Archive for the ‘Soccer’ Category

Refuting Reports of Increased Concussion Rates in Youth Sports

Looking at the facts

Reckless reporting and alarmist headlines about rising concussion rates in youth sports are a pet peeve of mine. Parents, athletes, coaches and league administrators deserve to have the facts presented responsibly on such a serious topic.

The headline on a recent article by a doctor screamed “Concussion rates are rising among U.S. youth.” What the doctor didn’t say in the article is that concussion rates are NOT rising; concussion reporting is rising.

Our internal Accident insurance claim statistics reveal the following increases in the reporting of concussion claims as a percentage of total claims reported:

Sport

Youth baseball

Youth football

Concussion rates prior to 2012

2.96%

7.89%

Concussion rates 2012-16

8.01%

15.88%

The significant increases in concussion claims reported over these time periods have nothing to do with change in the risk factors in these two sports over this time period. These increases have everything to do with educational awareness.

We have concussion education efforts and concussion laws on the books in all 50 states and the District of Columbia to thank for that. These efforts have brought about a heightened awareness of concussion recognition, initial diagnosis and treatment, and return to play monitoring. The increase in the number of reported concussions only reflects how many youth athletes were walking around with undiagnosed concussions in the past.

Promoting educational awareness and risk management

Over a year ago, I wrote about the need for increased efforts in concussion education, stating, “Fear of concussion among many parents is affecting their decision to permit their children to participate in contact sports.” And nearly two years ago, I said in an article addressing the media’s concussion hype,  “The best outcome is the awareness being brought to the general puConcussion risk managementblic about diagnosis, second-impact syndrome, removal, and return-to-play policies.“

I’m pleased to see that all this awareness resulting in more athletes getting the medical care necessary, which enables them to return to playing after treatment and full recovery. The Center for Disease Control’s HEADS UP offers many resources to help parents, coaches, administrators, and healthcare providers recognize, respond to, and minimize the risk of concussions or other serious brain injuries.

We’re proud to continually provide up-to-date and credible information on sports concussions and a variety of sports injury and risk management-related topics on our blog.


Source: Brad C. Gollinger. “Concussion rates are rising among U.S. youth.” www.recordonline.com. 07 Mar., 2017.

Risks of Sports Specialization Among Youth Athletes

Focus on a single sport can lead to overuse injuries

Kids are starting to participate in recreational sports leagues and camps at increasingly younger ages in recent years. T-ball teams, soccer leagues, swim clubs, skating rinks, cheer squads, tumbling schools and even dance studios are filled with little people, some as young 3 and 4 years of age.  And many are choosing to participate in a single activity year round from an early age.

Sports specialization (focusing on a single sport) in youth sports can, according to the American Academy of Pediatrics (AAP), result in early burnout, emotional stress and overuse injuries. However, the risks can be mitigated by following recommendations by AAP.

Weighing the decision to specialize

Research shows that the physical development of children is better among those who play a variety of sports prior to puberty. Encouraging kids to experience a overuse injuries in youth sportswide range of sports activities also means they’ll be much less likely to lose interest or quit altogether. Studies show that children who specialized in a single sport from a young age tend to have more short-lived athletic careers.  The AAP recommends that children put off specializing in a sport until about age 15 or 16.

It’s important to determine why you or your child thinks he or she should specialize. More often than not, college scholarships are a motivator.  Be realistic about such opportunities: on average, 8% percent of high school athletes succeed in making a college team, but only 1% of those make it on an athletic scholarship.

Specialization and overuse injuries

Specialization can lead to overuse injuries, which can be muscle, bone, tendon or ligament damage resulting from repetitive stress and lack of healing time. One of the most common overuse injuries among athletes is shin splints.

Alarmingly, overuse accounts for half of all sports medicine injuries among children and teens. Children and teens are more susceptible to overuse injuries than adults because their still underdeveloped bones don’t recover as well from stress.

Preventing overuse injuries

So, if the decision has been made to specialize, there are steps that can be taken to lower the risk of overuse injuries.

Be Prepared:  It’s critical that all athletes maintain their fitness level both in and off season. General and sport-specific conditioning during the preseason are also extremely important. An evaluation by a physician prior to participation is the most essential step in determining whether a child can safely play his or her chosen sport. This should be done four to six weeks prior to practice and play to allow for time to address any potential obstacles to participation.

