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8/7/2019 Soccer concussions
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Soccer & Head Injuries
Jacob Reider, MD
Sampson Reider
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What is a Concussion? caused either by adirect blow to the head, face, neck orelsewhere on the body with
an impulsiveforce transmitted to the head.
results in the rapidonset of short-lived impairment of neurologicfunction that resolvesby itself.
may result in nervous system changes but thesymptoms reflect a functional
disturbance rather than a structuralinjury.
results in a set ofsymptoms that may or may notinvolve loss of consciousness.
no abnormality on CT scan or MRI is seen in concussion.
should be prevented whenever possible.
MUST be recognized quickly and managed properly
can be deadly if NOT managed properly
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A concussion is ..
Caused by an impulsive force to the head ..
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A concussion is ..
Altered Brain Function.
There may or may not be loss ofconsciousness
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A concussion will ..
Get Better By Itself
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A concussion looks..
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NORMAL
A concussion looks..
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What causes Concussions inSoccer Players?
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Soccer Concussions
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NORMAL
A concussion looks..
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Can we prevent Head Injuries?
Goal Post changes have saved lives. Ski Helmets have saved lives Bike Helmets save lives
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No Headgear = 2.6 x risk of concussion
Delaney JS, Al-Kashmiri A, Drummond R, et al. The effect of protective head- gear on head injuries and concussions in adolescent football (soccer) players. Br J Sports Med
2008;42(2):1105
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Headgear = 33% less impact force
Withnall C, Shewchenko N, Gittens R, et al. Biomechanical investigation of head
impacts in football. Br J Sports Med 2005;39(Suppl 1):i4957.
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What If I Suspect Concussion?SPORT CONCUSSION ASSESSMENT TOOL 2
SCAT2
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What Next?
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Proceed to the nextlevel if asymptomatic
at the current level. Each step should
take 24 hours One week to
proceed through fullprotocol
If ANY symptomsoccur, drop back tothe previous
level and try toprogress again after
a 24-hour period of
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So What?
Concussion = ~ 5% of all soccer injuries inplayers over 12
By college, 70% of soccer players report
having had at least one concussion. Once a player has a concussion, they are
at much greater risk for a second
concussion and prolonged symptoms. Return to play too early can cause death.This happens every year in the US mostoften in football players.
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Recommendation
Headgear encouraged for all players over 12
Sport Concussion Assessment Tool (SCAT2)
in pockets of all coaches.
Return-to-play (RTP) protocols should be
strictly enforced (not just a doctors note).
Headgear be required for all players who havehad a previous concussion
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