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Safely Returning to Play: Back-to-School Sports, Injuries, and the Power of Baseline Testing

As the leaves turn and the school year begins anew, young athletes eagerly gear up for back-to-school sports. Whether it's football, soccer, basketball, or any other sport, these athletic activities offer valuable life lessons, camaraderie, and physical fitness for children and young adults. However, with the thrill of the game comes the potential for injuries, particularly head injuries. This article delves into the vital aspects of safely participating in fall sports, understanding sports head injuries, and the role of baseline testing in ensuring a safe return to play.



The Benefits of Youth Sports


Youth sports offer a multitude of benefits for children and teenagers, from fostering teamwork and discipline to promoting physical fitness and mental well-being. At Power of Patients, we believe in the incredible value that sports bring to young lives, and we're here to ensure that these experiences are as safe as they are enjoyable. In this article, we'll explore the positive aspects of youth sports, how they can be played safely, and the role Power of Patients plays in promoting this balance.


Before delving into safety measures, let's celebrate the many advantages of youth sports:

  • Physical Fitness: Youth sports keep kids active, helping them maintain a healthy weight and develop strong muscles and bones.

  • Social Skills: Team sports teach children cooperation, communication, and sportsmanship, skills that are valuable on and off the field.

  • Mental Well-being: Sports boost self-esteem and reduce the risk of anxiety and depression. They teach resilience and the importance of setting and achieving goals.

  • Life Lessons: From time management to leadership, sports provide a platform for youngsters to learn essential life skills.


The Numbers and Trends in Youth Athletic Injuries


Over past decades, the world of youth sports had been shadowed by significant risks, particularly concerning traumatic brain injuries (TBIs), concussions, and the ominous specter of chronic traumatic encephalopathy (CTE). These challenges had cast a chilling cloud over the enjoyment and safety of youth sports. However, amidst the growing fear and heightened awareness of these issues, a transformative shift has occurred.


The positive aspect of this heightened concern is that it sparked much-needed changes and initiatives within the sports community. Coaches, parents, and organizations began to prioritize injury prevention, leading to safer coaching techniques, better equipment, and heightened concussion awareness. The result? A remarkable reduction in sports-related injuries, especially among children and adolescents. This shift toward safer sports is not only beneficial; it's essential for the well-being of young athletes.The shift toward safer sports is yielding positive results.


  • “After more than a decade of increasing rates, the rate of contact sports-related TBI ED visits declined 32% from 2012 to 2018. This reduction was primarily the result of a decline in football-related SRR-TBI ED visits during 2013-2018. Decreased participation in tackle football (3) and implementation of contact limitations (4) were likely contributing factors to this decline” (National Library of Medicine 2020)

  • “Sports and recreational activities contribute to approximately 21 percent of all traumatic brain injuries among American children” (Stanford Medicine, American Association of Neurological Surgeons).

  • “There was a 39% decline in football related TBIs between 2013-2018. Football programs have also put more tackling and contact restrictions on the game. Tackling accounts for two thirds of the concussions and other TBIs among high school football players. Tackling techniques that reduce exposure to the head could reduce the risk of concussion by as much as 33%, the study found” (CNN).


To learn more about traumatic brain injuries, signs and symptoms, and more about TBIs in general, see our previous blog posts:



Understanding Athletic Injuries


While the benefits of youth sports are undeniable, it's essential to acknowledge the inherent risks associated with athletic activities. Among these risks, sports injuries stand out as a potential threat to the well-being of young athletes. Let's take a closer look at some key aspects of sports injuries:


Sports Injuries Types


Understanding the types of injuries that can occur in sports is crucial for parents, coaches, and athletes themselves. While injuries can vary depending on the sport, some common types include sprains, strains, fractures, and concussions.


Fall Sports Injuries


As we transition into the fall season, certain sports become more prominent, such as football and soccer. With these sports come the risks of fall-related injuries. It's essential to be aware of the specific safety measures needed for fall sports.


The Numbers Game


To appreciate the importance of youth sports safety, it's helpful to delve into the numbers and trends associated with sports injuries. Let's consider some thought-provoking statistics:


  • How Many Sports Injuries Occur Each Year: Sports and recreational activities contribute to approximately 21 percent of all traumatic brain injuries among American children. This statistic highlights the need for vigilance when it comes to youth sports safety.


  • Sports Concussions: Concussions have been a focal point of concern in recent years. The rate of contact sports-related traumatic brain injury emergency department visits declined by 32% from 2012 to 2018. This reduction is attributed to various factors, including decreased participation in tackle football and improved concussion awareness.


  • Preventing Concussions: Tackling accounts for two-thirds of concussions and other traumatic brain injuries among high school football players. Implementing tackling techniques that reduce exposure to the head could reduce the risk of concussion by as much as 33%.


These statistics underscore the importance of proactive measures to prevent sports-related injuries, particularly head injuries like concussions. As we explore further, we'll discover how a structured approach to return to play can significantly contribute to youth sports safety.


What’s the Heightened Concern about Brain Injuries and Youth Sports?


  • Vulnerability of Developing Brains: Children and adolescents have developing brains that are more vulnerable to the effects of concussions. Their brains are still maturing, and any injury can potentially disrupt this process.


  • Long-Term Consequences: Research has shown that repeated concussions, especially if not managed properly, can lead to long-term consequences, including cognitive impairment, mood disorders, and even chronic traumatic encephalopathy (CTE).


