Tag Archives: Athletic Trainer

Virginia HS Junior Reflects On “The Journey”

{Editor’s note:  When we tell our stories, it’s as much to get them off our chest as it is to release the regret that we feel for having done something to ourselves that likely could have turned out differently if we knew ahead of time that suffering like this was even remotely possible. Marissa is very eloquent in this piece, but what should not be lost while reading it is the very real physical and emotional pain that she still feels to this day. Saving others the expense of dealing with this pain is a common thread in all of our experiences. These stories are all here for a reason. Heed them. –Jay}

flora

Marissa, left, and friend

By Marissa Flora

“Invincible,” the word that would rush through my head each time I stepped out on the field.  It was a reminder that I would never be the one to get hurt, and if I did, I somehow convinced myself that I could play through anything and I would be just fine.  These days, that idea has changed; “invisible,” is now the word that rushes through my head each time someone does not ask, “What’s wrong?”  No one can see my injury, no one understands what I struggle with to get through the day, and no one knows how much harder I have to work to be successful. Continue reading

Fixing Concussions with Band-Aid’s: How Effective is the NFL’s Defenseless Receiver Rule?

saum1

By Kevin Saum

Improving health and safety in football became a passion of mine after I suffered from second impact syndrome while playing in a high school football game and fell victim to the culture of toughness that exists in all sports. Despite the fact that football nearly took my life, to this day I still love the game and I do not regret one play from my 10 years of participation. Many of my fondest memories are from playing high school football and I credit the game and my coaches for making me the man I am today. Because of the intense passion I have for football, I become infuriated when I see professional players undermining the NFL’s attempts to make the game safer by taking cheap shots on defenseless receivers. Continue reading

Long Island HS Junior Speaks About Loss, and Perseverance in the Wake of PCS

By Kate Gaglias

kategThe saying “You will never know the value of a moment until it becomes a memory” is absolutely true. Many of us athletes take our sports for granted- The grueling practices, running laps for no reason, constant games and tournaments. But the truth is no matter how much we say we hate it we will always have the love for the sport. Until, unfortunately for some of us all of that can be taken away in an instant.

My name is Kate Gaglias, and I am a junior in High school in Long Island, New York. I’ve played soccer since I was four years old, beginning in an in-house league like every other toddler. I joined a travel team when I was eight called the Longwood Twisters (which I am still a part of today) and played on the junior high team, JV team, and in my sophomore year I became a member of our varsity team. But since a young age my life has been changed by concussions. I received my first concussion in 2007 by getting a ball slammed to the side of my head by one of my teammates at an indoor practice. I didn’t feel anything until I got home, and after telling my dad (an athletic trainer) and my mom (a physical therapist assistant), they checked out my symptoms (the normal dizziness, sensitivity to light, headaches) and they all added up to having a mild concussion. I was out of school for a week, and when my symptoms were gone I returned to school like a normal 5th grader. Continue reading

Illinois HS Senior Hoops Player Speaks About Life After Concussion

By Mikaela Broling

securedownload-225x3001Everyone has a story: Enlightening stories, depressing stories and even stories of faith. Each and every one of them have deep feelings and memories attached to it. In reality, they are all different, whether it be how theirs started or ended. I have not always been so keen on sharing mine, but I have come to learn that it is a very important one, one that will make people think, wonder how I keep going, but most of all it is a story of my strong faith and lets people know there is always a light at the end of the tunnel. It may not seem relatable, but look in between the lines, everyone has been lost at some point in their life, broken, fearing what is to come next. I have learned to surpass that, and share with people how it is even possible to overcome those obstacles.

My story began the evening of January 24th, 2012. I was a 15 year old girl, who loved  sports! I was a 3 sport athlete, with a total love for  playing soccer! However, on the night of the 24th I was playing a basketball game. That very unpredictable night. I was one of the most aggressive defensive players my team had, and I gave nothing short of my best every time I went out on the court! The team we were playing that night, was a very rough team. Physically and mentally. As the game goes on into the evening, the score board goes back and forth between both teams. After scoring a shot, the score board was now in our favor, and we had to get back on defense. I was in charge of marking their point guard, who had very quick feet and intentionally set me up for the biggest fall of my life. Running to keep up with this crazy fast girl, not aware of where I was headed, I ran straight into a massive post player. I ran right into her shoulder, she was much taller than me and my right temple slammed into her shoulder. After that hit, I freefell to the hard gym floor, it was the back of my head that hit hard against the gym floor.  I’m told it  was the kind of hit that silenced the gym.

