MEDICAL: CONDITIONS: CONCUSSIONS : PHYSICAL EXERCISE AND FITNESS : GUIDELINES: New Advice to Move More After a Concussion

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MEDICAL: CONDITIONS: CONCUSSIONS : PHYSICAL EXERCISE AND FITNESS : GUIDELINES: New Advice to Move More After a Concussion

David P. Dillard
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MEDICAL: CONDITIONS: CONCUSSIONS :

PHYSICAL EXERCISE AND FITNESS :

GUIDELINES:

New Advice to Move More After a Concussion

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New Advice to Move More After a Concussion

Phys Ed

By GRETCHEN REYNOLDS

MAY 17, 2017

New York Times

https://www.nytimes.com/2017/05/17/well/move/ 
moving-more-after-a-concussion.html

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A shorter URL for the above link:

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http://tinyurl.com/m4uxpzs

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When young athletes sustain concussions, they are typically told to rest
until all symptoms disappear. That means no physical activity, reading,
screen time or friends, and little light exposure, for multiple days and,
in severe cases, weeks.

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Restricting all forms of activity after a concussion is known as
cocooning. But now new guidelines, written by an international panel of
concussion experts and published this month in The British Journal of
Sports Medicine, question that practice. Instead of cocooning, the new
guidelines suggest that most young athletes should be encouraged to start
being physically active within a day or two after the injury.

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The brain benefits from movement and exercise, including after a
concussion, says Dr. John Leddy, a professor of orthopedics at the Jacobs
School of Medicine and Biomedical Sciences at the University at Buffalo,
and one of the co-authors of the new guidelines.

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There has long been controversy, of course, about the best ways to
identify and treat sports-related concussions. Twenty years ago, athletes
who banged their heads during play were allowed to remain in the practice
or game, even if they stumbled, seemed disoriented, or were seeing stars.
Little was known then about any possible immediate or long-term
consequences from head trauma during sports or about the best responses on
the sidelines and afterward.

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Since then, mounting evidence has indicated that sports-related
concussions are not benign and require appropriate treatment. The question
has been what these appropriate treatments should be.

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In the early 2000s, dozens of the worlds premier experts on sports-related
concussions started meeting to review studies about concussions, with
plans to issue a consensus set of guidelines on how best to identify and
deal with the condition.

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The panel, called the Concussion in Sport Group, does not make formal
clinical practice guidelines. But the groups findings do represent the
latest thinking about sports concussions by the worlds experts, based on
the newest published science, says Dr. Leddy, who is also medical director
of the Buffalo Concussion Management Clinic.

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In its 2012 guidelines the Concussion in Sport Group recommended broadly
that if an athlete of any age was found to have a sports-related
concussion, he or she should rest as completely as possible, remaining in
a darkened room with little visual or physical stimuli, until all symptoms
had gone away and did not return once the athlete began easing back into
normal activities, which could be a week or more.

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This approach was thought to promote recovery by minimizing brain energy
demands following concussion, the authors write in the new statement.

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But since then, a number of studies in animals and people with diagnosed
concussions have indicated that prolonged physical rest may actually delay
the brains recovery.

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So this month, the group published a new set of guidelines that
significantly revise the recommendation for physical rest. Now the advice
is that after a concussion an the athlete should remain quiet for 24 to 48
hours, but then should begin to get up and move.



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The complete article may be read at the URL above.

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