soccer concussions

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



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What causes Concussions inSoccer Players?


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Soccer Concussions


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NORMAL



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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 headgear 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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soccer concussions

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