Athletico Health Resources

Concussions are very common in sports, with an estimated 14.3% of high school athletes reporting to have sustained at least one concussion in the last year. Concussions are the result of an injury to the brain in which the brain moves and rotates inside the skull from a blow to the head. One study showed that among both groups, rates of concussions were highest in the sports of football and soccer. In high school sports played by both sexes, girls sustained a higher rate of concussions, and concussions represented a greater proportion of total injuries than boys. Often, after a concussion is sustained, an athlete is held out of sports until they are symptom-free to avoid further injury. What happens when that athlete is a student who needs to go to class, though?

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Approximately 3.8 million sport-related concussions occur every year in the United States. The CDC estimated that 5-10% of athletes will get a concussion in any given sports season. The majority of these concussions tend to take place during competition rather than practice. The risk of concussion tends to vary between genders and depends on the sport being played.

Concussions are caused by TBI’s (traumatic brain injuries), which occur when the brain is jostled inside the skull, causing trauma to the brain. Based on the definition it is unsurprising that there is a much higher risk of injury in contact sports than in non-contact sports. In fact, contact sports such as football, basketball, and soccer account for 45% of all emergency department visits for sports-related concussions among children 17 and under. According to a recent update from the CDC, the top 10 sports with the highest youth rates of concussion are:

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“I didn’t know that there was Physical Therapy for that!” I hear a variation of this phrase from most patients and even some physicians when I tell them that I am a physical therapist specializing in concussions. Over the last several years, much research has gone into concussions and treatment options. We confidently say that physical therapy is often very effective at treating concussion symptoms. We have also learned that 70% of concussions heal spontaneously on their own within 20 days. That brings up the question: When should someone seek physical therapy for their concussion? Recent research indicates that despite most concussions healing on their own, there is a benefit to starting physical therapy quickly.

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It is estimated that as many as 3,900,000 sports and activities-related concussions occur annually in the U.S. A concussion can occur from either a bump, blow, or jolt to the head or body that causes the head and brain to move rapidly back and forth, either from a fall, a collision of players, or impact from the ground or other obstacles. Collision sports are at the highest risk for concussions, but any athletic activity remains a risk.

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Gymnastics is considered a high risk sport for head and neck injuries. A concussion is a traumatic brain injury that can occur from a direct or indirect force on the head. In gymnastics this can be the result of falling on the head, collision with equipment, collision with another athlete, or a fall where the head does not directly take the blow but a whiplash type movement occurs. In each of these scenarios, the brain moves rapidly inside the skull.

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It is common for some things to be overwhelming and confusing after a concussion. Like any recovery, concussion rehabilitation is not linear, but full of peaks and valleys.

Throughout rehabilitation for a concussion, patients may experience new symptoms after a more prominent symptom has resolved. Some people might even have a hard time relating symptoms directly to their concussion. Fortunately, physical therapists trained in concussion management are able to recognize these signs and symptoms and guiding patients through rehab.

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The Chicago Tribune recently reported that high school football participation in Illinois has reached a 26-year low. For the first time since 1993, fewer than 40,000 high school students in Illinois will be participating in football.¹ Furthermore, the National Federation of State High School Associations states the number of high school students playing football has dropped 8 percent since 2007, more than any other sport. However, this is small compared to Illinois’ 25 percent drop in the same timeframe.¹

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Concussions have gotten a lot of attention in recent years, mostly negative attention. It is true that in an ideal world, no one would suffer a concussion. However, life happens. Concussions are thought of as only occurring with a blow to the head which, in reality, is only one way that they can happen.

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