Fewer Children Visiting Hospitals for Sports-Related TBI

Child in Boston throwing football to father in backyard.
Boston child throwing football to father in the backyard.

There has been a drop in child sports-related TBI visits to ERs, according to the CDC.

According to new research, fewer children are visiting the hospital for sports and recreation-related traumatic brain injuries. This is being largely driven by changes on the football field.

After a decade of rising injuries and the passage of state concussion laws, fewer children have been participating in youth football, contributing to the reduction in injuries. Going forward, the researchers are focusing on studying safer play techniques which could limit contact in football. They will also continue investigating head injuries in other sports, such as soccer and basketball, where the numbers didn’t change significantly.

The Centers for Disease Control and Prevention (CDC) released the research in a recent weekly report. Researchers analyzed data from the National Electronic Injury Surveillance System-All Injury Database.

What the Researchers Learned

The number of children visiting the hospital for sports and recreation-related traumatic brain injuries fell 32 percent from 2013 to 2018.

Researchers attribute this to changes in youth football programs across the U.S. Since 2010, participation has fallen 24 percent. Meanwhile, there was a 39 percent decline in football TBI visits from 2013 and 2018.

This was an encouraging sign. Previously, from 2001 to 2013, there had been a 200 percent increase in children suffering football-related traumatic brain injuries and ER visits. This was among children age 5-17.

While football-related TBI ER visits decreased, there was not significant movement in TBI ER visits for basketball and soccer, two other contact sports.

The CDC and researchers are also studying safer tackling techniques in football. Several sports leagues have also introduced new approaches which limit contact during practice. These include the National Federation of State High School Associations and its member states, along with two major youth football programs.

Concussions and Traumatic Brain Injuries

According to the CDC, a TBI is caused by a bump, blow or jolt to the head. It may be a penetrating head injury that disrupts the brain function. A concussion is a “mild” traumatic brain injury. A concussion may lead to brief changes in mental function and consciousness. Those injured may not realize they have a concussion and learning to recognize potential symptoms can save their life.

When it comes to your child, physicians, pediatricians, schools and caregivers have a responsibility to follow certain steps if they play sports and suffer a concussion or repeated concussions.

Massachusetts Concussion Protocols: Preventing Injuries and Caring for Students

CDC researchers noted that many children can recover from a sports and recreation-related TBI within 4 weeks. However, there is a continued focus on reducing long-term effects on a child’s brain development. Recovery must be carefully monitored.

Massachusetts and other states have passed laws to guide schools and sports leagues on how to prevent and treat injuries. Schools, leagues and coaches have a responsibility to follow the concussion protocols.

In Massachusetts, schools must provide students with training on how to recognize a concussion. Students must be removed from play if a concussion is suspected. They can only return with a doctor’s note. Read more about the Massachusetts concussion protocol on our website.

About Breakstone, White & Gluck – Boston Concussion Lawyers

Breakstone, White & Gluck and our Boston head injury lawyers represent clients after traumatic brain injuries and concussions caused by negligence. If you or a loved one has been injured, receive medical attention right away. Then, learn your legal rights.

For a free consultation with one of our lawyers, call 800-379-1244 or 617-723-7676. You can also use our contact form.

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March is Brain Injury Awareness Month

March is Brain Injury Awareness Month in Massachusetts and across U.S.
March is Brain Injury Awareness Month in Massachusetts and across U.S.

March is Brain Injury Awareness Month. Take the opportunity to learn

Today, there is greater awareness around brain injuries. As a result, many people are treating brain injuries earlier and living healthier lives.

The Centers for Disease Control and Prevention (CDC) observes Brain Injury Awareness Month in March, to provide education about potential concussion symptoms, ongoing research and the needs of those living with a brain injury. This comes at the right time for families, as many children and teenagers plan to participate in spring sports.

Many brain injuries are caused by car accidents, falls or violence. But over the past decade, we have learned more about young children and student athletes suffering concussions on the sports field. In fact, from 2010 to 2016, nearly two million children were treated in emergency rooms for sports-related traumatic brain injuries (TBI), according to the CDC website. Sports associated with the highest number of ER visits: football, cycling, basketball, playground activities and soccer.

Among males 17 and younger, football was involved in 27 percent of all sports-related TBI visits to the ER, more than any other activity. In the same age group, females playing soccer, playground activities and basketball made the highest number of ER visits for TBI. Among children under 5, playground activity resulted in the most ER visits for TBI.

