Discover and read the best of Twitter Threads about #Concussion

Most recents (14)

I have serious questions surrounding the medical care of Michigan State QB Brian Lewerke & his apparent concussion in the Illinois game last week. Based on the player’s self-report, I believe Lewerke should be diagnosed with a concussion. Thread 👇freep.com/story/sports/c…
Disclosure: MSU invited me to lecture on concussions & CTE last year, & I have a tremendous amount of respect for the medical team. But I feel the need to speak up as I believe public statements are setting the wrong example for youth sports on concussion recognition & response.
Video: Watch MSU QB Brian Lewerke run left and strike his head on an opponent's knee. He is clearly slow to get up, and his teammate immediately waived to the sideline, presumably for medical help.

He stayed in the game. The next play he threw a bad interception.
Read 14 tweets
Does the woodpecker-inspired #Qcollar protect the brain & prevent #concussion?

Take 3 minutes to read this fully referenced thread presenting evidence that a jugular compression collar is unlikely to keep athletes safe

Please SHARE, help inform others!

bit.ly/QCollar
Thread/2a

The #Qcollar is based on the idea that jugular compression increases blood in the brain to create a "bubble wrap" effect, which prevents the it from bouncing around inside the skull.

According to the company, this mechanism is found in Nature.
bit.ly/2KqTJvS
Thread/2b

From the company's promotional video, the device is justified based on reducing brain "slosh" by:

1) Replicating the animal adaptations (see 18:00 in video)
3) Replicating effects of "higher altitude" exposure (see 21:57, again at 36:00)

bit.ly/33sHyGk
Read 57 tweets
A thread about Gary Bettman, the NHL & how the league of denial used Todd Ewen’s case to cast doubt on a link between repeated brain injuries and CTE

Thank you to @rwesthead for covering the concussion hearing in depth

#NHL #FridayReads #CTE

tsn.ca/widow-of-forme…
2/ The widow of Todd Ewen sued the National Hockey League on Tuesday, claiming the #NHL cynically exploited a botched analysis of her husband’s brain, which later tested positive for #CTE

Even in death, former players are not safe

#FridayFeeIing #TBI

scribd.com/document/40853…
3/ “Unbeknownst to Kelli Ewen, Dr Lili-Naz Hazrati served as an expert witness for the #NHL in multidistrict litigation...”

"Had [Dr. Hazrati] disclosed her conflicts of interest, Kelli would never have sent Todd's brain to her” Ewen said

#Concussion

nytimes.com/2018/11/30/spo…
Read 9 tweets
After a period of slow docket activity, it appears that the #NFL fight with their insurers in NY Supreme Court is becoming rather fiery. While most documents are under seal, here are a few interesting excerpts of those that aren't.
Letter from Insurers to the Judge:
While the above represents the typical MO of the #NFL I found this snip rather interesting. No choice but to retain @PaulWeissLLP ???
"The relevant point noted by the Insurers was simply that the NFL Parties embarked upon the process of retaining counsel of their own choice immediately upon being sued and at no time, asked the Insurers to appoint counsel or even to provide input on potential firms." Makes sense
Read 24 tweets
About 10 years ago, I was walking home from a slow-pitch baseball game and party with my team. I was a bit drunk, so I walked instead of driving. On the way home I was mugged from behind and woke up in the Rockyview Hospital in #YYC, with a #TBI #concussion. (1 of 13)
I've had multiple concussions from athletics. Football, hockey, rugby & skiing, plus ran over by a car, not once but twice. (think Super Dave Osborne) plus what I have learned since, repeated mildTBIs from the sports. Likely result, I have #CTE. I get worse each year, not better.
Here is what is happening now. I retired from my business some years ago and stopped working completely, 3.5 years ago. I have other progressive diseases besides #CTE, like #COPD #Arthritis #Cancer and more. It is a heavy load and crippling my abilities.
Read 16 tweets
I'd like to offer an alternative perspective on the world of Anna and Elsa in @Disney's "Frozen:"

Elsa was a leper, and a traumatic brain injury suffered as a child led Anna to experience a fanciful world divorced from reality.

