Concussions in Football and Children

imageedit_4_8211374059 - concussions in football and childrenChildren in Football and Other High Impact Sports

In the July 7, 2014 issue of People magazine, there was an article called, “6-Year-Old Football Players, Too Young to Tackle?” The article discusses the Tri-County Titans, a competitive tackle football team in the Texas Youth Football Association.  What makes the Tri-County Titans so unique? They are a team comprised of 6 year olds.  They were highlighted on Friday Night Tykes, a TV show on Esquire Network.  There’s been a lot of controversy regarding these elementary kids playing football.  So what’s wrong with 6 year olds playing football?  Nothing, except, these young kids are playing tackle football.  While the article discusses the potentially negative impact of competitive football among elementary school kids, I would like to focus on an important issue, concussions in football and children.
 

Concussions & Concussion Symptoms

A concussion is a type of traumatic brain injury that typically occurs when there is a sudden movement of the brain due to an injury such as a blow to the head, a jarring of the head, or a fall.  Concussion symptoms can be various and linger.  Symptoms may include disordered thinking, memory loss, dizziness, headaches, blurred vision, tiredness, nausea, vomiting, difficulty sleeping, and more.  There are new guidelines for returning to sports after a concussion.  These serve to promote brain healing and  prevent additional injury.
 

Concussions in Children

Concussions and other injuries are more likely to occur with tackle football than flag football.  Concussions have a huge impact for children.  The reality is that once someone has had a concussion, they are more likely to have additional concussions. Repeated concussions are repeated brain injuries.  What does that mean for the brain?  It increases the likelihood of chronic lifelong brain damage.  What does that mean to our youth?  The younger the child has a concussion, the more likely they are to have more concussions in their sports lifetime.  The growing brain in the child with repeated concussions is uniquely susceptible to brain damage with prolonged effects, especially if the family and child are planning a life with many years of football or high-impact sports participation.
 

Traumatic Brain Injury

Concussions have come to public attention in recent years due to all of the attention received by concussions in the NFL.  Many NFL players have lifelong effects from repeated concussions.  In 2013, there was a  “$765 million settlement over concussion-related brain injuries among its 18,000 retired players, agreeing to compensate victims, pay for medical exams and underwrite research.”   Repeated concussions can cause a degenerative brain disease called Chronic Traumatic Encephalopathy (CTE).  CTE can manifest as Alzheimer’s, dementia, and Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s Disease.  Measures are being taken in the medical and school communities to help prevent our children from getting concussions during all sports, not just football. Doctors, coaches, and parents are also more aware of concussion symptoms.
 

Support & Resources

If your child suffers a sports related injury, make sure to go to his or her doctor.  Also, make sure your child receives an extra exam that clears him or her to return to their sport.  More importantly,even before a potential injury occurs, make sure you know the facts about concussions.  Make sure your children’s school and coaches know the facts as well.  The CDC has many concussion education resources available, such as “Concussion Fact Sheet for Teachers, Counselors, and School Professionals.”  They’ve even created an “Heads Up” app to help parents identify concussion or traumatic brain injury symptoms.  For more support and resources about concussions, concussion symptoms, and treatment, please refer to the  CDC concussion support website.
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About Nancy M. Silva, MD, FAAP

I'm a Board Certified Pediatrician. I've been in practice since 2000. I'm happily married with two children. I graduated Medical School from the State University of New York (SUNY) Downstate College of Medicine in Brooklyn, NY. My Pediatric Residency training was at University of South Florida, College of Medicine. I've been in private practice since 2000. As a medical student, I had the privilege to care for children at Kings County Hospital & Downstate Medical Center in urban Brooklyn. As a resident, I cared for children at Tampa General Hospital & All Children's Hospital in St. Petersburg, Florida. These experiences helped shape the Pediatrician I am today.

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