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2010 Baseline Assessment Program

 

The 2010 season has been an active one at CAMP.  3 new schools were added to the baseline assessment program.  Welcome to Portsmouth RI High School Patriots who began baseline testing this summer after 2 student athletes pressed school administrators because of lingering symptoms of concussion.  An important component of the CAMP Baseline Assessment protocol is an accurate medical history.  "More often than not school booster organizations have stepped-up and funded these essential programs" according to CAMP Program Director Michael Sefton, Ph.D.  Players with a history of concussions are significantly more vulnerable to receive a second or subsequent concussion.  Dr. Sefton will review each athletes medical history in confidence with team physician's or trainers to identify players who may be at risk.  For example, a high school junior is playing his third year of varsity football.  In his freshman year he was concussed in September.  In his sophomore year he received a second concussion nearly a year to-the-day later.  The CAMP program worked with the players trainer to modify his practice plan and provide education to both he and his parents in an effort to avoid a third concussion.  At the 2009 Sports Concussion program held at Gillette Stadium, it was emphasized that "it isn't the number of concussions but the recovery from them" that makes the determination for return to play so difficult.


 

Return to Play Guidelines

  • 1st Concussion - Return to play after 1 week symptom free
  • 2nd Concussion - Return to play after  2 weeks symptom free
  • 3rd Concussion - Return to play after 2-4 weeks symptom free

 

History of Concussion an Important Factor

Athletes with a history of concussion comprise a fairly large sample of all college and high school athletes.  It is reported that in a high school roster of 50 football players 2-3 athletes or more will receive a concussion each season.  In one college hockey program - men's and women's, approximately 41 percent of athletes had had at least one prior concussion.  In a sample of junior hockey players (ages 17-21) 31 percent of players reported a prior concussion.  Second and subsequent injuries frequently heal more slowly than initial concussions so athletes need to be aware of different protocols for repeated head injury.  

Second Impact Syndrome
A potentially fatal injury to an athlete that is associated with a second blow to the head  while competing  prior to complete healing of initial injury.  It is rare but associated with the metabolic dysregulation associated  with cerebral concussion.