Tag Archives: protocol

Return to Play is Important But Return to Learn is Vital

With a rise in awareness in the world of sports regarding the strikingly prevalent danger of brain injury and its deleterious effects, there has been a corresponding increase in the development of various concussion protocols for returning to active participation in sports following an injury.  These protocols are now the norm in the major sports leagues such as the NFL, NHL, MLB and NBA.  These “Return to Play” protocols are important for ensuring that athletes do not suffer a second concussion that can compound the damage of a not yet fully healed first one, causing an even more serious injury.  Schools around the country are following suit, pushing for more training on concussions.  In many school districts, concussion training for school athletic trainers and/or coaches is mandatory.  There is also a considerable amount of discussion in the media about return to play policies at the school-age level.  Just as professional athletes do, student athletes need to avoid the effects of compounding brain injuries.  However, there is a subject that seems to be garnering less public conversation but is even more important than when a student may be “ready to play”.  There is far too little discussion about an immensely more important topic, namely when a student is “ready to learn”.

School-age youth universally have one primary “job” in their lives, and that is to perform at their best in school classes.  Though sports are enjoyable and often quite meaningful to students, only a tiny few will go on to earn a sports scholarship to college and just a small fraction of those will ever play professional sports.  And even of this small fraction, only a handful will play more than a few years in professional sports.  Sports are not likely to be any particular student’s full time future job.  However, almost every single student’s future is tied in some way to his or her ability to learn information in a school setting. Most every job, and adult life in general, will require extensive dependence upon skills learned in the classroom such as writing and math.

School is similar to an adult’s full-time job as it encompasses the majority of daytime activities and requires a significant expenditure of cognitive energies on a daily basis to ensure performance at optimal levels.  Pushing a child back to school too quickly post-injury can engender an inability to learn effectively which can lead to a downward spiral of emotional distress and academic failure.  Schools need to work with parents and health professionals in order to create a plan for return to school after a brain injury, whether that injury be suffered on the playing field, in a car accident or by any other means.  Not every child will be able to return quickly or to a full load of classes.  Adjustments may be necessary to the schedule, format or setting of classes and school material.  The child may require special assistance from aids, tutors and note-takers.  The child may also benefit from breaks in the day to when he or she has crossed a threshold of cognitive overload.  If injuries are particularly serious and long-lasting, a Section 504 plan may be necessary.  The Brain Injury Association of Vermont has a sample return to learn protocol that can help guide parents, educators and health professionals as to when a child would likely be ready to healthily engage in different school tasks.

 

http://biavt.org/concussion-kit-documents/Section%207%20-%20RTL%20Protocol-pub%20final_5-9-13.pdf

http://biavt.org/concussion-kit-documents/Section%207%20-%20RTL%20Protocol-pub%20final_5-9-13.pdf

A healthy return to play protocol following a brain injury is important, but we need to remember that a child ultimately does not need to play a sport.  However, every child most assuredly does need to learn in school. So let’s increase the discussion on “ready to learn” plans and needs!

Learn about brain injury treatment services at the Transitional Learning Center: http://tlcrehab.org/

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English Premier League Concussion Protocol

The English Premier League, one of the top leagues in professional soccer, recently enacted new protocols designed to help manage the effects of concussions suffered by its players.  Under the new rules, all players will be given baseline neuropsychological testing for later comparison prior to each season, in much the same way that the NFL, the NHL and NASCAR already do.  Any player who has received a concussion  (or is even sufficiently suspected of having received a concussion) will be automatically removed from the remainder of a given game.  The decision whether or not the player has received a concussion will be solely up to the team doctor, rather than allowing coaches or players themselves to make that all too crucial call.
These new rules follow on the heels of the World Cup, at which Alvaro Pereira of Uruguay and Christoph Kramer of Germany both continued to play after receiving concussions.  Former United States National Team member and current television analyst Taylor Twellman brings up the concern that a neutral doctor would be a better choice to make these evaluations than a team doctor, as the team doctor may feel pressure from the organization under which he’s employed to allow a star player to return.  Though his point is valid, this nonetheless still doubtlessly represents a much-needed step in the right direction as concerns the health and well-being of professional soccer players.  Moreover, as the English Premier League tends to be a trendsetter for other leagues, this likely bodes well for the further implementation of concussion protocols in leagues around the world.  After all, a concussion is just another word for brain injury and the better that these injured players are cared for, the less likely it is that their injuries will lead to permanent brain damage.

http://www.nytimes.com/2014/08/07/sports/soccer/premier-league-concussion-protocol-could-force-injured-players-from-games.html?_r=0

Learn about brain injury treatment services at the Transitional Learning Center: tlcrehab.org