattro, 2009)
Assessing a TBI• Lake Health currently
uses the Sport Concussion Assessment Tool 2 (SCAT2) examination to assist the assessment student-athletes for TBIs.
(International Consensus meeting on Concussion in Sport, 2008)
Assessing a TBI• Lake Health sports medicine is
investigating a cost effective computer based baseline testing– More information will be forthcoming.
RTP Following a TBI• “Never return to
your sport or a heavy activity level after a major [TBI] until you’ve been cleared by your team physician.”
(Moore, 2006)(Gannett Health Services, undated)
Stages of Recovery1. “Rest until asymptomatic (physical and mental
rest)…2. Light aerobic exercise (e.g., stationary cycling)3. Sport-specific exercise4. Non-contact training drills (start light resistance
training)5. Full contact training drills after medical clearance
(by team physician and athletic trainer)6. Return to competition”
(Gannett Health Services, n.d.)
Stages of Recovery• “At least 24 hours should be devoted to
each stage of recovery. – [This can be longer if athlete shows
symptoms]• You should return to Stage One if
symptoms recur.”(Gannett Health Services, n.d.)
Second Impact Syndrome• Amber, D. (2008, October 19). Outside
the Lines: Second Impact Syndrome . Retrieved May 15, 2010, from ESPN.com: http://espn.go.com/video/clip?id=3651929&categoryid=null
(Amber, 2008)
Second Impact Syndrome• Congeni, J. (2009, August 5).
Concussions in Sports. Retrieved May 15, 2010, from ICYOU (Akron Children's Hospital): http://www.icyou.com/topics/health-wellness/fitness-exercise/concussions-sports+
(Congeni, 2009)
Second Impact Syndrome• Common symptoms include:
– Dilated pupils– Loss of eye movement– Unconsciousness– Respiratory failure– Death
(Brain and Spinal Cord.org, 2008)(Singha, 2010)
Second Impact Syndrome• Very rare condition in which a
second concussion occurs before a first concussion has properly healed
• Causing rapid and severe brain swelling and often catastrophic results.
• Can result from even a very mild concussion that occurs days or weeks after the initial concussion. (Brain and Spinal Cord.org, 2008)
(Light, 2008)
Second Impact Syndrome
• “In many cases, second impact syndrome is fatal. In those cases where it isn’t fatal, you can expect the long-term effects to be similar to those of severe traumatic brain injury.”
• Younger athletes are more prone to SIS since their brains are not fully developed yet.
(Brain and Spinal Cord.org, 2008)
(Amber, 2008)
(Sabo, 2009)
ReferencesAmber, D. (2008, October 19). Outside the Lines: Second Impact Syndrome . Retrieved May 15, 2010, from ESPN.com:
http://espn.go.com/video/clip?id=3651929&categoryid=nullBrain and Spinal Cord.org. (2008). Second Impact Syndrome. Retrieved May 15, 2010, from Brain and Spinal Cord.org:
http://www.brainandspinalcord.org/traumatic-brain-injury-types/second-impact-syndrome/index.htmlCandace. (2010, February 9). Concussions are Minor Traumatic Brain Injuries. Retrieved May 15, 2010, from Quality Prescription Drugs Health and
Happiness Blog: http://www.qualityprescriptiondrugs.com/blog/2010/02/concussions-are-minor-traumatic-brain-injuries.htmlCongeni, J. (2009, August 5). Concussions in Sports. Retrieved May 15, 2010, from ICYOU (Akron Children's Hospital):
http://www.icyou.com/topics/health-wellness/fitness-exercise/concussions-sports+DeQuattro, K. (2009, February 20). What Do You Think About a NO FAIL Policy? Retrieved May 15, 2010, from Raising Maine:
http://raisingmaine.mainetoday.com/blogentry.html?id=11470Gannett Health Services. (n.d.). Concussion (head injury). Retrieved May 15, 2010, from Keeping You At Your Peak:
