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03-03-2010, 01:20 PM
Join Date: Sep 2003
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Originally Posted by LostMyGlasses View Post
Does Elliot think we should stay away from all players who have suffered a concussion?
Elliott Pap:
Willie is only 32 but this is his second concussion in three years. Not good...

If you are Willie Mitchell and you have no extended contract in place, are you rushing back to play for the Canucks when one more knock on the noggin before you are 100% past your neurological problems can end your career and even your life or result in permanent brain damage?

Once you have had multiple concussions there is a real danger of another hit ending your career... or worse.
The concussion point person to organizations including the International Olympic Committee, Fédération Internationale de Football Association, National Hockey League, NHL Players Association and the CFL, Dr. Johnston's work served as the basis for an international standardized protocol of evaluating people who experience concussion in sport. This method was adopted at the International Symposium on Concussion in Sport held in Vienna and then updated at the second international symposium held in Prague in 2004.

The protocol clarifies that most people with concussion do not get knocked unconscious. 'That's one of the important take-home messages,' says Dr. Johnston. 'The whole idea of cognitive and physical rest after concussion is also very important. Being an invisible injury, it's easy to underestimate the value of rest. We're starting to realize, especially with kids, that cognitive rest is as important as physical rest. You have to take time and really decrease all exertion cognitive and physical until your symptoms are completely gone. And then it's ideal to go through a graded return to activity.'

Typical post concussive symptoms can include feeling dazed, "having your bell rung", memory problems, confusion, poor co-ordination, headache, and nausea. Return to play in a contact activity while still symptomatic is very dangerous. The most severe consequence is the "second impact syndrome"; this is a rare but usually fatal condition whereby even a seemingly mild blow to a previously concussed brain leads to massive brain swelling. Return to play while symptomatic has also been shown to increase the risk of further concussion, persistence of post concussive symptoms and other injury. Post concussive symptoms may also increase with any type of exercise following injury, so a gradual increase in exercise and return to play protocol should be used. It has also been shown that multiple concussions can lead to permanent, irreversible changes, such as memory loss, concentration problems, headaches etc.

Last edited by Wetcoaster: 03-03-2010 at 01:25 PM.
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