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In the never ending saga of concussions (See post #598)

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Old
03-04-2013, 12:39 AM
  #376
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globehockey 9:41pm via dlvr.it Concussion concerns fuel desire for youth hockey bodychecking ban: Survey http://t.co/dJNjMeFuba

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03-13-2013, 12:01 PM
  #377
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http://aol.sportingnews.com/nhl/stor...ille-predators

Canadiens' Blake Geoffrion, 25, informs team he plans to retire after serious head injury (including concussion) suffered this past fall playing in AHL.

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03-13-2013, 01:39 PM
  #378
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Maybe the only equipment a hockey player should get is helmet, skates, stick.

They are their own worst enemies when it comes to head injuries.
Okay that's extreme but going to soft padding would definately help.

It just seems the only real solution is going to be changes to the game itself.

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03-19-2013, 12:21 PM
  #379
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http://thehockeywriters.com/revised-...ed-by-the-nhl/

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For the first time in over 15 years, the American Academy of Neurology (AAN) has issued a revision to their standard guidelines for sports-related concussions. Despite endorsement by the National Football League Players Association, they are not endorsed by North American pro hockey organizations.
...
It should be noted that while these guidelines were developed by a panel assembled by the AAN and are endorsed by other professional societies as well as the National Football League Players Association (NFLPA), they have not yet been endorsed by any professional hockey league or hockey players’ association, including the NHL and the NHLPA, which use their own evolving protocol.
It should also be noted that the new guidelines do not address the disease widely associated with repeated head injury and found in the autopsies of former NHLers Bob Probert, Reggie Fleming and Rick Martin, chronic traumatic encephalopathy (CTE). According to review co-author Jeffrey Kutcher, MD, of the University of Michigan in Ann Arbor, this is because these are evidence-based guidelines, and CTE is “an anecdotal diagnosis” supported only by case reports at this point.

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03-19-2013, 05:33 PM
  #380
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One thing I will say is the players who turn their backs to opposing players who are coming in for a hit along the boards just to draw a penalty, should get a game misconduct and a suspension, because those are the IDIOTS who get half of the concussions. I have NO sympathy for stupid players who do that and get concussions at any level of the game! This is the play that needs to be eliminated from hockey. It's a cowardly play and a disgrace to the game.

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04-23-2013, 12:02 PM
  #381
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http://sportsillustrated.cnn.com/nhl...sion-symptoms/

Intro to (paid access) "Chris Pronger has a headache" article, looking at the path Pronger's been through. (Also in 4/22 SI magazine)

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05-03-2013, 03:22 PM
  #382
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New concussion paper here.

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An anecdotal account from Gulli (2011) reported that former professional hockey players experienced symptoms of depression, anxiety, and in some cases suicidal ideation after suffering a concussion. In partial support of this finding, functional magnetic resonance imaging scans of concussed individuals have indicated similar neural responses in brain areas commonly linked with major depression (Chen et al. 2008).
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..described challenges with his daily life, and certain endeavors in his post-athletic career.. wondered aloud during the interview, was whether his inability to recollect details such as names and phone numbers resulted from concussions or a natural aging process.. noted that multiple concussions altered his mood and he “became a different person.” He suggested that this altered mood contributed to his failed marriage.. was visibly frustrated with the quality of care he received from inside the game (i.e., team, league), and had it not been for what he called “chance encounters” with caring medical professionals, he feared things may have turned out much differently. Specifically, he admitted he contemplated taking his life as a result of his concussions and the ongoing pain he experienced from his headaches.. all five of the participants said they still experienced concussion symptoms (4–14 years after retirement) in their day-to-day lives..
Quote:
noted, “There aren’t too many days that go by where I don’t have some type of discomfort in terms of headaches or head pressure. I don’t think it will ever resolve.. You’re on your own little island. . . . You’re not really around the guys because the team doesn’t want you around the guys. They don’t want injured guys around. They don’t want that epidemic around and you’re cast aside.. I was at the point where I’d be driving along and would think about going full speed and hitting the wall. Just end it. The pain was unbelievable. I had headaches every day for a minimum of three and a half years. Not just a little headache where you want to take an aspirin. I almost wanted to scream. If I had a day off
from my headaches it was like I won Super 7. I was ecstatic, I could see, I could think..
Also

Quote:
Br J Sports Med. 2013 May 1. [Epub ahead of print]
A systematic video analysis of National Hockey League (NHL) concussions, part II: how concussions occur in the NHL.
Hutchison MG, Comper P, Meeuwisse WH, Echemendia RJ.

