Yes, there are reasons to believe that children are more susceptible to concussions than adults, and they may also face different challenges during recovery:
Physiological Differences: Children’s brains are still developing, making them more vulnerable to injury. Their skulls are thinner and more flexible, and their neck muscles are less developed. This means they may not absorb shock as efficiently as adults, leading to greater brain movement within the skull during impacts.
Higher Risk Activities: Children are often involved in activities that carry a risk of falls and collisions, such as playground activities, sports, and general play.
Symptom Recognition: Children might struggle to articulate or recognize their symptoms, which can lead to delays in diagnosis and appropriate care.
Recovery Time: Some studies suggest that children and adolescents might take longer to recover from concussions compared to adults. Their developing brains require careful management to ensure no long-term impact on cognitive functions, behavior, or academic performance.
Cumulative Effects: Children who experience concussions and continue to participate in high-risk activities are at risk for additional concussions, which can have cumulative effects over time.
In light of these considerations, it’s crucial for parents, educators, and coaches to be aware of concussion risks, recognize the signs, and ensure that children receive prompt medical attention if a concussion is suspected. Proper education, protective gear, and guidelines for return-to-play and return-to-learn can also help manage and reduce risks.
On arrival, one of our expert staff members will help assess your health and history. We work together with you to determine the best treatment schedule.
Yes, sustaining multiple concussions over time, even if individually they might seem minor, can indeed have a cumulative effect on the brain. This is sometimes known as “second impact syndrome,” particularly when a second concussion occurs before the brain has fully healed from the first. Over time, repeated concussions can lead to prolonged recovery times and increase the risk of developing chronic traumatic encephalopathy (CTE), a degenerative brain disease associated with repeated head traumas. It underscores the importance of full recovery before returning to activities that risk additional head injury.
Yes, indeed, children and teenagers can get concussions. In fact, they are often more at risk due to their involvement in physical activities, sports, and, in general, more accident-prone behavior. The still-developing nature of their brains might influence the concussion impact and their recovery trajectory. Because children and teens might not always be able to communicate their symptoms effectively, adults need to be vigilant in spotting the signs of a concussion, such as changes in behavior, balance, or academic performance. It’s essential to seek immediate medical attention if a concussion is suspected to ensure they get the appropriate care and rest needed to recover.
Symptoms of a Traumatic Brain Injury (TBI) can range from mild to severe. Mild TBI may cause a brief loss of consciousness, confusion, or headache. More severe TBI can cause extended periods of unconsciousness, coma, or death.
A baseline concussion assessment is a pre-season examination that gauges an athlete’s normal brain function before participation in sports. It is conducted by a trained health professional and includes tests that assess cognitive abilities, balance, and brain function. The results provide a “baseline” against which post-injury assessments can be compared in the event of a concussion. This comparison aids in diagnosing the severity of the concussion and informing treatment decisions. The goal is to ensure safe return-to-play decisions for athletes after a head injury.
Yes, concussions can vary in severity, and this is often categorized into three grades. Grade 1, or a mild concussion, involves transient confusion without loss of consciousness and symptoms lasting less than 15 minutes. Grade 2, a moderate concussion, includes transient confusion without loss of consciousness but with symptoms lasting more than 15 minutes. Grade 3, or severe concussion, involves any loss of consciousness, either brief (seconds) or prolonged (minutes). However, the grading system has become less emphasized, with more focus on individualized assessment and management of the concussion.
Yes, concussions have traditionally been classified into different grades or levels based on their severity, though it’s worth noting that grading systems have evolved over time and their use has become less prevalent in recent years. Initially, three general grades were recognized:
Grade 1 (Mild): This grade is characterized by symptoms that last for less than 15 minutes, with no loss of consciousness. Individuals might experience temporary confusion, dizziness, or minor headaches.
Grade 2 (Moderate): Here, the individual doesn’t lose consciousness, but symptoms persist longer than 15 minutes. The symptoms could be more pronounced, including more significant confusion, amnesia regarding the event, and possibly other neurological symptoms.
Grade 3 (Severe): This is the most serious grade, where the individual loses consciousness, even if just momentarily. Symptoms can be intense and may require more extended recovery periods.
Current approaches to concussion management, however, emphasize individualized assessment rather than strict grading. The focus is on the specific symptoms presented and ensuring a safe return to normal activities, rather than placing the concussion in a particular grade. It’s crucial for individuals to get a concussion assessment from healthcare professionals for accurate diagnosis and guidance, as each concussion is unique and demands personalized care.
Diagnosing a concussion involves a combination of clinical evaluation, symptom assessment, and, in some cases, imaging.
Clinical Evaluation: The first step is usually a thorough medical examination. A healthcare provider will ask about the nature of the injury and the symptoms experienced. They might check the patient’s vision, hearing, strength, balance, coordination, and reflexes.
Symptom Assessment: The individual might be asked to answer questions or fill out a questionnaire about their symptoms. This can help determine the concussion’s severity and impact on daily activities.
Neurocognitive Testing: Some healthcare providers use computerized or paper-and-pencil tests to assess memory, concentration, and problem-solving skills. Baseline and post-injury scores can be compared (especially relevant for athletes who undergo baseline testing before sports seasons).
Imaging: While standard imaging tests, like CT scans or MRIs, often appear normal in people with concussions, they can be used to rule out more severe injuries like brain bleeding or swelling. However, these tests are typically reserved for cases where more severe brain injury is suspected due to severe symptoms or specific risk factors.
Observation: In some cases, individuals might be observed in a hospital overnight. This is especially common if symptoms are worsening or if there’s a concern about potential complications.
Physiotherapist Evaluation: If post-concussion symptoms persist and involve issues like dizziness or balance problems, a physiotherapist might conduct specialized evaluations to address these concerns and recommend therapeutic interventions.
It’s essential to note that a concussion diagnosis primarily relies on the assessment of symptoms and clinical examination since there isn’t a definitive “test” for it. Therefore, honest and accurate reporting of symptoms by the injured person is crucial.
Yes, you can definitely have a concussion without losing consciousness. In fact, most concussions do not involve a loss of consciousness. A common misconception is that a person must be “knocked out” to have sustained a concussion, but that’s not the case. Symptoms of a concussion can range from mild to severe and can include headaches, dizziness, confusion, memory issues, balance problems, and more. It’s essential to recognize that even if someone remains conscious after a blow to the head or body, they might still have suffered a concussion, and they should be evaluated by a healthcare professional.
Yes, certain sports do carry a higher risk of concussions due to their physical nature. These include American football, hockey, rugby, soccer, and basketball. Sports that involve potential collisions or falls, such as cycling, skiing, and horseback riding, also pose a higher risk. However, it’s important to note that a concussion can occur in any sport, and appropriate safety measures should always be taken.