Train Smart: Weekly training times, distances, and repetitions should only be increased by 10% each week. For example, a 15-mile per week run should only be increased to 16.5 miles the following week, 18 miles the week after that and so on. Sport-specific trainingOveruse injuries in youth sports should vary. For instance, runners incorporate a diversity of running surfaces by running on the road, on a treadmill, on grass and in a pool. Likewise, training should include a variety of workouts, such as treadmills/ellipticals, weight lifting, and swimming.

Rest Smart: Training every day is a sure path to emotional and physical stress. Athletes should allow time for recovery by taking at least one day off every week from training, practice and  play. It’s just as important to take four to eight weeks off during the year from a specific sport.  A good rule of thumb is one month off for every six months of training and play.

Avoid Burnout: Overtraining can alter an athlete’s physical, hormonal and mental performance. Remember that a child should enjoy participating and the training should be age appropriate. They shouldn’t look at it as a job or a test. Be aware of changes in the athlete’s eating and sleeping habits. In particular, be alert for changes in or cessation of a girl’s menstrual period. Don’t hesitate to consult a physician if such changes are observed.


Sources:

Youth Athletes and Concussion Recovery

Too many parents following outdated medical advice

Starve a cold, feed a fever. Swimming within 30 minutes of eating causes cramps. Cracking your knuckles causes arthritis. Tilt the head back to stop a nosebleed. All outdated but once heavily relied upon advice from the medical community. Sadly, these and similarly unsubstantiated notions continue to circulate. And apparently so are incorrect ideas about concussion recovery.

Despite ongoing media attention and education efforts surrounding concussions, research shows that many parents still rely on outdated advice when monitoring their concussed children. Where once the impact of concussions was downplayed, apparently now parents are going to the opposite extreme and impeding recovery.

A national survey conducted by UCLA Health asked 569 parents how they would care for a child with concussion symptoms that persisted a week following the head injury. More than 75% said they would wake their child to check on them throughout the night and 84% said they would not permit the child to participate in any physical activity. About 65% said they prohibit use of electronic devices.

Making a healthy recovery

Frequent disruption or lack of sleep can affect memory, moods and energy levels, which are exactly what doctors use to measure concussion recovery. Once the child has been examined by a medical professional and determined to be at no further risk, sleep will help the brain recover more quickly, according to Christopher Giza, a UCLA paediatric neurologist.

And while contact sports are to be avoided until the child is fully recovered and cleared by a medical professional, mild exercise and aerobic activities such as walking and bike riding promote the healing process and overall good health.

As for electronic devices, it’s a good idea to keep kids off them during the early days of the injury. But easing them into their normal social, intellectual and physical activity is what’s best.

Most concussion patients make a full recovery, though dizziness and headaches can persist for weeks. Parents should always heed the advice of the physician monitoring the child and remember that rest and pain relievers for headaches are the best treatments in most cases.


Source: “Parents following outdated concussion tips,” www.sbs.com.au. 08 Sept. 2016.

Fear of Concussions in Youth Sports

More effort in awareness and education needed

The anxiety level among Americans regarding concussions was found to be quite high according to a recent online survey. The University of Pittsburgh Medical Center conducted the survey among 2012 Americans over the age of 18. The results highlight the myths and misunderstanding about concussions.

Nearly 90% of those surveyed consider concussions to be a moderate to severe health concern. Nearly one-third of parents said they fear their child will suffer a concussion, and 25% do not allow their children to play contact sports because they fear they’ll suffer a concussion.

Ironically, 26% of the parents surveyed did not seek medical treatment when someone in their family suffered a concussion. Worse, 81% of those surveyed said they would not know the steps to take in treating a concussion if they sustained one.

More statistics from the survey:

  • 87% did not know the definition of a concussion, and 37% admit to being confused as to what a concussion actually is.
  • 58% could not identify headache or dizziness as immediate symptoms of a concussion.
  • Only 34% understand that fatigue is also a symptom and just 13% know that mood changes can also be the result of a concussion.
  • 79% of adults incorrectly think concussions are incurable and that the symptoms can only be managed.

Decreasing the level of fear

Fear of concussion among many parents is affecting their decision to permit their children to participate in contact sports. While there has been much progress in educating coaches, trainers, parents and players about concussion risk management and treatment, there’s much work to be done.

