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LOGAN JUNIOR LACROSSE
_ Gross confusion
_ Loss of Consciousness (LOC)
_ Inappropriate laughter or crying
_ Feeling foggy
_ Double or fuzzy vision
_ Concentration or memory problems
_ Changes in sleep patterns
These symptoms may occur immediately or days afterwards. Most of
the time, a concussion does completely resolve with time. However, if the
player receives a second concussion while they are still healing from the first
injury, permanent neurological damage may occur.
(Page One (1) to be removed and returned to Coach Ringle before participation in any lacrosse activities, practices, scrimmages and games – with pads or without pads)
concussion is an injury that changes how the cells in the brain normally work.
A concussion is caused by a blow to the head or body that causes the brain to
move rapidly inside the skull. Even a “ding,” “getting your bell rung,” or what
seems to be a mild bump or blow to the head can be serious. Concussions can
also result from a fall or from players colliding with each other or with
obstacles, such as a goalpost.
Adolescents have been shown to have a slower recovery rate from concussion when compared to adult/professional athletes.
Female athletes have been shown to have a higher risk of concussion than male athletes.
· Appears dazed or stunned
· Is confused about assignments
· Forgets plays
· Unsure of game, score, or opponent
· Moves clumsily
· Answers questions slowly
· Loss of consciousness
· Displays behavior or personality change
· Can't recall events prior to or after injury.
Some Signs and Symptoms of Concussion:
· Unaware of game period, opposition, or score of a game
· Memory loss/amnesia
· Loss of consciousness
· Balance problems or dizziness
· Nausea or vomiting
· Feeling “stunned,” “dinged,” “foggy,” or “dazed”
· Visual problems (e.g., seeing stars, double vision)
· Ringing in the ears
· Irritability or emotional changes
· Slow to answer questions or follow directions
· Vacant stare/Glassy eyed
· Slurred speech
· Inappropriate playing behavior (e.g., running the wrong direction)
· Significantly decreasing playing ability
· Sensitivity to light and noise
· Trouble sleeping
· Poor concentration
· Poor memory
Head trauma is a common problem in sports, and it has the potential for serious complications if not managed correctly. Even what appears to be a brief “bell ringer” with no loss of consciousness has the real risk of catastrophic results in an athlete that is returned to action too soon. Both the medical literature and lay media frequently report on dangerous complications of concussion: post-concussion syndrome, and second impact syndrome. There is also a rising concern regarding the number of concussions an athlete can sustain before causing damage to the brain. Scientific proof of this concern and its consequences are not available at this time.
At many athletic contests across the country, there is a lack of trained and knowledgeable individuals managing concussed athletes. Frequently, there is undo pressure from various sources (parents, player, and coach) to return a valuable athlete to action as quickly as possible. In addition, often athletes are unwilling to report headaches and other findings that he/she feels may be related to a concussion, because they fear this will prevent them from playing and be seen as “weak” by teammates and coaches.
The National Federation of State School Associations (NFHS) recommends that information be distributed to coaches, teams, clubs and parents, so that persons making sideline decisions regarding athletes may benefit from the latest knowledge regarding concussion and head injury. Below are some guidelines and information that may be helpful in establishing a protocol within your team and club. Please remember, these are general guidelines and must not be used in place of the central role that a physician and licensed athletic trainer must play in protecting the health and safety of student athletes.
Concussion – a complex process affecting the brain induced by traumatic biomechanical forces. Several common features may be utilized in helping to define a concussion:
Concussion may be caused by either a direct blow to the head, face, or neck, or
an indirect blow elsewhere on the body with forces transmitted to the head.
with a history of concussion should have a yearly Pre-participation Physical
Exam. There should be a focus on their neurologic exam and specific questions
to help truly assess concussion frequency and severity, as many athletes may
not recognize concussions they may have had in the past. This history may
“pre-identify” those athletes who will fit into the Complex Concussion
category. It also gives the opportunity for a physician to educate the athlete
& his/her family regarding the significance of concussion.
an injury that will progressively resolve without complication in less than 10
days. In such cases, limitation of activity while symptomatic is the only
necessary intervention, and the athlete will typically resume sports without further
problems. This is the most common form of concussion and can be
appropriately managed by primary care physicians and licensed athletic trainers
working under medical supervision. The cornerstone of management is rest until
all symptoms resolve, and then a slow, progressive program of activity before
return to sport.
These are cases where athletes suffer persistent symptoms (including recurrence of symptoms with exertion), specific signs (prolonged loss of consciousness >1 minute, amnesia), or prolonged cognitive impairment following the injury. This group should also include athletes who suffer multiple concussions over time or where repeated concussions occur with less impact force. This group 64 should be managed with the help of a physician specialist who has specific expertise in concussion, such as a sports medicine physician, a neurologist, or a neurosurgeon.
evaluation of cognitive function is essential. Symptoms can worsen over time,
so athletes must be reassessed throughout the contest or practice.
1. The player should not be allowed to return to play in that game or practice.
2. The player should not be left alone, and regular monitoring for deterioration is essential over the initial few hours after the injury.
3. The player should be medically evaluated following the injury prior to return to play.
4. Return to play must follow a medically supervised stepwise process.
5. A player should never return to play while symptomatic: WHEN IN DOUBT, SIT THEM OUT!
1. Complete rest until the athlete is 100% symptom free.
2. The athlete may progress to light aerobic exercise (walking, stationary biking) without resistance training.
3. Sport-specific exercise can begin the next day (skating in hockey, running in soccer, etc.).
4. The athlete may begin non-contact training drills, as well as light resistance training.
5. After medical clearance, the athlete may participate in full contact practice.
6. Game play.
of recurrent and/or complex concussion, the rehabilitation will be more
prolonged. These athletes should be managed by a physician with experience in
dealing with concussions.
Prevention – Players are required to wear protective equipment which fits correctly. Coaches are required to teach proper lacrosse techniques and use of protective equipment. Rules will be closely followed and enforced by officials, players and coaching staff.
1. Honest reporting of symptoms by the athlete
2. Assessment of those symptoms by a medical professional
3. Return to play protocols and decision making process