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The Increased Need For Concussion Treatment In Toronto

By Jana Serrano


Reports are coming out of the Canadian province of Ontario indicating that the incidence of head injuries has gone up. Between the years 2003 and 2010, numbers of young people turning up in hospitals for concussion treatment in Toronto went up 50 percent. While this may be an indication that parents are becoming better informed about the risk of head injury, the increase is still cause for concern.

The Mayo Clinic defines concussion as a trauma to the head that causes changes in brain function. These changes may be expressed in the form of memory loss, problems with coordination and balance, headache or difficulties in concentration. Even a seemingly innocuous head injury can cause lasting damage to the brain. Concussions are most commonly the result of a severe blow to the head, although they may also be a consequence of violent or prolonged shaking of the upper torso and head.

The symptoms of concussion may be very subtle and may not present themselves for days, weeks or even months after the injury. They include loss of memory, headache and confusion. They may also include slurred speech, nausea and vomiting, ringing in the ears, seeing stars or a feeling of pressure inside the head. Toddlers and children may become irritable or cranky, cry excessively, display altered eating and/or sleeping patterns or lose interest in their favorite toys.

A trauma to the head does not have to seem serious in order to cause serious brain injury. Many sports players, when injured, insist on continuing to play after receiving a blow to the head. Sadly, this can end in tragedy, as the death of British actress Natasha Richardson, shortly after refusing treatment for a bump on the head while skiing.

Concussions are particularly common in people who participate in contact sports. Hockey players are in a particularly high-risk group. Bodychecking is a defensive maneuver in which the player forcibly drives his shoulder, hip, elbow and upper arm into an opponent. According to the rules, this move is only legal when carried out against the player who has control of the puck.

In 2010, bodychecking involving the player's head or blind side was prohibited; this was to reduce the worrying numbers of concussions involving youngsters. To date, it does not appear to be working; rates of concussion are higher than ever. What is particularly alarming is that female players are suffering more concussions than male players. This is very odd because women's hockey does not permit bodychecking in any form.

The increase in numbers of concussions in female hockey players, and indeed sportswomen in general, is not confined to professional or even college players. Pee wee coaches of girls aged 9 and 10 are reporting high numbers of head injuries. Despite the absence of bodychecking in the women's game, women are experiencing similar, or even higher, levels of concussive head injury.

There is a chief neurosurgeon at a major hospital in Massachusetts who thinks that the reason for this disproportionate increase in concussions could indicate that women are more susceptible than their male counterparts and that more research is needed. Alternatively, it could be that women are not training their neck muscles as much as men do, or that they are more open about reporting such injuries.




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