Articles Posted in Spinal Cord Injuries

A poignant reminder of the long-term effects of concussions on football players cane over the weekend when Terry Bradshaw revealed in a blog post that “he is suffering from deficits in short-term memory and impairments in his hand-eye coordination,” according to the Los Angeles Times. The newspaper reports that the former Pittsburgh Steelers quarterback, a long-time NFL commentator on television, attributes his ever-worsening problems to “at least six concussions” sustained during his NFL career.

Bradshaw, of course, played in the 1970s and it might be argued that today’s players are better-trained and use better equipment than their predecessors. Two minutes watching NFL films from that era, however, will show any viewer that while today’s equipment may be better, today’s players are bigger, stronger, play the game faster and hit much, much harder than those of a generation ago.

Bradshaw’s revelations of the ongoing effects of brain injuries come at a time when the league is trying to improve its less-than-stellar record of caring for players once their careers are over. It also, as the paper notes, arrives at a time when team officials and players in the worlds of football and hockey are increasingly aware of the damage lesser hits can cause. The Times cites a doctor at UCLA who mentions the cumulative effects of multiple less-than-concussion-level hits – an issue that the NHL has recently begun paying particular attention to.

A surprising – and heartening – article in the sports section of the New York Times last week revealed that heightened awareness of the serious nature of sports-related concussions and other traumatic brain injuries has turned up in an unexpected forum: video games.

The paper reports that “Madden NFL 12, the coming version of the eerily true-to-life NFL video game played by millions of gamers, will be realistic enough not only to show players receiving concussions, but also to show any player who sustains one being sidelined for the rest of the game – no exceptions.”

Considering the extent of the criticism being weathered by the real-life NFL over head injury issues and the long term health of the league’s players, this development can only be called striking. The article quotes John Madden himself saying that the change in the game’s format was driven partly by the desire for ever-greater realism, but also from a belief that children need to understand how serious a matter concussions can be. “We want that message to be strong,” Madden told the Times.

A Florida judge has issued a key ruling in a closely watched wrongful death case that may have implications for student athletes here in Oregon and elsewhere.

The case concerns the death of Ereck Plancher, a 19-year-old student and football player at the University of Central Florida. Plancher died in March 2008 after collapsing during a spring workout that was being supervised by the university football coach. According to the Orlando Sentinel “an autopsy found that the stress of the workout triggered Plancher’s sickle cell trait, causing misshapen blood cells to damage his organs and shut down his body.”

Though the university “contends it did everything possible to save his life,” Plancher’s parents filed a wrongful death lawsuit against the school, its trustees and the UCF Athletics Association. Last week’s ruling allowed the parents to seek punitive damages in the case, but instructed the jury only to award such damages if the jurors “specifically find that no water and no athletic trainers were present for the final portion of Palncher’s workout.”

In terms of violence and physical contact baseball is a far cry from football or hockey, but today’s news brought word that the National Pastime is following in the footsteps of higher-impact competitions in seeking to address concussions and other traumatic brain injuries.

According to an analysis published by Bloomberg News, Baseball Commissioner Bud Selig has announced new procedures for dealing with head injuries in baseball. The measures, which take effect on Thursday when the 2011 season officially begins, include changes to the manner in which “concussions are diagnosed and the determination on when players or umpires can return to the field.”

The news agency notes that each team will be required to designate a brain injury specialist as part of the medical team based in its home city. It also establishes a new, head-injury-specific seven day disabled list and establishes consistent “protocols for evaluating players for a possible concussion after high-risk incidents, such as being hit in the head by a pitched, batted or thrown ball, or colliding with another player or fixed object.”

An important article published in the New York Times last week indicates that the manufacturers of football helmets are moving to address problems in the way their products are used – a move that could benefit many young athletes in a time when traumatic brain injuries stemming from football and other rough sports are an issue of increasing concern.

According to the newspaper, “the National Athletic Equipment Reconditioners Association (Naera) announced (last) Thursday that is would no longer accept helmets more than 10 years old.” As the paper notes, many schools regularly send football helmets in for reconditioning, but concerns have been rising that as the products age it can become difficult if not impossible to bring the gear back to a point where it meets appropriate safety standards. Under current standards, the paper notes, so long as the equipment met applicable safety standards when it was new “helmets of any age and condition can be worn, despite concerns over how the stiffening of foam and the degrading of the polycarbonate shell can leave a player more susceptible to concussions.”

Though the article does not say this, it appears that football helmet manufacturers and reconditioners may be taking a cue from the ski industry. For several decades the manufacturers of ski bindings have indemnified their products for a finite period of years (usually 10 or 12). Once that period expires, skiers quickly discover that few ski techs will agree to make even minor adjustments to the bindings. A cynic might say the companies are forcing skiers to purchase new equipment on a regular basis, but the policy also ensures that the vast majority of skiers are using relatively up-to-date equipment – an important consideration in such a potentially dangerous sport.

Senator Tom Udall (D-New Mexico) is making headlines this week as the man leading efforts by Senate Democrats to reform rules governing filibusters. As the New Year begins he also, however, is emerging as the congressional point person for a very different issue: traumatic brain injuries, specifically those sustained while playing football.

