Thursday 5 July 2012

Australian Football Codes seek to tackle Concussion

Been a while since we blogged on concussion?
Seems to have been something of a big deal recently in Australia.


The Medical Journal of Australia has just published an article suggesting that the current neuroscience evidence should be driving the debate rather than media interest, particularly in light of recent high profile cases in the USA: check SPACE articles-
Concussion litigation 
Flights & Games post concussion 
Derek Boogard 'Brain going bad'.


Andrew Kaye & Paul McCrory discuss the medical management of sporting concussion in their piece "Does football cause brain damage?"Medical Journal of Australia 2012; 196 (9): 547-549
However elsewhere within the same journal there is a piece by Gilbert & Partridge Medical Journal of Australia 2012; 196 (9) 561-563 on the need to tackle concussion in Australian football codes. 


The much cited article of Omalu et al ( J Forensic Nurs. 2010 Spring;6(1):40-6. Omalu et al) raised the spectre of Chronic traumatic encephalopathy (CTE) being linked in the death of a 44 year-old American Footballer to premortem history of cognitive and neuropsychiatric imariment, including depression, suicide attempts, insomnia, paranoia and impaired memory prior to the fatal gunshot wound.  


Gilbert & Partridge state that although CTE is usually linked to a history of 'concussion', tauopathies found at post-mortem examinations of young footballers' brains did not report any such history.


Shaun Valentine being assisted from the field of play
Yet rugby league players in Australia have been asked if they would consider donating their brains to the 'Boston Brain Bank' as a result of the headaches, nausea and vomiting following their carers in the sport with concussive episodes (Herald Sun: Shaun Valentine & NRL players sought for study).


How is rugby league managing their population that is injured on the field of play in 2012? Watch this SPACE for a couple of intriguing examples whilst we should pay attention to the comments of Kay & McCrory say: "Everyone involved in athlete care, including referees, administrators, parents and coaches, as well as the athletes themselves, must be educated about the importance and principles of safe return to play after injury."

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