Sports are a healthy physical and social activity for children and teens, and fear of injury should not prevent them from participating. Concussions are treatable and when properly managed, athletes can return to play. “With careful evaluation and treatment by a well-trained specialist, even the most complex injuries are manageable,” says Erin Reynolds, fellowship director of UPMC Sports Medicine Concussion Program.

Click here for the full survey results. We have more articles on concussions on our blog and offer free concussion risk management material in our risk management library.


Source: Susan Manko, “Are American Parents Too Afraid of Concussions?” futurity.org. 05 Oct, 2015.

10-Second Sideline Concussion Test

 Software tracks eye movement on iPad

As the sports world continues to focus on concussion prevention, it’s no wonder innovators are coming up with faster, smarter ways to detect a brain injuries. EyeGuide, start-up group out of Texas, has introduced a concussion

EyeGuide’s Focus technology uses a headset connected to an iPad to track eye movement. Users set a baseline reading and then repeat the test when it’s suspected they may have suffered a concussion. Coaches can have each player take the test at the beginning of the season to set their normal baseline eye function. The Focus is then used on the sidelines for immediate comparison on players suspected of suffering concussions.

New technology using known methods of concussion detection.

EyeGuide’s Focus system was developed after years of research at Texas Tech University. The software quickly measures neurological impairment following protocols established in neuroscience research. There are similar products on the market aimed at aiding coaches and trainers to detect concussions immediately.

Eyeguide explains the Focus technology in layman’s terms by comparing it to the follow-my-finger eye test given to suspected drunk drivers.

Players avoiding concussion diagnosis vs. intelligent technology

Approximately 500,000 concussions are reported in youth sports across the U.S. each year, according to the Centers for Disease Control and Prevention.  Eyeguide, knowing that even more concussion go unreported, took into account that players fear being removed from play if they report symptoms of a concussion.The Focus technology gets smarter with use as it compares each player’s eye movements with a database of other athlete’s records. This prevents players from cheating the system.

Company still awaiting funding

The company is still awaiting start-up financing, which it believes to be imminent. Therefore, the product has not yet hit the market.

Sadler Sports & Recreation Insurance is all about safety and injury prevention. We offer more information on concussion research and prevention on our blog and free concussion risk management resources in our risk management library.


Source:  Mary-Ann Russon, “EyeGuide Focus: This eye-tracking headset can diagnose concussions in just 10 seconds,” www.ibtimes.co.uk. 3 Dec. 2015.

U.S. Soccer Federation Sets New Header Rules For Ages 13 & Under

Reducing exposure to head injuries in the youngest players

New safety regulations were announced by the United States Soccer Federation in an effort to reduce the number of head injuries. These include the specific policy that restricts players under age 10 from heading the ball and reducing headers during practice for players aged 11 to 13.

Establishment of the new guidelines resolves a class-action lawsuit filed against FIFA, U.S. Soccer and the American Youth Soccer Organization alleging negligence in treating and monitoring head injuries. Plaintiffs sought no financial compensation, only changes to the rules.

The guidelines are mandatory for all national U.S. Soccer youth teams and academies, which includes Major League Soccer youth club teams. They will serve as recommendations for associations and program not overseen by U.S. Soccer.

Recommendations go beyond heading the ball

Modifications were also made to substitution rules in an attempt to protect players suspected of having suffered concussions. The current rules are for three substitutions per game, but don’t allow for temporary substitutions so players sustaining a head injury can be properly examined.

The new initiative also calls for increased education for parents, players, coaches and referees, as well uniformity in handling youth concussions. The intention of these educational efforts could will lead to a better understanding and acceptance of the heading rules for children.


Source: Ben Strauss, “U.S. Soccer Resolving Lawsuit Will Limit Headers.” nytimes.com. 09 Nov, 2015.

Soccer-related concussions

Research looks at player collisions vs heading the ball

While the concussion hype focuses primarily around football, there’s also a lot of discussion about soccer-related head injuries. The soccer concussion debate centers around the question of whether or not a ban in youth soccer on heading the ball and other rule changes would impact the number of head injuries, particularly concussions.

A recent study published in the Journal of the American Medical Association’s JAMA Pediatrics shows that physical contact between players is the most common cause of soccer concussions. In that case, a change in soccer rules about using the head to hit the ball would likely have little effect on concussion rates.

