Tag Archives: rest
Reuters Health has reported the findings of a study that show that too much rest after a concussion may inhibit recovery from the concussion.
The news service quoted Dr. Danny G. Thomas, of the department of pediatrics, emergency medicine at the Children’s Hospital of Wisconsin in Milwaukee, who said: “Contrary to expectations, strict rest for five days immediately after concussion did not help teenagers get better compared to our current advice of one to two days of rest followed by a gradual return to activity.
“We found that teenagers instructed to rest for five days actually reported more symptoms over the course of the study.
“We should be cautious when imposing excessive restrictions of activity following concussion and mindful that the discharge instructions we provide patients may influence their perception of illness.”
Physical and cognitive rest are traditionally what doctors prescribe for patients who suffer sport-related concussions. But a new approach to treating post-concussion syndrome may actually help athletes get back in the game quicker, according to Karl Kozlowski, PhD, assistant professor of kinesiology at Canisius College in Buffalo, NY.
Kozlowski is pioneering a treatment program for patients who suffer from post-concussion syndrome (PCS). PCS is defined as three or more concussion symptoms that persist at least three weeks after the injury. Past treatments for the condition have failed to demonstrate success. Kozlowski’s treatment, which prescribes a regulated exercise routine, is among the first to offer real hope to those who suffer.
“We started out wanting to determine if athletes who suffer from post-concussion syndrome could exercise at a level that wouldn’t bring out symptoms but would allow them to stay conditioned while recuperating,” says Kozlowski.
To do this, Kozlowski and his co-researchers tested patients’ threshold for exercise. From that, they developed a low-level workout program (maybe 10 or 15 minutes) for each. Patients were asked to keep track of their symptoms and within three weeks, they reported feeling better. New regimens were tailored and after several months of this routine, concussion symptoms were significantly reduced or went away entirely for the patients.
“We found that gradual exercise, rather than rest alone, actually helps to restore the balance of the brain’s auto-regulation mechanism, which controls the blood pressure and supply to the brain,” says Kozlowski.
While confident the new treatment can help reduce concussion symptoms, Kozlowski emphasizes that it’s too soon to call the exercise treatment a cure, as some patients respond faster or better than others.
Bryan Namoff, whose successful career as a defender for D.C. United was cut short by a concussion, has sued the team and its former coach Tom Soehn, according to an article in the October issue of Concussion Litigation Reporter (CLR).
Namoff’s complaint, which was filed a little over a month ago in D.C. Superior Court, alleges that D.C. United was “negligent in its management, care and treatment” of a concussion he suffered during a 2009 MLS match at RFK Stadium.
Namoff, 33, claims that he suffered brain damage and cognitive, memory and sensory loss. He also has permanent headaches and fatigue, sleep problems and hypersensitivity to motion. Namoff, along with his wife, are seeking $12 million ($10 million for medical negligence and $2 million for the impact on their marriage).
The incident occurred on September 9 when Namoff collided in mid-air with a Kansas City Wizards player, “causing a blow to plaintiff’s head just behind his right temple by the shoulder blade of the opponent,” according to the complaint. “There was a visible snapping of his neck violently back to the left. Namoff was able to get up on his own; however, (Dr. Christopher Annunziata and Commonwealth Orthopedics) never left the sidelines to examine Namoff. (The plaintiff) felt lost and out of it but finished the game.”
Allegedly, Namoff wasn’t treated. He remained in the match. Afterward, the plaintiff claimed he told team doctors that “he did not feel right,” and that “the lights were hazy, and that he had no peripheral vision.” Namoff continued to suffer headaches and fatigue for days, according to the complaint. He alleged that Soehn knew of his symptoms. But three days later, the coach inserted him into a match against Seattle, without follow-up exams or reassessments by team doctors.
The more extensive article appears in the October issue of CLR: https://concussionpolicyandthelaw.com/concussion-litigation-reporter/concussion-litigation-reporter-october-2012/
The complaint, as well as those involving other cases, can be found in the documents section of Concussion Litigation Reporter.