No good evidence that helmets prevent concussion

Mouthguards as well as helmets tin help ward off other serious caput as well as facial injuries No goodness prove that helmets foreclose concussion
Helmets tin help foreclose other injuries, merely non concussion, researchers say. © Mike Bain

Mouthguards as well as helmets tin help ward off other serious caput as well as facial injuries, merely at that topographic point is no reliable prove that they tin help foreclose concussion, experts say.

Paradoxically, such protective equipment may fifty-fifty encourage wearers to direct maintain greater risks, they warn.

That is exactly why it is of import to recognise as well as process symptoms of concussion promptly, according to the latest Consensus Statement on Concussion inwards Sport, published inwards the British Journal of Sports Medicine.

The disputation is the 4th revision of recommendations outset developed inwards 2001 inwards Vienna, inwards a bid to offering some practical as well as prove based guidance to healthcare professionals on the on-field assessment of the condition, as well as 1 of the close of import aspects of its handling – the timing of the render of participants.

In high profile sports, squad doctors are nether pressure level to larn players dorsum into contest equally speedily equally possible, merely prophylactic render to play later on concussion is a fundamental number across all sports, irrespective of whether they are played at elite level.

This latest version of the statement, which has the backing of the International Olympic Committee, the FEI, football’s globe governing trunk FIFA, as well as the International Rugby Board, was drawn upward later on a two-day coming together inwards Zurich, Switzerland, concluding November.

Concussion is a encephalon injury as well as is defined equally a complex pathophysiological procedure affecting the brain, induced yesteryear biomechanical forces. Several mutual features that contain clinical, pathologic as well as biomechanical injury constructs that may move utilised inwards defining the nature of a concussive caput injury include:

  1. Concussion may move caused either yesteryear a straight blow to the head, face, cervix or elsewhere on the trunk amongst an “impulsive” forcefulness transmitted to the head.
  2. Concussion typically results inwards the rapid onslaught of short-lived impairment of neurological component that resolves spontaneously. However, inwards some cases, symptoms as well as signs may evolve over a number of minutes to hours.
  3. Concussion may number inwards neuropathological changes, merely the astute clinical symptoms largely reflect a functional disturbance rather than a structural injury and, equally such, no abnormality is seen on criterion structural neuroimaging studies.
  4. Concussion results inwards a graded gear upward of clinical symptoms that may or may non involve loss of consciousness.

Resolution of the clinical as well as cognitive symptoms typically follows a sequential course. However, it is of import to regime annotation that inwards some cases symptoms may move prolonged.

Over the course of report of the 2 days, researchers from to a greater extent than or less the globe were invited to acquaint the latest findings on this mutual type of encephalon injury, which has the potential to drive long-term neurological impairment if non dealt amongst appropriately, peculiarly inwards sports such equally football, rugby, H2O ice hockey, Equus caballus riding, skiing, as well as boxing, where the run a endangerment of concussion is high.

A panel of 32 international experts as well as so distilled the enquiry – details of which are published inwards the electrical flow Injury Prevention as well as Health Protection number of the British Journal of Sports Medicine – until consummate understanding was reached.

The consensus has been designed to enhance awareness of concussion amidst the public, so for the outset fourth dimension includes a concussion recognition tool (CRT).

It clarifies the Definition of concussion to emphasise that a somebody does non direct maintain to lose consciousness earlier beingness considered concussed as well as hence removed from a sporting event. Symptoms of concussion tin attain from headache as well as retention loss to irritability, slowed reaction times, as well as slumber disturbance, it says.

It contains a novel focus on the assessment as well as management of concussion inwards children, who should non move returned to play the same 24-hour interval as well as who may need longer to heal than adults, it says.

It also provides a useful query as well as response section, a handy bag symptom checker as well as assessment tool, equally good equally advice on medico-legal considerations as well as injury prevention.

It makes clear that mouthguards as well as helmets direct maintain a role inwards minimising injuries as well as are to move recommended, merely emphasises: “There is no goodness clinical prove that currently available protective equipment volition foreclose concussion.”

It continues: “An of import consideration inwards the utilization of protective equipment is the concept of run a endangerment compensation … where the utilization of [this] equipment results inwards behavioural change, such equally the adoption of to a greater extent than unsafe playing techniques, which tin number inwards a paradoxical growth inwards injury rates.”

While the competitive/aggressive elements of some sports brand them fun to play as well as watch, “sporting organisations should move encouraged to address violence that may growth concussion risk”, it recommends.

 

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