Dazed and confused, I tried getting myself up off the gym floor. Miraculously, I did not go unconscious. Eventually my coach ran out to help me off the floor and to the bench. I went into a little panic attack on the bench, because I was so confused. Knowing something was wrong with me, I tried to stay calm. Surprisingly, the trainer at the gym dismissed me as nothing was wrong, just a bump on the head and to go home and sleep it off. No concussion, nothing. My mom on the other hand, was not going to settle that easy, so off to the emergency room we went. I remember feeling so tired and more worn out than usual, and just uneasy with my surroundings in the ER waiting room. Once admitted, the ER doctor came in for the evaluation, and sure enough I was diagnosed with a concussion and told I will deal with post concussive syndrome over the next few weeks or months.  I was told school would most likely become a bit difficult. That night we did not realize the severity of this hit, only the next few mornings would start to bring answers.

My dad was gone on a business trip that week, so my mom and siblings were home with me. In the morning when I woke up, I was in my moms bed with her, rather confused and very quiet. I remember seeing my mom first thing when I woke up, and asking her why I was in bed with her. She said I had a rough night, and thought it was best that I slept in her bed with her.  That day I slept pretty much the whole day and night. My mom said I wouldn’t eat and really didn’t want much to drink.  The next morning I awoke in my mom and dads bed again. My mom just sat next to me talking just a bit to me.  There was a phone laying next to me by the bed in the morning, so I was looking through it, and scrolling through pictures. I was looking at all these faces, they had no names to me. They were all strangers to me. My cousins, friends, boyfriend and even family.. I did not know them or understand why.  I think my mom was just as confused as me. We went through all the pictures together, and none of them rang a bell. This realization was the first of many to come.

Throughout the week, more and more things came about that I did not remember. My recollection of colors, food, geography, family members, friends, animals, places, my past, holidays, seasons, even my own boyfriend. All of those were lost in my head somewhere. My short term memory was horrible, and my long term memory seemed to have went completely missing. Another unusual thing that happened was that I became completely literal. I did not understand the concept of joking, innuendos or sarcasm. Also, cartoon characters and animated shows or movies tended to scare me. I really thought that all of those things were real. Still today, when I become tired, I am more apt to be quite literal and skittish around animation. The most difficult thing though was not knowing who my Dad was.  He  had been gone on a business trip and when he came back I just had no idea who he was. When he started crying, I could not help but to cry either. I mean, after all, I was not sure what I was crying about anyway . He kept reassuring me, and said that all will be ok and I would heal.  As scared as I was, I just kept trucking along.

A week after my accident, I went in to get an MRI. I had a CAT scan in the ER, which both turned out to be normal. My head injury has stumped my doctors and neurologists, as well as, my Neuropsychologists. They say they have never seen a case like this before with so much memory loss . I went on with my regular life as much as I could. I stayed home for a few days from school until I thought I was ready to go back. We did not realize the fatigue I had until I tried going back to school. My school was very understanding with me when it came time to go back. I was on half days of school for the rest of my sophomore year and  3/4 of my junior year of high school. Now a senior, I am able to go full days. I am on a 504 plan, which enables me to get accommodations with school work and tests and gives me extra time on any assignments I need. For about 4 weeks, I knew nobody’s names at school. No teachers, friends, classmates, nobody! My boyfriend, Adam, was the one who helped me with everyone’s names and helped me find my classes. I had to re-meet him several times in order to remember who he was. To this day, he still shares many memories with me that I do not have.

For 6 months to a year after my concussion, I battled  headaches and sometimes dizziness.  When I am tired, I  still struggle with lights and noise. I also have a difficult time now with crowds. The fatigue I have is  like no other fatigue I have experienced before and still struggle with it daily. Naps were a normal thing to me, and they still are. After school, I would snuggle up in bed and sleep for 4 hours when I did half days. Now that I am consistently going full days, every so often I take a day off of school to catch up on my sleep.

