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- Ricky Carmichael.
More than anything, it comes down to the riders being honest with themselves, teams & sponsors not pressuring them as well.
18 and under, sure, he's a minor, he doesn't know the ramifications.
But, as an adult, it's his business.
Stay out of it.
Let the rider make the call.
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I have included some information for the purpose of informing you and thus upgrading your position to informed.
Uneducated will remain until you can prove you have completed and passed a course in Sport Concussion Management.
Neuropsychological testing has been used extensively in the rehabilitation setting to document and track cognitive recovery. In the area of sports-related concussions, the standard as promulgated by the Zurich statement and other consensus statements has been that recovery can be said to have taken place when symptoms, cognition, and balance have returned to the athlete's baseline (or typical) performance (Halstead et al., 2010; Harmon et al., 2013; McCrory et al., 2013b). Using that as the benchmark, studies have generally found neuropsychological testing to be a useful aid in determining when an athlete has recovered enough to return to competition. Although the methodological rigor of the studies varies (Comper et al., 2010), the ability of neuropsychological tests to detect subtle changes in cognitive function is well established.
Once individuals are symptom-free, it is frequently recommended that they follow a graded return-to-play protocol (see Table 3-8), progression through which is governed in part by recurrence of symptoms (Canadian Academy of Sport Medicine Concussion Committee, 2000; Halstead et al., 2010; Herring et al., 2011; McCrory et al., 2013b). The protocol calls for individuals to proceed to the next level if they remain asymptomatic at the current stage. If concussion symptoms reappear, the athlete should revert back to the previous asymptomatic stage and resume the progression after 24 hours (Canadian Academy of Sport Medicine Concussion Committee, 2000). The Department of Defense is also in the process of developing a gradual return-to-duty guideline (personal communication with Jack W. Tsao, October 8, 2013).
Traditional neuroimaging techniques, such as computerized tomography and magnetic resonance imaging, are of little diagnostic value for concussions per se, because structural imaging results are normal in the case of concussions uncomplicated by skull fracture or hematoma.
http://www.ncbi.nlm.nih.gov/books/NBK185340/
The majority of patients with sport-related concussion recover within a 7- to 10-day period, although children and adolescents require more time to recover than do collegiate or professional athletes.8,75 Persistence of symptoms beyond the generally accepted time frame for recovery may represent a prolonged concussion or may herald the development of post-concussion syndrome (PCS).117 The accepted time frame for recovery is not scientifically established and is influenced by factors such as age, sex, and history of prior concussions.43,54,74 Approximately 10% of athletes have persistent signs and symptoms of concussion beyond 2 weeks.117 In non-sport–related concussion, most individuals recover completely within the first 3 months68; however, up to 33%12,95 may exhibit symptoms beyond that.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3435903/
Where is all the examples of a rider getting back on and causing a crash?
Careers are short,the top guys prepare for the season and one bump to the head sets them out a race and ruins the title
For another year which may not come if they blow a knee outdoors.
When is the first baseline test administered for supercross? The week preceding A1 right?
What happens when the individual takes the test and gives you a false standard? For any number or reasons.
I know it's " Your job and all. " but if even you can't admit that the protocol in place isn't effectively keeping riders out of competition there's nothing I can do to change your mind.
The protocol is perfect.
Every rider should be allowed back on track 7 days after they experience any degree of concussion because " that's the standard. " ..............
You guys gave him the chance to incur a secondary trauma well within the period where, we all know, compounds the effect.
I'm sorry you don't want to admit that, but, I'm not the only one whose calling out your half assed efforts.
It's pretty sad you're unwilling to admin the standards and testing in place, while they may be the best available, do not have the degree of acutely diagnosing any specific individual's status beyond the standards. Not taking their history of brain trauma into factor, or the riders long term well being.
That's where the issues are with the standards in testing. No accounting for the individuals history, The standards that apply to everyone are flawed. It's not a wide spread, blanketed type of diagnosis.
Maybe someday we could be so proactive and forward thinking.
Doesn't seem like it though.
https://www.technologyreview.com/s/600717/this-football-helmet-design-p…
Pit Row
I'm sorry you don't want to admit that, but, I'm not the only one whose calling out your half assed efforts.
While your intentions may be good, your going about it totally the wrong way. Calling out the efforts of Dr's (yes with an actual degree!!!!) with training and studies on the subject, actual 1st hand experience over may years and occasions and working a 2nd job basically as volunteers to keep the riders safe, as frauds and half assed?
Bout time you stopped drinking so much soap box topped off with ivory tower and realise you only work in a hospital, not in the field.
What I wanna know is, is where is all this "I just want to help a guy from himself", kum by ah stuff coming from?
Why do some find it a mission to enforce the way they want to live, or should live, on others?
Prior to our protocol being in place any rider who was diagnosed with a concussion sat out at least two weeks. This was until NEW RESEARCH came out stating that riders with proper follow up could return to competition within 7-10 days.
Perhaps you are using an old Commadore 64 or TRS-80 and not able to pull up the latest research so let me help you out again. Below is a trial study done recently that addresses your REST PERIOD.
To answer your other question about baseline tests. We require per the guidelines of the testing company that risers take a baseline every two years unless they suffer a concussion. We just finished our second cycle of testing.
Not sure what you mean by a false standard but if you mean what if a rider tries to game the system? That's why we have a rider follow up with a PHYSICIAN MD/DO who is trained in current concussion standards when taking their post concussion test.
Benefits of strict rest after acute concussion: a randomized controlled trial.
Thomas DG1, Apps JN2, Hoffmann RG3, McCrea M4, Hammeke T2.
Author information
Abstract
OBJECTIVES:
To determine if recommending strict rest improved concussion recovery and outcome after discharge from the pediatric emergency department (ED).
METHODS:
Patients aged 11 to 22 years presenting to a pediatric ED within 24 hours of concussion were recruited. Participants underwent neurocognitive, balance, and symptom assessment in the ED and were randomized to strict rest for 5 days versus usual care (1-2 days rest, followed by stepwise return to activity). Patients completed a diary used to record physical and mental activity level, calculate energy exertion, and record daily postconcussive symptoms. Neurocognitive and balance assessments were performed at 3 and 10 days postinjury. Sample size calculations were powered to detect clinically meaningful differences in postconcussive symptom, neurocognitive, and balance scores between treatment groups. Linear mixed modeling was used to detect contributions of group assignment to individual recovery trajectory.
RESULTS:
Ninety-nine patients were enrolled; 88 completed all study procedures (45 intervention, 43 control). Postdischarge, both groups reported a 20% decrease in energy exertion and physical activity levels. As expected, the intervention group reported less school and after-school attendance for days 2 to 5 postconcussion (3.8 vs 6.7 hours total, P
Go to RacerX Racerhead #6. Brock Helper has a tweet that puts concussions more into perspective.
Post a reply to: What does it say about our sport ( Stew, Concussions. )