A #PublicHealth thread: (Ping @Surgeon_General)
Arendelle is beautiful, +almost certainly represents Norway in the mid-1800s. Opposite to the rest of Northern Europe, leprosy was prevalent-indeed, rampant-in Norway well into the mid-19th Century. In 1816, Norwegian leprosariums were called "graveyards for the living."
Confined to her room all day, covered from head-to-toe with long robes and forbidden to touch anything without wearing her gloves, it's no stretch to imagine that young Princess Elsa was stricken at a young age with this disease that raged across the Norwegian countryside.
Read 12 tweets
This isn't a one-off. I played football at the university level. When you get a concussion, they don't send you to a neurologist, they send you to a musculoskeletal physician that specializes in sports injuries, who by their own admission have no idea when it comes to the brain.
Apart from that, they still use the ImPACT Test, or similar models that are quite simply garbage. I've been faking my way through these stupid tests since I was 14, players botch them intentionally to lower their baseline and hasten their return to play after a concussion.
It's well known that this happens, nobody talks about it, have to keep the players on the field. After suffering two concussions in two months, with symptoms still lingering today after four months, I should have been sent to someone who knows what they're talking about.
Read 6 tweets
With the opt in/out date deadline on Jan 18th 4 the @NHL #concussion lawsuit I wanted to revisit this breakdown from @SheillaDingus on the red flags of the settlement:

1/ A potential life & death situation is noted, in which the #NHL says “live or die...

advocacyforfairnessinsports.org/nhl-concussion…
we don’t care, just don’t ask us for any money.” Players are instructed to file a claim from the Additional Payment Fund—if they live long enough

2/ The NHL control of testing procedure immediately drew a red flag. It is notable that the cost of testing is NOT included....
in the total value of the settlement but is instead an uncapped fund under COMPLETE control of the NHL

It seems odd that no one to my knowledge has reported this

“In the big picture the cost of these exams is de minimus, particularly when the NHL is in control of these exams”
Read 12 tweets
Colin Campbell, the long-time disciplinarian — now the senior executive vice-president of hockey operations with the @NHL — is shown in correspondence to term anti-violence advocates alternately as “greenpeace pukes” & “tree huggers”

#SundayMorning #SundayFunday #SundayThoughts
2/ In a 2009 email to @TSN_Sports & Bob McKenzie (@TSNBobMcKenzie) Campbell seeks counsel in an apparent desire to help remove fighting from the game: “I hated fighting . . . had to do it though . . . particularly in the 70’s, but it is stupid.”
3/ And then, four years later, in an email to fellow TSN correspondent Darren Dreger (@DarrenDreger) Colin Campbell writes he is, in fact, “for fighting.”
Read 10 tweets
Right, rugby (and other contact sport) friends, gather round and let me try to share with you some slides & ideas I presented at the @NFLResearch Conference on Collision sport in London last week. This set was on nudging safer behavior, it’s a thread. But it’ll have pictures…1/
2/ First, a philosophical issue that *SHOULD* influence actions (subtly). Change is hard. It’s resisted. That’s as true in the #NFL as it is in #rugby, and in any other sport. These quotes are basically interchangeable - players, coaches, media etc - push back against change.
3/ However, we also can’t allow the tail to wag the dog - if risk is too high, change IS necessary. But how much? The key question, for me, is how you achieve “change without change?”, as this slide asks? Change X but not Y (the sport) (too much). That’s key to getting buy-in.
Read 48 tweets
1/Bettman was consistent in answering the many questions in his deposition: Because there is no medical or scientific certainty, he said, there is no reason to warn @NHL players about the risks of #CTE Nor is there reason, even after the premature deaths...washingtonpost.com/opinions/the-n…
2/in recent years of several #NHL “enforcers” such as Bob Probert , Wade Belak, Rick Rypien, Derek Boogaard & Steve Montador to look for a link between fighting in hockey & brain injuries. “I think the sample has been too small,” Bettman said... #tbi washingtonpost.com/opinions/the-n…
3/when asked about the players who died “I would respectfully suggest that, as tragic and as unfortunate as it is, there isn’t even enough circumstantial evidence to draw any conclusions.” Asked whether he had ever spoken to family members of these players washingtonpost.com/opinions/the-n…
Read 4 tweets
Study on soccer. It shows that females who close their eyes during a header & are not seeing a hit coming may be at greater risk for #concussion So if you don’t see the hit, are not prepared for it, you may be at greater risk for being injured #TBI #nhl
sciencedirect.com/science/articl…
I am implementing Vision Training into @TPDHockey I train 1300 kids every week. They will all be getting a baseline test & vision training twice a week to better expand their peripheral vision to better prepare them for hits they wouldn’t see coming prior to this type of training
The anecdotes I will be posting the next couple hours/days are from @clarkjf
Read 3 tweets
1/ If u have played the game the way I have, this clip is not that difficult to break down. Notice Wilson’s right skate before or at the initial point of contact. It is leaving the ice intentionally, which means he thrusts his body into an upward direction, which is towards the
2/ head of Reese. If we look at the left skate during the point of contact, Wilson is rising up onto his toe, as if he is trying to jump, hence the reason he ended up sitting on the dasher of his own bench after the hit. It is clear that Reese sees Wilson coming but that has very
3/ little to do with the fact that Wilson clearly makes contact with the head/jaw of Reese, in direct result of jumping and thrusting his body in an upward motion. Bc of this, we have a human being who may get the right diagnosis of a #concussion yet will he receive the treatment
Read 4 tweets

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