According to The New York Times, Udall is calling on the Federal Trade Commission to “investigate what he called “misleading safety claims and deceptive practices” among helmet manufacturers and refurbishers.”

As I noted in this post last fall, safety standards for football helmets have not changed meaningfully since the early 1970s. The Times article notes that Udall “took specific aim at Riddell, the official helmet manufacturer of the N.F.L., for its prominent claim that its popular Revolution models decrease concussion risk by 31 percent.” Udall contends that the testing standards used to evaluate helmets – along with much of the advertising based on those tests – are misleading. A spokesman for the company told the Times that Riddell welcomes the scrutiny, but hopes other helmet manufacturers will be subjected to it as well.

Earlier this month New Jersey Governor Chris Christie signed wide-ranging legislation designed to protect student-athletes in his state. As reported by the website Safe Kids New Jersey, the bill will require the state’s Department of Education “to develop an interscholastic athletic head injury safety training program to be completed by school physicians, coaches and athletic trainers” in both public and private schools.

The website goes on to note that the New Jersey program will include teaching school personnel how to recognize “symptoms of head and neck injuries,” how to judge when an athlete should be allowed to return to the field and when someone requires further treatment, including hospitalization. As the organization notes, “currently, there is no uniform method of handling suspected concussions in interscholastic sports.”

As I have noted in previous posts looking at both football and hockey, concern over concussions and other traumatic brain injuries at all levels of competition is rising here in Oregon and nationwide. Parents as well as coaches and trainers are becoming more and more aware of the dangers improperly diagnosed or treated head injuries can pose, especially to younger athletes. Below you’ll find a link to an especially helpful checklist of questions every parent should know to ask when talking to a doctor treating a child for a suspected head injury (the list is compiled by the federal government’s National Institutes of Health).

As the nation settles in for another football-filled fall weekend many of the sport’s fans are focusing on new enforcement measures announced by the NFL in the last few days. The league wants to contain the damage being caused by violent, potentially catastrophic, hits. As has been reported just about everywhere, an unusually large number of stomach-churning plays last week led the league to issue fines, threaten suspensions and warn players that enforcement of the sport’s existing rules is going to be tougher from now on.

But as a pair of articles published at opposite ends of the country this week remind us, the dangers of traumatic brain injuries, spinal cord injuries, concussions or other serious injuries faced by high school, middle school and youth players are, in some ways, far greater than those confronting the highly-trained, closely monitored athletes of the NFL.

In a wide-ranging article published yesterday, the Los Angeles Times noted that, in Southern California, no baseline set of standards exists for medical care at high school football games. The article dramatically contrasts the situation at private schools that can afford to have a staff of as many as four athletic trainers and a doctor roaming the sidelines to that of poor public schools that make due with an ambulance parked at one end of the field. Such a situation, the paper notes, offers reassurance in the event of a catastrophic brain or spinal cord injury, but does little or nothing for players who suffer milder, harder to diagnose – and far more common – injuries, such as concussions.

Have you ever been to a carnival, or even a child’s birthday party and wondered just how safe those moonwalks, bouncy castles and other portable ‘rides’ are? According to a recent article in the Wichita Eagle, a Kansas court case looks set to bring those issues into focus.

According to the newspaper, the civil lawsuit was filed last month by the parents of a five-year-old boy who died after being thrown from an inflatable ride called King of the Hill. The newspaper describes this as being “designed like a large mattress – flat except for a bulge in the middle – and… surrounded by a 2-foot-high inflatable barrier.” Parents were allegedly told to place a child in the center of the ‘mattress’ and then to jump up and down themselves on the inflatable’s sides, causing the child to fly into the air. Having done this a few days earlier for the boy’s birthday party the five-year-old’s family returned to the same amusement park a few days later, using free passes they had received during the birthday celebration. On this second visit, however, the child was launched over the inflatable barrier. He landed head-first on the facility’s concrete floor, resulting in his death.

The parents also charge that the ride was “underinflated and unsupervised” and that the operator ignored the manufacturer’s recommendation that the ride was for children ages 8 and up.

New parents have been told for years to use rear-facing car seats until their babies turn one year old and weigh 20 pounds, after which front-facing child seats are the norm. But data from both Oregon and the federal government are leading medical and safety professionals to reassess this long-held belief, according to state publications and a recent article in the Bend Bulletin.

Expert opinion is coalescing around the idea that children should face backwards until they are at least two years old, the Bulletin reports. Oregon’s Public Health Service adds that “children under the age of two are 75% less likely to be killed or severely injured in a motor vehicle crash is they are riding rear facing rather than forward facing.”

There is an especially great danger of Oregon traumatic brain injuries and spinal cord injuries when young children are not properly restrained in an approved car seat. The Bulletin, citing child emergency physician Dennis Durbin, notes that “young children have weaker neck muscles than older children and adults. Their ligaments are looser. And the bones in the neck aren’t locked together in the same way as an adult’s.” These physiological factors put small children at a significantly higher risk of traumatic brain injuries when they are in a forward-facing car seat. Rear facing seats are safer because in a crash they tend to provide more support for a child’s neck and back.

50 SW Pine St 3rd Floor Portland, OR 97204 Telephone: (503) 226-3844 Fax: (503) 943-6670 Email: matthew@mdkaplanlaw.com
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