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Concussions in children research paper
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Traumatic brain injury (TBI) is one of the leading public health concerns today. The Center for Disease and Control (2010) reported that 1.7 million individuals sustain TBI each year). Moreover, TBI accounts to a third (30.5%) of all injury related deaths in the United States. Those who are most likely to sustain TBI are children (0-4 years), older adolescents (15-19 years) and older adults (65+ years) (CDC, 2010). This analysis will examine the prevalence, diagnosis, treatments, and prognosis of traumatic brain injuries in children.
Brain injuries can be classified into mild, moderate, and severe categories. The most commonly used assessment for classifying TBI severity is by using the Glasgow Coma Scale (GCS). This scale assesses individual’s level of consciousness based on verbal, motor, and eye responses to stimuli. Researchers Kung et al (2010) analyzed the components of Glasgow coma scale (GCS) from 27,625 TBI cases in Taiwan. The correlation between the survival rate and certain eye (E), motor (M) and verbal (V) score combinations for GCS (scores of 6, 11, 12, &13) were found to be statistically significant. The findings indicate that the three fundamental elements comprising the Glasgow coma scale (E, M, & V) separately and in some combinations are predictive of the survival of TBI patients. The researchers assert that this observation is clinically useful when a complete GCS score cannot be obtained when evaluating TBI patients.
Confirmative neuroimaging scans plays a pivotal role in TBI diagnosis, prognosis, and deciding what treatments to give. CT is the preferred method of assessment on admission to determine structural damage and to detect (developing) intracranial hematomas (Maas, Stocchetti, Bullock, 2008).
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..., Injury, Volume 42, Issue 9, September 2011, Pages 940-944, ISSN 0020-1383, 10.1016/j.injury.2010.09.019.
(http://www.sciencedirect.com/science/article/pii/S0020138310006741)
Tawfeeq, Mohammed M Halawani, Khulood Al-Faridi, Wa’el AAL-Shaya, Wa’el S Taha, Traumatic brain injury: neuroprotective anaesthetic techniques, an update, Injury, Volume 40, Supplement 4, November 2009, Pages S75-S81, ISSN 0020-1383, 10.1016/j.injury.2009.10.040.
(http://www.sciencedirect.com/science/article/pii/S0020138309005609)
Yeates, Armstrong, Janusz, Taylor, Wade, Stancin, Drotar, Long-Term Attention Problems in Children With Traumatic Brain Injury, Journal of the American Academy of Child & Adolescent Psychiatry, Volume 44, Issue 6, June 2005, Pages 574-584, ISSN 0890-8567, 10.1097/01.chi.0000159947.50523.64.
(http://www.sciencedirect.com/science/article/pii/S0890856709616336)
I intend to explore the effects of a parietal brain injury from the perspective of a neuropsychologist; ranging from types of tests that are employed when trying to determine the extent of the damage, to gaining an understanding of how this damage will affect the rest of the brain and/or the body. I will also explore the effects of a brain injury from the perspective of the family members, and their experiences with the changes that occur during the rehabilitation process. According to The Neuropsychology Center, “neuropsychological assessment is a systematic clinical diagnostic procedure used to determine the extent of any possible behavioral deficits following diagnosed or suspected brain injury”(www.neuropsych.com). As mentioned previously, a brain injury can be the result of many types of injuries or disorders, thus a broad range of assessment procedures have been developed to encompass these possibilities.
Researchers and doctors had little information on the proper management and care of someone who sustained a concussion. There were 2,350 participants in this study, with each player being enrolled in any one of the Ivy League schools, University of Virginia, or University of Pittsburgh. Players who experienced a mild head injury during practice or a game were removed from the field to be examined and assessed for “cognitive and psychosocial dysfunction through the use of neuropsychological techniques and self-reported questionnaires up to four times after injury” (Barth, et al., 1989). In order for a player to be diagnosed with a mild head injury, he must have had either a head contact injury or a complete loss of consciousness that lasted under two minutes and displayed some sort of memory and/or attention deficient. The results of Barth’s study showed that there were 195 documented mild head injuries.
Did you know, that someone suffers from a brain injury every 21 seconds (Haas)? Children get concussions all the time, and most of the time they go unnoticed. The majority of concussions happen when one is playing a sport such as football, hockey, or lacrosse. Many famous athletes have had their careers, even their lives cut short due to concussions. Brain damage and death can result from serial concussions (Schafer). When one suffers from a concussion, one’s brain needs time to recover physically and mentally. Between 2002 and 2006, statistics showed that 52,000 people died from concussions and about 275,000 were hospitalized (Fundukian). Everyone’s recovery process is different (“Injury and Pain Care”). Although concussions seem minor, they are very serious brain injuries that may result in severe damage to one’s brain.
