About Concussions (Unionville Minor Hockey Association)

PrintAbout Concussions

The following information is taken from information presented on February 2, 2015 by Andrea Winarski (Head Trainer UMHA) and Elisabeth White (NP Neurosurgery Outreach Sick Kids) The presentation also contained a disclaimer as follows: "The information presented during this education session is provided as general information and learning and should not replace advice or treatment provided by your family physician or healthcare provider.  It is not intended to be used to treat, or prevent concussion.  For specific medical concerns, please consult your healthcare provider or family physician."

What is a Concussion?

A mild traumatic brain injury (mTBI) affecting the way your child thinks and remembers. It is "invisible" and cannot be detected on x-rays, CT scans or MRI. It results from an indirect or direct impact to the head, face or body causing the brain to get "jolted" in the skull.

Signs and Symptoms of Concussion

 Physical Changes
 - Nausea or Vomiting
 - Vision Changes
 - Loss of Consciousness
 - Irritation from Light or Sound
 - Poor Co-ordination or Loss of Balance
 - Decreased Playing Ability 

Thinking Problems
- Slowed Reaction Times
- Confusion
- Memory Loss or Difficulty Concentrating
- Feeling Dazed

 Changes in Behaviour
 - Sad
 - Anxious
 - Inappropriate Emotions
 Trouble With Sleep
 - Trouble Falling Asleep
 - Sleeping More than Usual
 - Sleeping Less than Usual

: you do not need to lose consciousness to have a concussion*

Red Flags:  When Should I Worry and Go to the Hospital?

 - If any Symptom Suddenly Gets worse

 - Complaints or Worsening Headache
 - Repeated Episodes of Vomiting
 - Double Vision
 - Unequal Pupil Size
 - Seizure
 - Difficulty Arousing or Waking Up

*If your child has any symptoms that are concerning to you seek medical help immediately. 


Return to Learn Return to Play

 - Your child should Not Return to activity or play until cleared by a Medical Professional
 - Your child has completed a graduated recovery process such as the 6 Steps to Return to Play

*It is important to know that concussion symptoms may not be present immediately or can worsen. Your child should be monitored for 24-48 hours after an injury if a concussion is suspected. Post-concussive symptoms may get worse with activity so it is important to gradually return to activity and be monitored/supervised by a medical professional.

Ontario Neurotrauma Foundation (June 2014). "Guidelines for Diagnosing and Managing Pediatric Concussion"

Return to Learn Return to Play
The 5 Steps to Return to Play include:
1. No Activity, Mental and Physical Rest until symptom free
2. Light Aerobic Activity like walking or stationary cycling
3. Sport Specific Activity like skating or running
4. Training Drills without Body Contact
5. Training Drills with Body Contact - only once cleared by a physician
6. Game Play

These steps do not correspond to days, though each step should take a minimum of one day. If symptoms return during this process, the individual should stop the activity and return to rest until symptoms resolve before they try any activity again. A medical professional should be consulted if symptoms persist.

(Source from BC Injury Research and Prevention Unit)

Second-Impact Syndrome

• A rare condition that may lead to brain swelling and death
• Occurs rapidly with dilation of pupils, loss of eye movement, unconsciousness and respiratory failure
• Pediatric and adolescent athletes at highest risk (all reported cases <20yrs of age)
• Occurs when a child sustains a second head injury before the symptoms of the first head injury have resolved

Postconcussion Syndrome
No universal definition (WHO, DSMMD)
Most recent (2010) includes: the presence of cognitive, physical, or emotional symptoms of concussion lasting longer than expected with a threshold of 1-6 weeks of persistent symptoms after a concussion.

(Pediatrics 2010;(3)126)

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Printed from umha.ca on Sunday, January 17, 2021 at 3:31 AM