As of right now, I am going through neuro feedback, and seeing if it will in fact help my fatigue. I have been resting and going along with my normal life as much as possible.  I  am still getting some memory back here and there. I am hoping to get back my energy like I had before, but I also know that coming out of a traumatic brain injury like this, I will certainly not be the same girl as before. No one could possibly be the same as before. I would say all of the colors, food, animals, geography, people, etc. that I have come to know in these past 21 months, has all been taught to me, or I have learned on my own. As of right now I am still learning these things, I  definitely forget a lot of these common topics, but  I am trying to learn them still. I am not about to give up on my struggle though. I really do love life! There have definitely been times where I could have easily given up, but my faith in the Lord and in myself, along with the love from my family and  boyfriend Adam has kept me on my feet. I have learned not to be embarrassed when I make remarks, or do not understand something, because God has a plan for me. God has a special plan for each and every injured mind.  I Know His plan is an amazing one.  In the book of Jeremiah it says, “Heal me, O LORD, and I will be healed; save me and I will be saved, for you are the one I praise”(17:14). This is why I keep going, this is why my experience will be shaped into a story of faith and encouragement for others and also myself. There is always light when things seem dark.

Southcoast MA HS Senior Soccer Player Describes Her Experiences With Concussion

By Lindsey Santos

santosOn October 26th, 2010, I received my first concussion. During a competitive soccer game against one of our conference teams, I was jumping up for a header, pulled down, and then deliberately kicked in back of the head twice, blocking the third kick with my hand. I stood back up on my feet and knew something was wrong. I tried to “shake it off” as any other athlete is taught to do, but when I started throwing up, I jogged myself off the field. When I told my parents I had a headache later on when we arrived back home, they took me into the emergency room to get checked out. During that visit I was diagnosed with a concussion. Already knowing somewhat about concussions, I figured it would be a “normal” two weeks of headaches. Little did I know that two weeks would turn into three months.

I had headaches every day, and I constantly felt tired and confused. My goals had to be set aside to take care of my health. Not being able to go to school caused me to fall behind my peers in the classroom and on the field. After having my concussion for about four weeks, my doctor recommended I go to see a Sports Medicine Specialist at Boston Children’s Hospital. There, I took my first Impact Test. Even though I did well on it, my symptoms clearly showed that I still had a concussion. I followed up every month with him basically just asking questions about how I felt and keeping track of the symptoms. Finally being cleared back to sports in January of 2011, I returned to play basketball for my high school.

After only being cleared fully for a week and half, I received my second concussion. Someone set a pick on me and just completely elbowed me in the process. I immediately knew that I had a concussion because when I got up, I was dizzy and my vision was blurred. But, I stayed in the game because I didn’t want to accept the fact that it had happened. My coach took me out of the game because I was clearly “not right”. The trainer checked me out and held me from going back into the game. Waking up the next morning with a severe headache forced another trip back up to Boston Children’s Hospital.

It was just the same routine as last time- as if I was never cleared. This time the specialist advised that I come up with some sort of agreement with my teachers for help in the subjects that I wasn’t doing well in. My school principal developed a 504 plan that provided me with accommodations to get extra time to take tests and hand in projects. Some of my teachers weren’t aware of my condition though and some major assignments were counted against me. I felt like I didn’t have any control over my life as if a carpet was ripped out from under me. I started to write and draw to help me through my PCS (Post Concussive Syndrome) recovery. During all of this I was also losing my friends. When they would be out having fun, I was stuck at home with a headache crying myself to sleep. They would get mad when I told them I was going to stay home because I didn’t feel well. They started to believe I was faking this concussion to get away with things, like quarterlies, homework, and get-togethers.

After another three months had passed, I was cleared for contact sports again. I was feeling good and healthy, even with two concussions under my belt. Though things felt altered, I was learning to cope and accept it. I could not let my two concussions defeat me any longer. I had to face these obstacles head on and regain control of the things that mattered most in my life. Even though I am still dealing with headaches three years later and break down every once in awhile, I strive to make a difference. I introduced the Impact Test to my school and even though the athletes hate taking them, I know it can make a difference for the better. I also help other students in school who have a concussion. I guide them, and I’m most importantly a friend to them. I don’t want anyone to go through what I did. Going through these challenges has certainly had a large impact on my life. They have prepared me for other bumps in the road that I will face as I live the rest of my life.