As we continue learning about injuries to children and student athletes, research continues to show older Americans are highly vulnerable to brain injuries. They are the most likely to be hospitalized for TBIs, according to the CDC.

At Breakstone, White & Gluck, our attorneys encourage you to look at the CDC website so you can be informed about the symptoms of traumatic brain injury and concussion. If you observe symptoms in yourself or your children, immediately call your doctor to be examined. Also guide older family members to medical treatment. This is paramount because a brain injury left untreated can result in long-term impairment or death. When someone receives immediate treatment, effective diagnosis and management early on is critical.

What is a Traumatic Brain Injury?

According to the CDC, a traumatic brain injury can be caused by a bump, blow or jolt to the head. There are traumatic brain injuries and mild traumatic brain injuries, which are often called concussions.

What are the Symptoms of a Traumatic Brain Injury?

Centers for Disease Control Concussion Symptoms Chart

Concussion Symptoms. Courtesy CDC Website

 

You may observe some of these symptoms immediately after someone sustains a brain injury. Or symptoms may not emerge for several days. It’s also important to note that not everyone experiences the same symptoms.

Symptoms include difficulty thinking, concentrating or remembering or feeling slowed down.

Physical symptoms may include headaches, nausea, vomiting or fatigue. Some people are sensitive to noise or light. Others have trouble balancing themselves.

When someone suffers a head injury, it’s common for their sleep to be disrupted. They may sleep more or less than normal. Another sign is having trouble falling asleep. More extreme emotions are another symptom. The person may be irritable, sad, more emotional or exhibit high anxiety and nervousness.

Younger children may exhibit some of the above symptoms, but parents should also watch for crying inconsolably, more temper tantrums or getting easily upset and having trouble keeping up with skills they are learning (toilet training for instance). They may also lack interest in their normal activities.

Sports-Related Concussions and TBI in Massachusetts

Be aware of how concussions happen. After a car accident or truck accident, always receive immediate medical attention to make sure you have not suffered a TBI. When an elderly relative slips or a child falls on the playground, check in with the doctor. Do this anytime you observe someone suffer from any type of physical impact to the head.

When you sign your child up to play a sport, ask the coaches for the concussion protocol. In Massachusetts, middle and high schools are required to have documented procedures regarding concussion injuries and prevention. Passed in 2010, M.G.L. c.111 § 222 requires parents and students to participate in concussion awareness training so they can recognize symptoms and receive early treatment. The law also requires students to be removed from play if they may have suffered a concussion. They can only return with medical clearance.

Under the law, public middle and high schools and those subject to Massachusetts Interscholastic Athletic Association (MIAA) regulations must have concussion protocols. Other sports leagues are not required under Massachusetts law, but they should all have a concussion policy on their website.

Final Note

  • At home, educate older children about TBI symptoms. Ask them questions when you sense something may be off and use the above chart to determine whether you may need to call the doctor.
  • Ask for concussion safety protocols at schools and daycare centers, and when children participate in sports leagues. Attend concussion trainings.
  • Watch younger children and older adults closely. Remember young children may not be able to communicate symptoms and pain with you and older adults may not recognize symptoms in themselves, especially if they have other medical conditions.
  • Recruit as many family members as you can in watching for signs in young children, teens and the elderly.
  • Visit some of the online resources below and share them with family members.

Concussion Prevention Resources for Families

Massachusetts Law on Concussion Prevention in Sports

105 CMR 201.00: Head injuries and concussions in extracurricular activities 

M.G.L. c. 111, § 222

Additional Resources

Heads Up to Brain Injury Awareness Training, CDC

TBI-Related Emergency Room Department Visits for Sports – and Recreation-Related Traumatic Brain Injuries Among Children in the U.S., 2010-2016

Facts About Concussion and Brain Injury – Where to Get Help, CDC (a resource for all ages)

Sports Related Concussions and Head Injuries, Mass.gov

Concussion Trainings, Massachusetts Department of Public Health

Returning to School After a Concussion, Mass.gov

About Breakstone, White & Gluck – Boston Personal Injury Lawyers

With more than 100 years combined experience, Breakstone, White & Gluck of Boston is one of the most respected personal injury law firms in Massachusetts. Our attorneys represent individuals who have suffered traumatic brain injuries or mild traumatic brain injuries due to the negligence of another individual, organization or corporate entity.

If you have been injured, learn your legal rights for seeking financial compensation and obtaining medical care. For a free legal consultation, call Breakstone, White & Gluck at 800-379-1244 or 617-723-7676 or you can use our contact form.

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