David L. MacIntosh Sports Medicine Clinic, Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, Ontario, Canada.

This work aims to describe how concussions occur in the National Hockey League.

Case series of medically diagnosed concussions for regular season games over a 3.5-year period during the 2006-2010 seasons. Digital video records were coded and analysed using a standardised protocol.

88% (n=174/197) of concussions involved player-to-opponent contact. 16 diagnosed concussions were a result of fighting. Of the 158 concussions that involved player-to-opponent body contact, the most common mechanisms were direct contact to the head initiated by the shoulder 42% of the time (n=66/158), by the elbow 15% (n=24/158) and by gloves in 5% of cases (n=8/158). When the results of anatomical location are combined with initial contact, almost half of these events (n=74/158) were classified as direct contact to the lateral aspect of the head.

The predominant mechanism of concussion was consistently characterised by player-to-opponent contact, typically directed to the head by the shoulder, elbow or gloves. Also, several important characteristics were apparent: (1) contact was often to the lateral aspect of the head; (2) the player who suffered a concussion was often not in possession of the puck and (3) no penalty was called on the play

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05-07-2013, 12:15 PM
  #383
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http://www.thestar.com/opinion/comme...n_the_nhl.html

Toronto pundits calling for total ban on headshots after Montreal player Eller injured in open ice hit.

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05-08-2013, 01:55 PM
  #384
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CTVNews 8:04am via HootSuite

Hockey Alberta eliminates body checking for peewee division players http://t.co/VaHD9nZ6Ik

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05-10-2013, 08:37 AM
  #385
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The incidence of concussion in professional and collegiate ice hockey: are we making progress? A systematic review of the literature.
Ruhe A, Gänsslen A, Klein W.

The fast, random nature and characteristics of ice hockey make injury prevention a challenge as high-velocity impacts with players, sticks and boards occur and may result in a variety of injuries, including concussion.

Seventeen studies met the inclusion criteria. The heterogeneous diagnostic procedures and criteria for concussion prevented a pooling of data. When comparing the injury data of European and North American or Canadian leagues, the latter show a higher percentage of concussions in relation to the overall number of injuries (2-7% compared with 5.3-18.6%). The incidence ranged from 0.2/1000 to 6.5/1000 game-hours, 0.72/1000 to 1.81/1000 athlete-exposures and was estimated at 0.1/1000 practice-hours.

The included studies indicate a high incidence of concussion in professional and collegiate ice hockey. Despite all efforts there is no conclusive evidence that rule changes or other measures lead to a decrease in the actual incidence of concussions over the last few decades. This review supports the need for standardisation of the diagnostic criteria and reporting protocols for concussion to allow interstudy comparisons in the future.
http://www.ncbi.nlm.nih.gov/pubmed/23645831

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05-12-2013, 05:10 PM
  #386
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If they really cared, there would be a mandatory 4-6 week recovery period after a concussion. This has been conclusively shown to lower the reoccurrence rate going forward. Everything else is B.S., they (NHL and owners) don't give adequate recovery time because it might cost them money.

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05-12-2013, 06:36 PM
  #387
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Quote:
Originally Posted by str8shooter View Post
If they really cared, there would be a mandatory 4-6 week recovery period after a concussion. This has been conclusively shown to lower the reoccurrence rate going forward. Everything else is B.S., they (NHL and owners) don't give adequate recovery time because it might cost them money.
And the long history of players playing "through" concussions to be considered "manly" and tough.

Times change.

Perhaps there will be a mandatory "sit out period" once a concussion has been diagnosed.

But as can be seen with Crosby and even Pronger, is there really a "set time"? It's really on each individual and how they recover.

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05-18-2013, 11:05 AM
  #388
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SBJLizMullen 6:31am via Twitter for BlackBerry®

NFL attorney Gary Gertzog: 224 concussion cases have been filed by players v NFL or its entities. Sports Lawyers Association SLA

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06-06-2013, 12:20 PM
  #389
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EricOnSportsLaw 10:08am via web Andy McDonald says could play another couple of years but is concerned about his brain; another indication tides are shifting - permanently




(St Louis Blues forward announced retirement today)

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06-15-2013, 12:35 PM
  #390
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http://blogs.denverpost.com/avs/2013...bout-it/13834/

Adrian Dater chatted/debated with now retired Scott Parker at his tonsorial establishment in Colorado ....