What’s A Life Worth To You? The Absolute Importance Of Athletic Trainers In High School Sports

{Editor’s Note: I can think of no one better to speak to the need and value of Athletic Trainers in high school sports than someone whose life was literally saved on the playing field by an AT. Kevin Saum can claim that honor. Kevin is a Knockout Project Round Table member and his bio is available on this page .- Jay}

By Kevin Saum

saummudMore than 50% of high school students in the United States do not have the luxury of having an athletic trainer on the sidelines of their games and practices.  Yet athletic trainers are standard in collegiate and professional sports.  This reality is highly questionable considering that the underdeveloped, youth brain is at the greatest risk of injury.  In addition, studies have shown that young athletes take longer to heal from brain injuries, compared to the brains of more physically mature athletes. Why is it that school districts and policy makers are willing to implement safety changes AFTER a fatal, or near death incident occurs?  I often wonder what would have happened to me if Miss Barba were not on the sideline the night I was injured.  I venture to guess that you would not be reading this blog post.

After reading The Concussion Blog’s March 4th post, which recognized March as National Athletic Trainers month and encouraged readers to give a shout out to their favorite athletic trainers, one AT immediately came to mind.  Despite my lack of punctuality, I would like to recognize an Athletic Trainer at a high school, “set in the valley” in Chester, New Jersey.  Suzanne Barba, “Miss Barba” to all the students, is West Morris Central’s Athletic Trainer of thirty years, and not only mends bumps and bruises, but also touches the lives of every athlete she tapes, rehabs and teaches. Suzanne is also responsible for saving my life in a high school football game on October 5, 2007.  I do not remember very much from this night, but it is a night that undoubtedly changed my life forever.

As an athlete, one place you never want to be is in the athletic training room.  Being in this room either means you are out of the game, multiple games, the season, and possibly forever.  Just ask Alex Smith of the San Francisco 49ers, what happens when you go into this room.  Players would rather risk their long-term health and careers to stay out of this room, and look  where that got Robert Griffin III. I was a senior captain and a product of playing in a sports culture, which frequently glorified playing through injuries.   I naturally felt obligated to play injured in what was our team’s last chance to make a run for the playoffs.  In week two of the season, I sustained a separated shoulder, and Miss Barba tended to this injury for the few weeks leading up to my last game.  In the meantime, I strained the rotator cuff in the opposite shoulder, which instinctively left my head as the only blocking/tackling tool to use.  Naturally, like any competitor, I refused to let these ailments keep me off of the field.  However, after playing with these injuries and leading every hit I made with my head, I sustained a concussion. It should be noted that I was never officially diagnosed with a concussion, because I did not inform anyone about the excruciating headaches I was experiencing.  I never told a doctor, my parents, my coaches and certainly not Miss Barba.  She would never have let me play if she knew about my headache.

As I have alluded to previously on this blog, I unsuccessfully attempted to suppress the pain with four Advil and ran out under the glow of the Friday night lights for what turned out to be the very last time.  Just before halftime in this game I received a significant blow to the head, which left me unable to feel my legs.  With my history of chronic leg cramps in hot-weather games, everyone assumed it was just another cramp, as my teammates helped me to the sideline.  Because of Miss Barba’s experience as an EMT and Paramedic, she knew my condition was something much worse than leg cramps.  Upon recognizing my right-sided gaze, a common sign of a subdural hematoma (brain bleed), Miss Barba called for Advanced Life Support, and luckily a helicopter was in the area, on its way back from another call.  The doctor on the sideline was initially surprised by this request, until moments later, when I began to seize.  Miss Barba’s role did not stop at calling for appropriate medical attention.  She was also the one assisting my breathing with a bag valve mask when I went into respiratory failure, because of the brain swelling that ensued from second impact syndrome. The breathing assistance prevented brain damage and ultimately saved my life.