Chronic Traumatic Encephalopathy, previously referred to as dementia pugilistica, can be understood as a tauopathic, neurodegenerative and neuropsychiatric disease. While there is no neurobiological or neuropathological explanation as to why CTE occurs, the majority of researchers believe the disease is strongly related to previous head injuries. An individual suffering from CTE will most likely experience changes in their mood, behavior and cognition. Because this is a relatively new area of research, there are still a vast amount of unknowns pertaining to the disease’s symptoms, pathology, and natural course.
Thesis: Concussions affect children and adults of all ages causing physical, emotional and metal trauma to a person and their brain.
Yates, Keith, et al. “Longitudinal Trajectories of Postconcussive Symptoms in Children With Mild Traumatic Brain Injuries and Their Relationship to Acute Clinical Status.” Pediatrics. 123.3 (2009) : 735-743. Web. 11 Apr. 2014.
Scientific American 306.2 (2012): 66-71. Print. The. Brady, Erik. “Changing the Game on Youth Concussions.”
Traumatic brain injury or TBI occurs when a child has a head injury that causes damage to the brain. These injuries can be caused from being hit in the head or violently shaken. The results of TBI can change how a person’s brain develops, how they act, move, and think. It can also affect how they learn in school (NICHCY, 2012). TBI can affect the way a child thinks, retains information, attention span, behavior, speech, physical activities (which includes walking), and the way a child learns.
The only result from the testing consistent with a brain injury was the abnormal pupil response of the right eye (constriction) (Traumatic brain injury, 2015). The physical effects that could have pointed to a brain injury were the laceration to the right side of the gentleman’s head and the amount of blood loss. The complaints from the patient that may have insisted a brain injury included a severe headache, dizziness, and nausea (Traumatic brain injury, 2015).
If I could have everyone's attention. Good-morning ladies and gentlemen. For those of you who don't know me my name is Jasmine Davenport. Today I’d like to discuss traumatic brain injury also referred to as TBI. I chose this topic because traumatic brain injury is a serious and complex injury with a broad spectrum of symptoms and disabilities. Traumatic brain injury effects people of all ages and is a major cause of death and disability worldwide. A traumatic brain injury can be caused by a blow or jolt to the head that disrupts normal functions of the brain Also, traumatic brain injury can cause physical, cognitive, social, emotional, and behavioral affects.
Following behind motor vehicle crashes, traumatic brain injury in sports is the second leading cause of traumatic brain injuries for people fifth-teen to twenty-four years of age. Immense concerns follows given that American football accounts for the highest incidence of concussions (Rowson and Duma 2130). In addition, th...
Over 1.7 million traumatic brain injuries are reported each year. According to reports the leading cause of brain injuries are from falls followed by motor vehicle accidents, and accidents that were a result of being struck by something. Falls account for 32.5% of traumatic brain injuries in the United States. 50% of all child brain injuries are from falling. 61 % of all traumatic brain injuries among adults are 65 years old or older. Traumatic brain injuries are very violent blows or jolts to the head or body that result in the penetration of the skull. Mild traumatic brain injuries can cause brief dysfunction of the brain cells. Serious brain injuries can cause bleeding, bruising, physical damage to other parts of the body and torn tissues. Brain injuries are more prevalent with males rather than females. Causes of brain injuries include:
Children experience decreased development in the left brain when traumatic events occur (Network, n.d.). Imagine being a child and growing up with these types of events occurring. A traumatic event in a child’s life can cause a child to experience a long lasting negative effect. Life events are happening everywhere and more often in the lives of children (Understanding Child Traumatic Stress, n.d.). Trauma can cause them to do three things. First, they try to see what the danger is and how serious it is. Secondly there are strong emotional and physical reactions. Thirdly they attempt to come up with what to do that can help them with the danger. Traumatic events can cause a child to develop differently, which effects the young child stage,
Centers for Disease Control Injury Center May 30, 2007 Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Deaths retrieved from http://www.cdc.gov/ncipc/pub-res/tbi_in_us_04/tbi_ed.htm
Stocchetti, N., Pagan, F., Calappi, E., Canavesi, K., Beretta, L., Citerio, G., … Colombo, A., (2004). Inaccurate early assessment of neurological severity in head injury. Journal of Neurotrauma, 21(9), 1131-1140. doi:10.1089/neu.2004.21.1131