Quote:
Scott Parker was extremely gracious and just like the guy I’d always remembered, (but worried for a while if he’d gone off some kind of deep end). He came in a spirit of friendship, and I was only too glad to meet him all the way. He is suffering somewhat from concussion symptoms from his playing days. He had about 20 concussions in his playing days. I didn’t mis-type. Twenty. He talked about how he’s had to adjust to life in recent years – no bright lights, no loud noises, no riding around in motorcycles or anything else that might spin him around much. But he’s functional and seemingly happy otherwise.

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06-18-2013, 07:06 PM
  #391
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http://www.hockeywilderness.com/2013...ion-guidelines

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In March of 2013, the American Academy of Neurology released their updated concussion guidelines. This is an update on the 1997 guidelines. One thing that differed in the creation of these guidelines from the 1997 guidelines is that they were created by a panel of mostly nonneurologists (7 of the 12 members). According to Dr. Giza, this is important because the guidelines aren't meant for just neurologists; concussions are seen by other specialists.

The previous guidelines attempted classification of the severity of concussions at occurrence and tried to predict return to play recommendations on that classification. The new guidelines do not have a set time for return to play. That is the major change in the guidelines as evidence has shown that the scales were not indicative of who was taking longer to recover.

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07-23-2013, 02:10 PM
  #392
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NHL concussion protocol

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08-05-2013, 12:54 PM
  #393
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PLoS One. 2013 Jul 17;8(7):e69122. doi: 10.1371/journal.pone.0069122.

Bodychecking rules and concussion in elite hockey.
Donaldson L, Asbridge M, Cusimano MD.

Division of Neurosurgery and Injury Prevention Research Office, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada ; Canadian Brain Injury and Violence Research Team, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

Athletes participating in contact sports such as ice hockey are exposed to a high risk of suffering a concussion. We determined whether recent rule changes regulating contact to the head introduced in 2010-11 and 2011-12 have been effective in reducing the incidence of concussion in the National Hockey League (NHL). A league with a longstanding ban on hits contacting the head, the Ontario Hockey League (OHL), was also studied. A retrospective study of NHL and OHL games for the 2009-10 to 2011-12 seasons was performed using official game records and team injury reports in addition to other media sources. Concussion incidence over the 3 seasons analyzed was 5.23 per 100 NHL regular season games and 5.05 per 100 OHL regular season games (IRR 1.04; 95% CI 1.01, 1.50). When injuries described as concussion-like or suspicious of concussion were included, incidences rose to 8.8 and 7.1 per 100 games respectively (IRR 1.23; 95% CI 0.81, 1.32). The number of NHL concussions or suspected concussions was lower in 2009-10 than in 2010-11 (IRR 0.61; 95% CI 0.45, 0.83), but did not increase from 2010-11 to 2011-12 (IRR 1.05; 95% CI 0.80, 1.38). 64.2% of NHL concussions were caused by bodychecking, and only 28.4% of concussions and 36.8% of suspected concussions were caused by illegal incidents. We conclude that rules regulating bodychecking to the head did not reduce the number of players suffering concussions during NHL regular season play and that further changes or stricter enforcement of existing rules may be required to minimize the risk of players suffering these injuries
http://www.ncbi.nlm.nih.gov/pubmed/23874888

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09-03-2013, 09:28 AM
  #394
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MikeWiseguy 6:05am via Safari on iOS Nearly half of college trainers told by coaches to get concussed players back on field before they're ready. m.chronicle.com/article/Traine…





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09-13-2013, 02:36 AM
  #395
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http://abclocal.go.com/kgo/story?sec...rticle-9246631

SF 49er Hall of Famer Ronnie Lott advocating better "protection" for all levels of football.

Quote:
San Francisco 49ers hall of famer Ronnie Lott estimates he suffered at least 20 concussions during his career, but now he is advocating better protection for players, especially at the youth and high school levels.

"We need to find ways to make sure that a doctor is on site, that a doctor is there, if we do have a head injury, that he can help that young man and make sure that that young man's welfare is taken care of," said Lott.

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10-08-2013, 09:52 AM
  #396
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Jeff Z. Klein ‏@jzedklein 1h At Mayo Clinic in Rochester, Minn., for 2nd concussion summit. Highlights coming up throughout the day.

