News
News Home
Quick Bites
Exploradio
News Archive
News Channel
Special Features
NPR
nowplaying
On AirNewsClassical
Loading...
  
School Closings
WKSU Support
Funding for WKSU is made possible in part through support from the following businesses and organizations.

Metro RTA

Greater Akron Chamber

The Holden Arboretum


For more information on how your company or organization can support WKSU, download the WKSU Media Kit.

(WKSU Media Kit PDF icon )


Donate Your Vehicle to WKSU

Programs Schedule Make A Pledge Member BenefitsFAQ/HelpContact Us
Health and Medicine




Exploradio: Tackling concussions in youth sports
After years on the sidelines of medical research, clinicians are trying new methods of diagnosing and treating concussions in young athletes
by WKSU's JEFF ST. CLAIR
This story is part of a special series.


Reporter / Host
Jeff St. Clair
 
Doctors are seeing a dramatic rise in the number of concussions among young athletes. Part of the reason is increased awareness of the dangers of brain injury.
Courtesy of Stu Seeger, CC Flickr
Download (WKSU Only)
In The Region:

Researchers in northeast Ohio are tackling long-standing conventions on the best way to treat concussions.

Rather than weeks of bed rest, doctors at Akron Children’s Hospital are trying to get kids back on their feet sooner.

Still, in this week’s Exploradio, WKSU’s Jeff St.Clair finds that caregivers are struggling to understand the long-term effects of brain injuries in young athletes.

Exploradio: Tackling concussions

Other options:
Windows Media / MP3 Download (4:18)


A global concussion discussion
A TV studio is nestled among the treatment rooms and surgical suites at Akron Children’s Hospital. That’s where a crew of cameramen, audio engineers and producers quietly guide a video broadcast.

Pediatric surgeon Todd Ponsky coordinates the hospital’s GlobalCastMD online seminars.

He says about 500 physicians and sports trainers from 36 states and five countries took part in the six-hour discussion about concussions on July 30th.

Dr. Joseph Congeni, director of sports medicine at Akron Children’s, is one of the experts leading the seminar.

"We have to make a cultural change," he says. Young athletes learn how to take a blow and deliver a blow to play American football, but Congeni says, "you can’t tough out brain injuries.”

But what exactly is a concussion?
A concussion is a blow to the head that injures the brain. But Congeni says the injury to the brain is a cellular injury. "It’s a functional injury to the brain, so you don’t see it very obviously and it’s hard to diagnose.”

Congeni say cells in different parts of the brain controlling different functions can be damaged.

So there are at least six sub-types of concussion, according to Congeni. The most common injuries affect thinking abilities because that’s the biggest part of the brain.

A concussion causes problems with memory loss and problem solving, and Congeni says, "the brain just works and moves really slow, and that can be the only symptom.”

Other types of concussion cause more concern
Another type of concussion affects moods -- causing depression, anxiety or irritiability. Others cause fatigue or migraines. One that is often most troubling for doctors causes dizziness and vertigo.

Congeni describes this as a vestibular concussion, "where the balance centers of the brain seem to be involved the most.”

He says he's sending vestibular-concussion patients to physical therapists that take them through a very slow, gradual process of getting blood flowing again through aerobic conditioning. Congeni says new studies show, "significant improvement if you do that in the first week.”

"You can't tough out a brain injury." 

-- Dr. Joe Congeni 

Congeni takes me on a tour of what looks like a high-tech gym at Akron Children’s sports medicine center. It’s here that he often sends young patients with the dizziness type of concussion instead of prescribing the traditional bed rest in a darkened room.

Congeni says physical therapy rebuilds connections in the injured brain through repetition of specific patterns of body movement.

He says within two to three weeks of the injury, 85 percent of young athletes recover.

The 15 percent that worries doctors the most 
But it’s the 15 percent that don’t heal right away that has Congeni and other experts worried.

“We see kids here that take six months, a year, two years, three years, and some that never really get back to where they were before, and those are concerning cases to us,” says Congeni.

And that’s where he says early assessment of the type of concussion is crucial. Congeni says, “The best we can do is tell parents, or coaches, or officials to be aware of abnormal behavior."

All athletes now need a doctor's clearance to return to play.


Youth sports -  like a pool with a lifeguard
Congeni says about 60 percent of Ohio high schools have athletic trainers capable of recognizing concussions.  But, he says, they’re rare at the youth-sports level, especially at big tournaments. 

“It’d be like going to a swimming pool without a lifeguard,” he says.

Congeni is seeing more cases of concussion at Akron Children’s. He says that could be a good thing because, despite the increased number of concussion cases, "we think some of that is heightened awareness.”

Congeni was on the panel that in 2013 created new concussion rules for Ohio youth sports. The NCAA last month created new voluntary rules that are intended to reduce brain injuries in college athletes. 

After years of apparent denial, professional and amateur sports leagues, coaches and trainers are teaming with healthcare providers in campaigns to prevent concussions not just for the sake of athletes, but for the long-term health of contact sports itself.

(Click image for larger view.)

Add Your Comment
Name:

Location:

E-mail: (not published, only used to contact you about your comment)


Comments:




 
Page Options

Print this page

E-Mail this page / Send mp3

Share on Facebook



Support for Exploradio
provided by:








Stories with Recent Comments

The Black Keys guitar tech's moment in the spotlight
Nice job, Vivian. It's always nice to hear about the unsung heroes getting their due! Thank you, Chuck Johnston (Full disclosure - I'm a friend of the Carney fa...

Akron's Tuba Christmas: A resounding blast of holiday spirit
Nice piece, Vivian! Looking forward to hearing you move from flute to tuba on Saturday. Love hearing your interviews and this seemed extra special since I kno...

Cleveland Hugo Boss workers are fighting for their jobs again
Bro. Ginard; I support your effert to keep your jobs, I understand all about concesions, I was a Union offical from 1965 until 1991 and the company th...

Asian Carp control could benefit from bill passed by House, heading to the Senate
help me fight the battle against invasive carp by method of harvest

Ohio's Portman supports lifting limits on party political money
If Portman was legitimately concerned about outside groups influence on elections he would have supported the DISCLOSE act. Instead he helped block it being bro...

Study shows trade with China has cost more than 3 million U.S. jobs
I disagree with James Dorn! If we don't change the playing field and make it a fair competition the whole US industry will be weaker and weaker. Eventually all ...

Video of Cleveland police shooting a 12-year-old is critical to the investigation
While I think this is a very unfortunate, the fact is that police are trained to aim for the large mass of a human to stop them. If they aimed for the leg it w...

Wayne County teacher says he was fired for criticizing dairy
This is bull crap Smithville Schools have changed ever since the new school I'm so ashamed at the district I wish I could pick my house up and move it to anothe...

White Castle is closing its five Northeast Ohio restaurants
you should open a white castle in logan ohio.i'm pretty sure you disappointed,thank you...

Copyright © 2014 WKSU Public Radio, All Rights Reserved.

 
In Partnership With:

NPR PRI Kent State University

listen in windows media format listen in realplayer format Car Talk Hosts: Tom & Ray Magliozzi Fresh Air Host: Terry Gross A Service of Kent State University 89.7 WKSU | NPR.Classical.Other smart stuff. NPR Senior Correspondent: Noah Adams Living on Earth Host: Steve Curwood 89.7 WKSU | NPR.Classical.Other smart stuff. A Service of Kent State University