Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-18T02:18:57.459Z Has data issue: false hasContentIssue false

State Experiences Implementing Youth Sports Concussion Laws: Challenges, Successes, and Lessons for Evaluating Impact

Published online by Cambridge University Press:  01 January 2021

Extract

Over the past decade, a flurry of media stories devoted to sports-related concussions have drawn attention to the previously “silent epidemic” of traumatic brain injury (TBI) in athletes. From 2001 to 2009, the annual number of sports-related TBI emergency department visits in individuals age 19 and under climbed from 153,375 to 248,414, an increase of increase of 62 percent. Multiple head injuries place youth athletes at risk for serious health conditions, including cerebral swelling, brain herniation, and even death — postconcussive conditions that have collectively (and controversially) been referred to as “second impact syndrome.” Studies have shown that children and teens — and girls, in particular — are more likely to sustain a concussion and have a longer recovery time than adults. Recent research also suggests that even subconcussive hits in children and adolescents may result in longer-term health effects such as decreased cognitive functioning, increased rates of depression, memory problems, and mild cognitive impairment (a pre-Alzheimer’s condition).

Type
Symposium
Copyright
Copyright © American Society of Law, Medicine and Ethics 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Carroll, L. Rosner, D., The Concussion Crisis: Anatomy of a Silent Epidemic (New York: Simon & Schusester, 2011).Google Scholar
Gilchrist, J., Center for Disease Control and Prevention (CDC), “Nonfatal Traumatic Brain Injuries Related to Sports and Recreation Activities among Persons Aged R19 Years — United States, 2001–2009,” Morbidity and Mortality Weekly Report 60, no. 39 (October 7, 2011), available at <http://www.cdc.gov/mmwr/pdf/wk/mm6039.pdf>(last visited July 24, 2014).Google Scholar
Bey, T. Ostick, B., “Second Impact Syndrome,” West Journal of Emergency Medicine 10, no. 1 (2009): 610;.Google Scholar
Saunders, R. L. Harbaugh, R. E., “The Second Impact in Catastrophic Contact-Sports Head Trauma,” JAMA 252, no. 4 (1984): 538539.CrossRefGoogle Scholar
Covassin, T. Elbin, R. J. Harris, W. Parker, T. Kontos, A., “The Role of Age and Sex in Symptoms, Neuroco gnitive Performance, and Postural Stability in Athletes after Concussion,” American Journal of Sports Medicine 20, no. 10 (2012): 110.Google Scholar
Guskiewicz, K. M.et al, “Association between Recurrent Concussion and Late-Life Cognitive Impairment in Retired Professional Football Players,” Neurosurgery 57, no. 4 (2005): 719726.CrossRefGoogle Scholar
Lowrey, K. M., The Network for Public Health Law, Summary Matrix of State Laws Addressing Concussions in Youth Sports (October 2011, Updated January 2013), available at <http://www.networkforphl.org/_asset/7xwh09/StateLawsTableConcussions_2-19-13.pdf>(last visited July 24, 2014). As of May 2014, all 50 states and the District of Columbia have/had passed such laws.(last+visited+July+24,+2014).+As+of+May+2014,+all+50+states+and+the+District+of+Columbia+have/had+passed+such+laws.>Google Scholar
Harvey, H., “Reducing Traumatic Brain Injuries in Youth Sports: Youth Sports Traumatic Brain Injury State Law, January 2009 to December 2012, American Journal of Public Health 103, no. 7 (2013): 12491254.CrossRefGoogle Scholar
Burris, S. Wagenaar, A. C. Swanson, J. Ibrahim, J. Wood, J. Mello, M. M., “Making the Case for Laws That Improve Health: A Framework for Public Health Law Research,” Milbank Quarterly 88, no. 2 (2010): 169210.CrossRefGoogle Scholar
Wood, J., “Qualitative Research Strategies for Public Health Law Evaluation,” in Wagenaar, A. C. Burris, S., eds., Public Health Law Theory and Evaluation (San Francisco, CA: Josey-Bass; 2013): At 325346.Google Scholar
Zonfrillo, M. R.et al, “Pediatric Providers' Self-Reported Knowledge, Practices, and Attitudes about Concussion,” Pediatrics 130, no. 6 (2012): 11201125;.CrossRefGoogle Scholar
Shrier, I. Safai, P. Charland, L., “Return to Play Following Injury: Whose Decision Should It Be?” British Journal of Sports Medicine 48, no. 5 (2014): 394401;.CrossRefGoogle Scholar
and Matheson, G. O.et al, “Return-to-Play Decisions: Are They the Team Physician's Responsibility?” Clinical Journal of Sports Medicine 21, no. 1 (2011): 2530.CrossRefGoogle Scholar
Cicerone, K. D.et al, “Evidence-Based Cognitive Rehabilitation: Updated Review of the Literature from 2003 through 2008,” Archives of Physical Medicine and Rehabilitation 92, no. 4 (2011): 519530.CrossRefGoogle Scholar
See Golding, D.et al, “Evaluating Risk Communication: Narrative vs. Technical Presentations of Information about Radon,” Risk Analysis 12, no. 1 (1992): 27–35 and Nansel, T. R.et al, “Baby, Be Safe: The Effect of Tailored Communications for Pediatric Injury Prevention Provided in a Primary Care Setting,” Patient Education and Counseling 46, no. 3 (2002): 175190.CrossRefGoogle Scholar
Robert Wood Johnson Foundation, “Strengthening and Enforcing Public Health Law,” The New Public Health, available at <http://www.rwjf.org/en/blogs/new-public-health/2011/07/strengthening-and-enforcing-public-health-law.html>(last visited July 24, 2014).(last+visited+July+24,+2014).>Google Scholar
Guskiewicz, K. M., “Epidemiology of Concussion in Collegiate and High School Football Players,” American Journal of Sports Medicine 28, no. 5 (2000): 643650.CrossRefGoogle Scholar