Lacrosse head injuries: Head injuries in men’s and women’s lacrosse: a 10 year analysis of the NEISS database. National Electronic Injury Surveillance System

Concussions in sports continue to be a hot topic, and more sports are making changes to the rules, equipment, injury assessments, and how athletes return to school or their sport following a concussion. In lacrosse, helmets remain controversial across the board. Do they actually protect an athlete from a concussion, or are they giving these athletes a false sense of safety and causing them to be more aggressive?  

The Helmet Debate

For women’s lacrosse, some schools and school districts have made helmets a mandate, while other schools are providing the option for the athletes. In boys and girls lacrosse at the high school level, concussion is listed in the top five most frequent injuries. Goggles and mouthguards in women’s lacrosse are beneficial in protecting against facial injuries, but helmets, which are required in men’s lacrosse, cannot prevent concussions. Helmets also cannot reduce the risk of a second concussion from occurring. 

Concussion and Injury Concerns

Research is now showing that concussions should not be our only concern when it comes to sports. Repeated head injuries, without a concussion, are now linked to chronic traumatic encephalopathy (CTE). These “small,” repetitive hits that athletes take add up over time, and show an increased risk for the same marker as Alzheimer’s and CTE. While athletes may not be diagnosed with a concussion or have symptoms, contact sports may have consequences that athletes will be faced with later. 

Know the Signs and Symptoms

While this new research on repetitive trauma is alarming, education is very important for prevention, diagnosis, and treatment. Athletes, parents, and coaches should understand how these injuries occur, what the signs are, and what the guidelines are for returning to sport following a concussion. Athletes should also feel comfortable coming forward when they have symptoms of a concussion.

Symptoms include:

• Light and noise sensitivity
• Headache or pressure
• Dizziness
• Problems with balance
• Grogginess
• Confusion
• Vomiting or nausea
• Feeling “down”

When concussions do occur, they should be managed properly by a physician. If symptoms persist, physical therapy services can help an athlete get back to their sport safely. 

90,000 An American teenager learned to play 13 musical instruments after a severe head injury. News. Channel One

An American teenager learned to play 13 musical instruments after a severe head injury. News. Channel One

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A severe concussion gave an American teenager impressive musical abilities. Lachlan Conors has been fond of playing lacrosse since childhood. It is a mixture of American football with hockey and tennis. But in one of the matches he collided with an opponent, fell on his back and hit the back of his head hard.

The guy was in the hospital for several weeks. Once he sensed a craving for music and began to quickly master one instrument after another. Now he can easily play 1 variety, including piano, guitar, mandolin, accordion and even bagpipes.

Conors’ mother claims that she always tried to teach him music, but before the injury he was completely deaf. The concussion awakened previously dormant parts of the brain.

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Concussion: FIFA and the Swiss League join forces

Swiss header: FC Schaffhausen’s Philippe Montandon (left) and FC Zurich’s Xavier Margairas battle for the ball. Keystone

This content was published on September 03, 2014

September 03, 2014

After a series of shocking head injuries during the recent World Cup in Brazil, the media around the world criticized the existing rules that allow an injured player to continue the match. FIFA, the governing body of world football, has dismissed accusations that officials are no longer interested in serious football injuries. And the Swiss Football Association recently launched a groundbreaking development to protect athletes from injury.

Christoph Kramer, Javier Mascherano and Pablo Zabaleta did not leave the football field and continued to play, even after suffering head injuries that plunged them into a confused, semi-conscious state. But when Uruguay’s Alvaro Pereira suffered a concussion, it drew heavy criticism from the media around the world.

Pereira described his feelings as follows: “sparks from his eyes fell” when he hit his head on the opponent’s knee. After consulting the team’s doctor, he was allowed to finish the game. The incident immediately caught the attention of FIFProExternal Link, the players’ union, which called for new measures to protect the players.

Regarding Kramer’s injury, FIFPro spokesman Raymond Beaard told swissinfo.ch that the union’s chief medical officer was “shocked to say the least” to see Kramer return to the pitch on replay, although it was “quite obvious” that he could not continue playing. “But we are also criticized. For the fact that we got the impression that no real measures were taken to protect the health of the player at that moment, ”says Beard.