At that time, In 2007, Miss Barba was only a part-time athletic trainer because she was also responsible for teaching health classes during the day.  Due to a lack of time and resources, this work schedule prevented her from implementing baseline concussion testing and working with athletes to rehab their injuries.  Fortunately, in the year following my injury, Miss Barba was made our high school’s full-time athletic trainer.  Now, thanks to Miss Barba’s exceptional work and overwhelming support from parents, our school has a very thorough graduated return to play (RTP) protocol for its athletes.  This RTP process includes input from the strength and conditioning coach, to aid in implementing the graded physical activity protocol. Athletic trainers and strength coaches spend a lot of time with athletes, both during the season and in the offseason.  During this time they get to know the athletes personalities and ability levels.  They can identify when athletes are not acting like themselves, similar to how parents can, but in an athletic environment.   ATs specialize in diagnosing and treating injuries, while strength coaches have a great understanding of each individual athletes physical capabilities.  This collaboration between AT and Strength Coach, during the evaluation of an athlete’s RTP, allows for an appropriately stringent evaluation. The intricacies of Miss Barba’s RTP procedure meet, and I feel exceed, the standards set in place by the AmericanAcademy of neurology.  As a result, Suzanne believes that athletes feel safer and more confident returning to their sports, after passing this test.

On average, 12 football players die every year due to heart conditions, brain injuries and heat-related causes. Most of these deaths could be prevented with an AT overseeing athletic operations.  Athletic Trainers carry AEDs on the sidelines and could save the life of an athlete who has a heart condition.  Without ATs, concussions cannot be adequately managed due to conflicts of interest that exist in sport. Although athletic trainers have limited control in preventing brain injuries, other than educating athletes, nearly all brain injury related deaths could be avoided if concussions are managed properly.  On hot summer days, AT’s monitor the heat index and have the authority to cancel practice if conditions are too dangerous.  In addition, ATs ensure athletes are properly hydrated, which also prevents heat-related deaths.

Recently, the AmericanAcademy of Neurology published their updated return to play guidelines for concussions.  Most notably, they make the following recommendations:

  • The use of baseline testing.
  • Immediately removing a player from play when a concussion is suspected.
  • Individuals supervising the athletes should prohibit an athlete with concussion from returning to play until a Licensed Health Care Provider (LHCP) has judged that the concussion has been resolved.
  • Licensed Health Care Providers should develop individualized graded plans for return to physical and cognitive activity.

These recommendations are based on research and when implemented, they undoubtedly will make sports safer to play.  However, without the presence of an athletic trainer, their feasibility and intended efficiency are significantly hindered.  Not all parents can afford to take their children to LHCPs.  Who will recognize and remove an athlete from play when a potential concussion occurs?  The coaches? Who are trying to win a game and have a million other things and kids to worry about?  Wouldn’t that be a conflict of interest?  Where is the accountability in returning an athlete to play without an AT? Are coaches now going to be responsible for recording injuries and validating their athlete’s medical notes?  Are physicians going to be responsible for administering graded physical activity tests, with no prior knowledge of the individual’s abilities? All of these questions are answered when Athletic Trainers are looking after players.

Clearly, every athletic program would choose to have an Athletic Trainer if they were not faced by budget constraints.  I owe my life to an Athletic Trainer, which is why I am very passionate about the issue.  Considering all the statistics in regards to the dangers on the sports fields and the obvious safety and life saving benefits an athletic trainer brings, I ask the school districts, policy makers and parents, how much is a life worth to you?

Alex Smith Link:

http://bleacherreport.com/articles/1426269-alex-smiths-benching-could-set-nfl-concussion-safety-back-for-decades?utm_term=NFL+Football&utm_content=NFL&utm_source=twitterfeed&utm_medium=twitter

RG III Link:

http://www.nbcwashington.com/news/sports/Shanahan-Wanted-to-Believe-RGIII-Could-Play-Injured-185822561.html

AmericanAcademy of Neurology Guidelines:

http://neurology.org/content/early/2013/03/15/WNL.0b013e31828d57dd.full.pdf+html

Twelve football players die every year:

http://vitals.nbcnews.com/_news/2013/04/05/17621060-12-school-football-players-die-each-year-study-finds?lite

 

barba1

 Suzanne Barba takes care of Michael Burton, who currently plays fullback at Rutgers University

 barba2

I think she did a good job. Ed Mulholland/US Presswire Photo