Concussion Care: Signs & Symptoms to Watch
November 1, 2022
When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.
Head injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.
"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."
Signs of Concussion
The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.
"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."
Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:
Physical Concussion Symptoms
- Changes in sleep patterns
- Difficulty with balance
- Dizziness or lightheadedness
- Fatigue
- Headache
- Light sensitivity
- Nausea
- Numbness or tingling
- Sensitivity to sound
- Visual problems
- Vomiting
Emotional Concussion Symptoms
- Anxiety
- Depression
- Irritability
- Mood swings
Cognitive Concussion Symptoms
- Confusion
- Difficulty concentrating
- Feeling "slow" or "foggy"
- Memory problems
Diagnosing Concussion: Getting It Right
One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.
"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.
People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:
- Difficulty walking
- Weakness on one or both sides
- Not waking up
- Repeated vomiting
- Persistent confusion
- Seizures
- Unconsciousness
No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.
"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.
Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.
Survey Shows Multi-Sport Participation Holding Steady, Led by Consistent High Achievers
By
Geoff Kimmerly
MHSAA.com senior editor
December 14, 2023
The MHSAA's fifth Multi-Sport Participation Survey, conducted this spring for the 2022-23 school year, showed for the second-consecutive year that 44 percent of athletes at member high schools participated in more than one sport, and with several schools retaining high rankings in their respective Classes for the percentage of their athletes playing multiple sports.
Early and intense sport specialization has become one of the most serious issues related to health and safety at all levels of youth sports, as overuse injuries and burnout among athletes have been tied to chronic injuries and health-related problems later in life.
This past year’s survey showed 44.7 percent of athletes at MHSAA member high schools participating in two or more sports, a slight increase from the 44.3 percent who were multi-sport athletes in 2021-22 – and 1.9 percent higher than the percentage measured with the first survey in 2017-18.
For 2022-23, 47.5 percent of male athletes and 41.2 percent of female athletes played multiple sports. Class D has enjoyed the highest percentage of multi-sport athletes over all five years of surveys, this time at 62.5 percent, followed by Class C (59.0), Class B (49.6) and Class A (36.9).
Similar results for overall sport participation and multi-sport participation relative to enrollment size were seen by further breaking down Class A into schools of fewer than 1,000 students, 1,000-1,500 students, 1,501-2,000 students and more than 2,000 students. For both sport participation as a whole and multi-sport participation specifically, the smallest Class A schools continued to enjoy the highest percentages, while percentages then decreased for every larger size group of schools. This has remained consistent over the last five surveys.
Since 2018-19, the survey also has shown a slight increase in three-sport athletes across all four Classes and overall with 12.6 percent of athletes at MHSAA member high schools playing at least that many in 2022-23.
In early 2016, the MHSAA appointed a Task Force on Multi-Sport Participation as part of a continued effort to promote and protect participant health and address the issues leading to early sport specialization. The annual Multi-Sport Participation Survey was among results of the task force’s work. The 2022-23 Multi-Sport Participation Survey received responses from 85.2 percent of member high schools, a few tenths more than in 2021-22 in setting a survey response record for the second-straight year. (No survey was conducted for 2019-20 as spring sports were canceled due to COVID-19.)
The MHSAA Task Force also recommended measuring multi-sport participation in MHSAA member schools to recognize “achievers” – that is, schools that surpass the norm given their enrollment and other factors that affect school sports participation.
Battle Creek Harper Creek, Detroit Cody and Grand Rapids Northview have appeared among the top 10 percent of their respective Classes four of the five years the survey has been conducted. Several more have appeared among the top 10 percent of their Classes three of the five years: Athens, Decatur, Detroit Douglass, East Grand Rapids, Gibraltar Carlson, Hamtramck, Hillsdale Academy, Holland Calvary, Kinross Maplewood Baptist, Livonia Franklin, Manton, Marquette, New Baltimore Anchor Bay, Ovid-Elsie, Parma Western, Warren Fitzgerald, Warren Lincoln and Warren Michigan Collegiate.
In Class A, Sterling Heights (85.7 percent) and Grand Rapids Union (84.0) posted the highest percentages of multi-sport athletes in 2022-23, with Livonia Franklin (73.1) and Battle Creek Harper Creek (71.3) also reaching 70 percent. In Class B, three schools achieved at least 80 percent multi-sport participation –Warren Michigan Collegiate (85.2), Detroit Cody (84.2) and Battle Creek Pennfield (81.5).
Class C saw eight schools reach 80 percent – Jackson Lumen Christi (92.5), Delton Kellogg (92.3), Decatur (86.2), Muskegon Western Michigan Christian (84.0), Indian River Inland Lakes (83.3), Detroit Crockett Midtown Science & Medicine (82.4), Martin (80.6) and LeRoy Pine River (80.0). Two Class D schools responded at higher than 90 percent multi-sport participation – Coldwater Pansophia Academy with 100 percent for the second-straight year and Carney-Nadeau (94.0) – followed by Brighton Livingston Christian (88.9), Carsonville-Port Sanilac (88.6) and Holland Calvary (87.0).
The full summary report on the Multi-Sport Participation Survey is available on the Multi-Sports Benefits page of MHSAA.com