“In the old days, people would support and cheer for a player with a head injury who, after consulting a doctor, would return to the field with a bandage on his head. But the game has changed dramatically over the past 20-30 years – football has become faster and more technical, so the consequences of a collision are many times more serious than before. However, science does not stand still. We now know much more about the consequences of head injuries, concussions and the risks associated with them.”

Misplaced criticism

One way or another, but the main football organization, FIFAExternal link, which is headquartered in Zurich, dismisses all accusations that the health of the players is becoming a trivial matter and ceases to be of interest to officials.

“It is almost impossible to make a medical diagnosis from a TV picture, and it can be misleading,” says Jiri Dvorak, FIFA Chief Medical Officer and Senior Consultant at the Schulthess Clinic in ZurichExternal link.

“Take, for example, the case of Christoph Kramer. When the incident happened, the audience, of course, saw it on TV, but the referee and doctors were not around, and when they ran up to the player, he assured that everything was in order, ”continues Dvořák.

“The doctors of the German team have a lot of experience. Kramer did not report all of the symptoms he had at the time and was allowed to play. Then, over the next ten minutes, he realized by some signs that with him – that such “delays” are not uncommon – and he himself turned to the doctors.

Is the criticism unfair? “FIFA has been researching for 20 years on how to make the game healthier, how to promote football to the masses, turning it into a recreational leisure. So I wouldn’t use the word ‘unfair’ – just say the criticism is ‘inappropriate’.”

Dvořák also emphasized that FIFA is “extremely serious” about head injuries, and said that between 2001 and 2005, extensive studies were conducted that analyzed head-to-head and head-to-head injuries. ball” and “head on the elbow.”

In 2006, based on these studies, it was proposed to introduce a new rule, according to which any player who deliberately elbowed an opponent in the head must be sent off. After the introduction of this rule, according to FIFA, the number of serious head injuries in football has been halved.

Swiss project

Indeed, players in football use their heads much more than the name of the sport suggests: according to FIFA, 13% of all World Cup injuries involve the head and cervical spine, and about one in seven of these injuries leads to concussion.

In 2012, the documentary Head Games: The Global Concussion Crisis was released, looking at the effects of repeated concussions, especially in sports. It mainly analyzes sports such as American football and ice hockey, but also touches on football, boxing, lacrosse and professional wrestling.

But if the collision has already occurred, it is very important to pinpoint the most appropriate treatment for the player. The method of treatment is critical. With this in mind, researchers from the Department of Neurology at the University Hospital of Zurich and the Schulthess Clinic launched a joint project with FIFA.

The Swiss concussion project covers all players in the main national championship in both men’s and women’s leagues for the 2014/15 season. There are ten teams in each league for a total of around 520 players.

“They will undergo an initial examination, including an analysis of their nervous system – including balance, coordination, eye movement and neuropsychic performance,” swissinfo says. .ch Project leader Nina Feddermann-Demont from the Department of Neurology at the University Hospital Zurich.

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“In the event of a head injury, we perform initial and follow-up examinations and tests. Differences between baseline assessment and post-injury outcomes are key to determining how quickly players can return to training and playing for their club. The availability of baseline data is critical in determining the impact of a head injury on the body because most neurological functions – such as reactions, speed, balance – differ from player to player,” she added.

“We have a hotline for a team of physiotherapists and doctors available 24 hours a day, 7 days a week. It is very important for us to work closely with them, because they are insiders, those who know the players well. They usually call or email us when a player has a head injury, and then we offer what we call a “repeated” test, which, as the name suggests, repeats a control test over the next 72 hours.”

The allegations game

Another potential problem is the proliferation of legal claims such as those currently flooding American football and the NFL (National Football League).

More than 4,500 former players or their family members filed a $765 million lawsuit to seek compensation for their head injuries, but in January the lawsuit was dismissed by a federal court, fearing that other former players – and there are about 20,000.

For his part, Raymond Beard says that FIFPro does not think about the legal side of things. “We are only talking about the health of the players.