http://www.gannett.cornell.edu/cms/pdf/upload/Concussion.pdfHealth and Wellness. (2007, September 12). Photophobia, How to Cure it. Retrieved May 15, 2010, from Healthcare wellness, fitness exercise guides
: http://health-wellness-wealth.blogspot.com/2007/09/photophobia-how-to-cure-it.htmlInternational Consensus meeting on Concussion in Sport. (2008). SCAT2. Retrieved May 15, 2010, from Minnesota State High School League:
http://www.mshsl.org/mshsl/news/ConcussionTool.pdfLench, B. d. (2009, October 8). Tebow Concussion, NFL Dementia Study Are Teachable Moments. Retrieved May 15, 2010, from Moms Team:
http://www.momsteam.com/health-safety/tebow-concussion-nfl-dementia-study-are-teachable-momentsLight, K. (2008, November 15). The fear of being soft: playing through concussions. Retrieved May 15, 2010, from CBC- Radio Canada:
http://www.cbc.ca/sports/hockey/ourgame/news/2008/11/brad-marsh-remembers-nothing-about.htmlMoore, S. (2006, December 2). In the Bleachers. Retrieved May 15, 2010, from In the Bleachers: http://inthebleachers.com/home.phpMurphy, J. (2008, July 8). Footprint-10 ways to beat jetlag. Retrieved May 15, 2010, from National Post:
http://www.nationalpost.com/life/footprint/story.html?id=756672National Academy of Neuropsychology. (2010). Homepage. Retrieved May 15, 2010, from NANonline:
http://www.nanonline.org/NAN/home/home.aspx
ReferencesNational Athletic Trainers' Association. (2009). Logos. Retrieved May 15, 2010, from NATA.org:
http://www.nata.org/members1/documents/logos/download.cfmNational Athletic Trainers Association; National Academy of Neuropsychology Foundation; National Hockey League; National Hockey League Players
Association. (2009). What is a Concussion? - When in Doubt, Sit Out. Retrieved May 15, 2010, from Vimeo.com: http://www.vimeo.com/6089854
National Athletic Trainers Association; Riddell, Inc. (2006). Heads Up- Reducing the Risk of Head and Neck Injuries in Football. Retrieved May 15, 2010, from Vimeo.com: http://www.vimeo.com/6398919
National Federation of High Schools. (2010, March 4). Concussion Rule Revised, Strengthened in High School Football. Retrieved May 5, 2010, from NFHS.org: http://www.nfhs.org/content.aspx?id=3853
National Hockey League. (2010). Homepage. Retrieved May 15, 2010, from NHL.com: www.nhl.comNational Hockey League Players' Association. (2010). Homepage. Retrieved May 15, 2010, from NHLPA.com: www.nhlpa.comOhio High School Athletic Association. (2010, May 13). OHSAA Board of Directors Update. Retrieved May 15, 2010, from OHSAA.org:
http://www.ohsaa.org/news/board/051310.htmRiddell, Inc. (2010). Homepage. Retrieved May 15, 2010, from Riddell.com: http://www.riddell.com/#/Licensed_Collectibles_and_Football_EquipmentSabo. (2009, August 29). Concussion issue is head scratcher. Retrieved May 15, 2010, from NY Daily News.com:
http://www.nydailynews.com/sports/baseball/2009/08/29/2009-08-29_johnny_damons_concussion.htmlShanks, J. (2010). Forest Park High School Athletic Training Homepage. Retrieved May 15, 2010, from Forest Park High School:
http://www.fphsathletictraining.com/Head_Athletic_Trainer.phpSingha, R. (2010, February 6). Concussion Symptoms. Retrieved May 15, 2010, from Buzzle.com: www.buzzle.com/articles/concussion-
symptoms.htmlSmoots, E. (2006). Concussion. Retrieved May 15, 2010, from Beliefnet: http://www.beliefnet.com/healthandhealing/getcontent.aspx?cid=11942The Deaf Blog. (2009, February 3). Magnets stop the nightmare of tinnitus, researchers say. Retrieved May 15, 2010, from The Deaf Blog:
http://www.thedeafblog.co.uk/2009/02/magnets_stop_the_nightmare_of.html