The Rise In Concussion Treatment In Toronto

By Jana Serrano


Reports are coming out of the Canadian province of Ontario indicating that the incidence of head injuries has gone up. Between the years 2003 and 2010, numbers of young people turning up in hospitals for concussion treatment in Toronto went up 50 percent. While this may be an indication that parents are becoming better informed about the risk of head injury, the increase is still cause for concern.



The Mayo Clinic defines concussion as a traumatic brain injury that alters the way the brain operates. Such alteration may be temporary or permanent and varies in severity. The symptoms include problems with balance, coordination and concentration or loss of memory. The seriousness of the injury does not always correlate with the level of symptoms. Even a slight blow to the head can cause serious or permanent damage.

The evidence of concussion may be very subtle and not even noticeable for days, weeks or months. Symptoms include headache, confusion and memory loss, as well as nausea/vomiting, ringing in the ears, seeing stars, slurred speech or a sense of pressure from within the head. Pre-schoolers may lose interest in their favorite toys, change their sleeping and eating habits, cry a lot and become even more cranky and irritable than the typical toddler.

A trauma to the head does not have to seem serious in order to cause serious brain injury. Many sports players, when injured, insist on continuing to play after receiving a blow to the head. Sadly, this can end in tragedy, as the death of British actress Natasha Richardson, shortly after refusing treatment for a bump on the head while skiing.

Concussions are particularly common in people who participate in contact sports. Hockey players are in a particularly high-risk group. Bodychecking is a defensive maneuver in which the player forcibly drives his shoulder, hip, elbow and upper arm into an opponent. According to the rules, this move is only legal when carried out against the player who has control of the puck.

In 2010, bodychecking involving the player's head or blind side was prohibited; this was to reduce the worrying numbers of concussions involving youngsters. To date, it does not appear to be working; rates of concussion are higher than ever. What is particularly alarming is that female players are suffering more concussions than male players. This is very odd because women's hockey does not permit bodychecking in any form.

The increase in numbers of concussions in female hockey players, and indeed sportswomen in general, is not confined to professional or even college players. Pee wee coaches of girls aged 9 and 10 are reporting high numbers of head injuries. Despite the absence of bodychecking in the women's game, women are experiencing similar, or even higher, levels of concussive head injury.

There is a chief neurosurgeon at a major hospital in Massachusetts who thinks that the reason for this disproportionate increase in concussions could indicate that women are more susceptible than their male counterparts and that more research is needed. Alternatively, it could be that women are not training their neck muscles as much as men do, or that they are more open about reporting such injuries.




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