Concussion – getting hockey players healthily back on the ice
Here in Vancouver we are in the midst of hockey fervour, as the Vancouver Canucks are in the chase for the the 2011 Stanley Cup. As the series heads to the finish, several players are off the ice suffering from concussion, an injury all too common in this contact sport.
Deciding if a player is ready to return to the ice has been left primarily to each team’s physician, with no standardized across-the-sport method to assess when the time is right.
“Premature return to a sport after concussion greatly increases the risk of a follow up concussion, with more devastating results than the first concussion,” says Willer, who has done extensive research on hockey injuries. “We believe this approach could change the way professional and amateur sports team physicians make decisions about concussion recovery.
“For a number of years,” Barry Willer, PhD, UB professor of psychiatry and rehabilitation medicine relates that “the consensus has been that players are finally ready to return when they can exercise to the level of their sport without exacerbation of symptoms. In the past how a team physician and the team trainer made this decision was left to chance.
“Some team officials would ask the player to skate hard or run fast at a practice and then ask them if they had any symptoms. There was no systematic nature to the decision, which is so critical to the health of the player.”
The UB study was conducted in a consecutive sample of 21 athletes and non-athletes who came to UB’s concussion clinic. The test, developed at the clinic, uses a single approach to assess readiness to return to the sport.
Athletes are evaluated while exercising on a treadmill, as the angle of the treadmill increases the workload, and are watched carefully for any signs or symptoms of exacerbation as they exercise to voluntary exhaustion.
Athletes are reevaluated after 1-2 weeks of increasing exercise [continue reading…]