This results of the study conducted by the Colorado School of Public Health were based on data collected from 100 high schools between 2005 and 2014. Researchers documented 627 concussions among girls and 442 among boys, which aligns with past findings that soccer is the second-leading cause of concussions for female high-school athletes and the fifth for boys.

Differing views

Better rule enforcement and continual re-emphasis on the technical skills of passing and dribbling make the game safer, according to the study’s author, Sarah Fields, an associate professor at the University of Colorado-Denver.  FIFA rules only allow for shoulder-to-shoulder contact among players, which Fields thinks should be more strictly enforced.

Not everyone thinks that minimizing rough play is the answer. One of those is Dr. Robert Cantu, a neurology professor at Boston University School of Medicine. Cantu says that most injuries to soccer players under his care that took place when heading the ball didn’t occur during intentionally rough plays. Instead, players were intent on heading the ball and collided with other players intent on the same thing or who got in the way.

While Cantu does not support eliminating heading the ball in soccer, he does recommend banning it for players under the age of 14, stating that’s the age level at most risk for concussion.

Another point in the ongoing debate is that even shoulder level contact can result in concussive forces, whether through direct contact or when a player subsequently hits the ground.

The number of football-related deaths and serious head injuries among high school players in recent years resulted in the concussion laws for all sports being enacted in all 50 states and the District of Columbia.

We encourage further reading of our articles on concussions.


Source: Amrith  Ramkumar, “Injury study spurs debate on soccer-related concussions.” charlotteobserver.com. 31 July 2015.

Benching of Youth Participants and Resulting Lawsuits

Parents who pay want their child to play

It’s not yet what you’d call a trend, but there’s certainly an uptick in the number of parents filing lawsuits to get their child off the bench and onto the playing field.

Parents put out big bucks in registrations fees, equipment and travel costs associated with high school and youth club and travel teams, to say nothing of the time they invest attending practices and traveling to games. Many parents sacrifice their time and money for their children hoping to get the attention of college coaches, earn scholarships, and improve chances of college admissions – or even advance a professional athletic career. So, it’s understandable that some are dissatisfied when their child rides the bench more than he or she plays. In other words, they expect a payoff for their investment.

There is also an increase in lawsuits by parents of children who have been cut from teams, injured, disciplined by coaches or penalized by officials. But is hiring an attorney the answer? Many are questioning not only the attitude of entitlement, but how the children, who generally play for the fun and camaraderie, are affected by such lawsuits. What are the children learning when parents step in so heavily handed to smooth the way? Will they learn they’re entitled to play on a team simply because they attend practice? And are parents setting these athletes up to be bullied by other team members?

The increasingly competitive nature of youth sports has helped shift many parents’ focus from fun, exercise and sportsmanship to an investment in their children’s academic and professional futures. Youth sports officials are watching the case of a 16-year-old volleyball player. The girl earned spot on a volleyball league but ended up on the bench, so her parents filed suit against the volleyball association, alleging it won’t let the girl play or to switch teams, per the contract she signed.

General Liability policies, which typically only respond to certain lawsuits alleging bodily injury or property damage, don’t cover these types of lawsuits that allege loss of college scholarship or loss of pro career. Such lawsuits generally require a Professional Liability endorsement on a General Liability policy or a stand alone Professional Liability policy.


Source: Tracey Schelmetic, sportsdestinations.com, 21 Apr. 2015.

Soccer Goal Tipping Hazards

Unanchored goals pose danger to players

I came across a fantastic CBS News video that explains exactly how unanchored soccer goals can tip over and seriously injure or kill a child. At least one child fatality  and 200 injuries from tipped soccer goals are reported each year. Soccer goals can weigh several hundred pounds and cause catastrophic bodily damage, such as a crushed skull or broken limbs, when they tip over and come in contact with players. Coaches, players, and parents need to be educated on this topic and should check soccer goals prior to every practice and game to make sure they are properly anchored.

Sports General Liability insurance carriers that insure soccer organizations must often absorb full policy limit lawsuits resulting from these death claims.

You can view the video by following this link.

Congratulations, Frances Sadler!

Frances SadlerFrances Sadler was recently named to the South Carolina Independent Schools Association (SCISA) All State and High School Sports Report  All Star teams for the 2014 season. Frances is a forward for the Hammond School varsity soccer team and scored 27 goals during her junior season.

Good job, Frances!