Tag Archives: lacrosse
ImPACT Applications, Inc., developer of the ImPACT® test and ImPACT Concussion Management Model, has announced a partnership with New York Schools Insurance Reciprocal (NYSIR), provider of property and casualty insurance programs for New York State public schools and Boards of Cooperative Educational Services (BOCES), to introduce “a comprehensive” Head Injury Prevention Program.
The Head Injury Prevention Program is designed to help subscriber school districts manage student athlete injuries and train faculty and staff to recognize, respond to and prevent school-sports-related concussions. NYSIR’s program utilizes ImPACT for neurocognitive baseline and post-injury concussion testing and to educate athletic directors, trainers, coaches, physical education instructors and school nurses on concussion management.
ImPACT testing and training is currently being phased in by NYSIR and by the end of February, NYSIR plans to have the Head Injury Prevention Program in every subscriber school district—over 350 New York public school districts altogether. School sports covered by NYSIR’s agreement with ImPACT will include football, basketball, diving, hockey, lacrosse, soccer, baseball, softball, cheerleading, field hockey, wrestling and alpine skiing.
“For 26 years,” notes NYSIR President Carleen Millsaps, “we have been a leading insurer of New York’s public schools. The ImPACT-NYSIR partnership is a giant leap forward in our endeavors to continually provide programs and services that protect our subscribers’ student athletes, and a positive step in the education of school officials and staff about the risks of sports related head injuries.”
“ImPACT is honored to partner with NYSIR in its Head Injury Protection Program,” says Michael Wahlster, Chief Executive Officer of ImPACT Applications. “The organization is leading a national trend where innovative insurers recognize the important role they can play in helping subscribers implement an end-to-end concussion management program.”
ASTM International published today a standard for protective headgear for women’s lacrosse players. Experts from the lacrosse community, the medical field, the biomechanics industry and product testing laboratories collaborated on the standard (F3137, Specification for Headgear Used in Women’s Lacrosse).
Ann Carpenetti, vice president of US Lacrosse Operations, says, “This may be a benchmark moment in the continued evolution of girls’ and women’s lacrosse, especially as it relates to increased safety for all game participants.”
The ASTM standard resulted from a decision by US Lacrosse to standardize headgear for the women’s game. Men’s and women’s lacrosse are treated as two distinct sports, with the full-body contact that is part of the men’s game requiring the use of headgear. However, intentional stick or body contact is considered illegal in the women’s game, thus headgear has always been optional for women.
Carpenetti, co-chair of ASTM Subcommittee F08.31 on Women’s Lacrosse Equipment, notes that US Lacrosse rules never stated that wearing headgear reduces the risk of head injuries, leading to a need for the specification.
“Without an evidence-based standard that demonstrates the product was developed and tested to address specific impacts most frequently seen in the game, the benefits and risks to those players wearing headgear are, at best, unknown,” says Carpenetti.
“The standard was developed to allow for optional use and to ensure that players opting not to wear headgear would not be injured by players who choose to wear protective headgear,” says Carpenetti. The optional status may be re-evaluated once the women’s lacrosse community begins to see F3137-compliant headgear in action. At this time, no rulemaking bodies are planning to mandate the use of F3137 headgear.
Product manufacturers designing headgear will be the primary users of the standard. Carpenetti expects that helmets meeting the standard may be available for purchase in about 18 months.
This fall, Pennsylvania state law requires all high school coaches pass tests related to concussion management.
The reasons for the new law are plentiful, according to the Pennsylvania Medical Society.
Take Ethan Blum, a rising lacrosse star at Carlisle High School, for example. During his 9th Grade season last spring, Blum played in nearly every junior varsity game and was one of its top scorers. He even earned some varsity time on Carlisle’s PIAA District III Championship squad.
For Blum, who excels in the classroom, it was difficult taking time off just as his high school career was starting. But, following protocol directed by state law, he did. And it didn’t take long for him to return to action when his brain was ready.
For Blum, his journey to recovery started when a coach recognized the signs that he may have experienced a concussion. Immediately he was sent to an athletic trainer, and not long after that a physician.
“I had to completely shut down my brain to recover,” Blum said. “That meant no lacrosse, no school, no tv, and no video games.”
William C. Welch, MD, president of the Pennsylvania Neurosurgical Society, says Blum’s story is classic when it comes to how concussions happen in sports, and he’s glad the state law that was followed helped in the recovery process.
“There’s a greater awareness of concussions today than there were years ago,” says Dr. Welch, a practicing neurosurgeon at the University of Pennsylvania. “State law has raised the awareness level, and when someone has their ‘bell rung’ there seems to be more caution.”
Dr. Welch says that a concussion is a traumatic brain injury that can be caused by a blow to the head or body or possibly even a fall. Essentially what happens is that the impact jars the brain inside the skull.
“Most people associate a big hit with a concussion, but it doesn’t have to be,” says Bruce MacLeod, MD, president of the Pennsylvania Medical Society (PAMED), which lobbied in favor of the new law. “Soccer players ‘heading’ the ball have been known to develop concussions. All it really takes is the brain shaking around inside a person’s head.”
Symptoms can vary, and may not be the same from patient to patient. But in general, there are some common signs that coaches are trained to investigate during a practice or game. These include problems thinking or remembering, headaches or dizziness, nausea or vomiting, and an athlete feeling tired. Outside a practice or game, the student-athlete may see changes in their sleep patterns or have a change in their emotions. Parent-coach communications is important in the latter symptoms.
The state law has several parts. The most important section of the law is likely the mandatory online training course that each coach must complete every year. The course, titled “Concussion in Sports – What You Need To Know” and provided by the National Federation of State High School Associations, walks a coach through the science behind concussions and trains them to recognize the symptoms. Coaches are taught “when in doubt, sit them out.”
But the state law goes beyond just education. The law also provides guidance on the steps that must be taken for a student-athlete to return to competition. In a nutshell, the coach is not permitted to return a player to participation until the athlete is evaluated and cleared for return in writing by an appropriate medical professional. Specifically, the medical professional must be a licensed physician, certified health care professional, or psychologist trained in the evaluation and management of concussions.
Coaches who do not comply face harsh penalties. A first violation requires suspension for the rest of the season. Second violation adds a suspension for the next season, while a third violation is a permanent suspension from coaching.
In Blum’s case, before returning to his sport, he was required to pass progressive sport-specific challenges such as running to see how his brain would react. He passed the challenges, and after about 10 days out of play was cleared to participate again.