Jeff Z. Klein ‏@jzedklein 1h Accdg to study of a jr team in Rochester MN over 2 seasons, avg. player got 7 head impacts per game. F had 40% more impacts than D.

Jeff Z. Klein ‏@jzedklein 1h Brian Benson, U. of Cgy: No evidence that mouthguards reduce concussion risk. Some evidence that full face-shields reduce conc. severity.

Jeff Z. Klein ‏@jzedklein 35m Question at Mayo Hockey Concussion Summit: If full face shields lessen concussion severity, why is NCAA considering going to half shields?

Jeff Z. Klein ‏@jzedklein 29m To be clear -- NCAA hockey only considering half shields. Full shields mandatory for at least this season and next.

Jeff Z. Klein ‏@jzedklein 17m Blaine Hoshizaki of U Ottawa on new concussion helmet sensors, chinstraps, etc., for youth hockey: "Some work, a lot don't."

Jeff Z. Klein ‏@jzedklein 16m Sports Legacy Institute in Boston working on way to certify such products for detection of potential concussion in youth football, hockey.

Jeff Z. Klein ‏@jzedklein 2m Interesting murmurs at Mayo hockey concussion conf.: helmets that reduce concussions -- the holy grail -- may be within a few years' reach.


(More through the day as I find time)

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10-08-2013, 10:02 AM
  #397
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Related to the NHL issues on concussions, tonight is the PBS Special on the NFL's concussion crisis:

Source: http://www.pbs.org/wgbh/pages/frontl...gue-of-denial/


Last edited by Llama19: 10-08-2013 at 10:25 AM. Reason: Spelling...
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10-08-2013, 10:56 AM
  #398
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Jeff Z. Klein ‏@jzedklein 38m Thomas McAllister, psychiatrist, of Dartmouth: 33% of those diagnosed with brain injury experience significant depression within 12 months.


Jeff Z. Klein ‏@jzedklein 37m
McAllister's stats are for all patients with brain injury. Not enuf stats for sports concussions, but depression, anxiety often reported.


Jeff Z. Klein ‏@jzedklein 36m
McAllister advises the NFL, where post-concussion depression, anxiety, aggression comes up a lot in its current and ex-players.


Jeff Z. Klein ‏@jzedklein 33m
Ann McKee, the Boston U. reseracher whose dissections of athletes brains to see CTE damage have been revolutionary, now speaking.


Jeff Z. Klein ‏@jzedklein 33m
McKee's topic: Can we diagnose CTE during life using neuroimaging? (Research has already been published suggesting this is possible.)


Jeff Z. Klein ‏@jzedklein 29m
McKee shows slide of Derek Boogard's brain at death at age 28. He had Stage 2 CTE damage. There are 4 stages of damage.


Jeff Z. Klein ‏@jzedklein 28m
McKee: Brain of NFL'er Ollie Matson, who died at 80, had shrunk to half normal size because of CTE damage.


Jeff Z. Klein ‏@jzedklein 25m
McKee's slides: Brain shrinkage noticable in scans of brains of living athletes suspected of having CTE.


Jeff Z. Klein ‏@jzedklein 24m
McKee: "I think there is a way we can come up with a way to detect CTE using imaging. This is a very exciting time."


Jeff Z. Klein ‏@jzedklein 20m
NCAA face shield issue drawing interest. Be aware: evidence suggests full shield lessens severity of concussion, but as yet inconclusive.


Jeff Z. Klein ‏@jzedklein 2m
Q&A at Mayo. Micky Collins of UPitt concussion program advocates having concussed athletes interact socially with friends ...


Jeff Z. Klein ‏@jzedklein 1m
... rather than stay quiet in dark rooms, which can increase depression.


Jeff Z. Klein ‏@jzedklein 34s
Ann McKee: BU brain program had no female athletes' brain til recently. They are being studied. They have studied 80 or more male brains.


(Please follow Klein for further updates @ symposium)

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10-08-2013, 06:08 PM
  #399
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http://www.upi.com/Health_News/2013/...4611381248874/
UPI article on the Mayo Clinic Ice Hockey Summit II on concussions

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10-09-2013, 01:29 AM
  #400
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PBS's Frontline aired a 2hr in-depth doc on the NFL settlement & concussions this evening that was quite informative... believe you can now watch it on-line at pbs.org.

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