  • Educational Impact: Concussions can affect a student-athlete's ability to focus, concentrate, and perform well academically. Missing school due to concussion recovery can lead to academic setbacks.


  • Physical and Emotional Well-being: Concussions can result in physical symptoms (headaches, dizziness, fatigue) and emotional symptoms (irritability, depression, anxiety) that can impact a young athlete's overall well-being and quality of life.


  • Safety Concerns: Parents and guardians want their children to participate in sports safely. The increased awareness of concussions has led to a demand for safer playing conditions and better injury management protocols.


  • Legal and Liability Issues: Schools, sports organizations, and institutions are increasingly aware of their legal and liability responsibilities regarding player safety. Failing to address concussions appropriately can lead to legal consequences.


  • Media Attention: High-profile cases of concussion-related issues in professional athletes have garnered significant media attention. This has increased public awareness and concern about concussions in sports.


  • Preventable Nature: Many concussions are preventable with proper education, equipment, and adherence to safety guidelines. This fact has underscored the importance of taking proactive measures to reduce the incidence of concussions.


Overall, the concern about concussions in youth sports arises from the recognition that young athletes are particularly vulnerable, and proper precautions must be taken to protect their health and well-being while allowing them to enjoy the benefits of sports participation.


7 Ways You Can Take Action to Make Your Sports Participation More Safe


1. Know the Rules and Techniques: It's crucial for both parents and young athletes to understand the rules and techniques of the sport they're participating in. Proper training and adherence to rules can significantly reduce the risk of injuries.


2. Wear Appropriate Protective Gear: Depending on the sport, athletes should wear the necessary protective gear, such as helmets, mouthguards, or padding. Make sure the equipment fits correctly and is well-maintained.


3. Proper Warm-Up and Conditioning: Adequate warm-up exercises and conditioning are essential to prepare the body for physical activity and reduce the risk of strains or sprains.


4. Stay Hydrated: Dehydration can lead to fatigue and increased susceptibility to injuries. Encourage athletes to stay hydrated before, during, and after practices and games.


5. Recognize and Report Injuries: Teach young athletes the importance of recognizing injuries and reporting them promptly to coaches and parents. Ignoring pain or discomfort can lead to more severe injuries.


6. Rest and Recovery: Rest is a crucial part of any athlete's routine. Adequate sleep and recovery time between practices and games can help prevent overuse injuries and improve performance.


7. Nutrition: A well-balanced diet is essential for overall health and athletic performance. Ensure athletes are getting the nutrients they need to stay strong and energized.


8. Power of Patients Baseline Testing: Utilize the Power of Patients baseline testing, which provides valuable insights into an athlete's cognitive function when they are healthy. This baseline serves as a reference point for healthcare professionals in the event of an injury, ensuring a safer and more informed return-to-play process.


The Safe Play Movement


The safe play movement is gaining momentum. Organizations and movements such as the Supporting Athletes, Families and Educators to Protect the Lives of Athletic Youth SAFE PLAY Act “seek to address these concerns through best practices, support for schools, and quality research,” all of which is transforming the landscape of youth sports. Here's how:


Injury Prevention


Modern sports programs prioritize injury prevention through improved coaching techniques, rule changes, and proper equipment. Coaches and educators are continually seeking ways to create a safer sports environment.


Concussion Awareness


There's now heightened awareness about concussions, leading to better diagnosis and treatment. Parents, coaches, and athletes themselves are more vigilant about recognizing concussion symptoms and ensuring appropriate care.


Return to Play: The Path to Recovery


One significant advancement is the implementation of return-to-play protocols. Athletes are no longer rushed back into play after an injury. These protocols ensure that they are fully healed and ready to resume their favorite activities safely.


Returning to sports after a head injury requires a structured approach to ensure the athlete's safety. The CDC’s Heads Up protocol states the following: “An athlete should only move to the next step if they do not have any new symptoms at the current step. If an athlete’s symptoms come back or if he or she gets new symptoms, this is a sign that the athlete is pushing too hard. The athlete should stop these activities and the athlete’s medical provider should be contacted. After more rest and no concussion symptoms, the athlete can start at the previous step.”


In the event of an injury, especially a head injury, the return to play process plays a pivotal role in ensuring the safety of young athletes. Let's examine the key components of this process and understand how it contributes to a secure return to sports activities:


Return To Play Protocol Concussion


Following a concussion, a structured return to play protocol becomes essential. This protocol ensures that an athlete's cognitive function has fully recovered before they resume physical activities. It emphasizes a gradual progression through different levels of exertion.


How Long Should The Return To Play Process Take


The duration of the return to play process can vary from one athlete to another. It depends on factors such as the nature of the injury, the athlete's medical history, and their adherence to the recommended steps. While some athletes may progress quickly, others may require several weeks to complete the process.


Monitoring Progress


The return to play progression is most effective when conducted as a collaborative effort involving healthcare professionals who are familiar with the athlete's physical capabilities and stamina. Athletes advance to the next level of exertion only if they are symptom-free at their current level. Any recurrence of symptoms signals the need to stop those activities and consult a medical professional.


Youth Sports Concussions Protocol


The development of specific protocols for youth sports concussions is an essential step in ensuring the safety of young athletes. These protocols outline the procedures for recognizing and managing concussions, including the criteria for return to play.


The Role of Baseline Testing


One of the critical components of youth sports safety is baseline testing. This testing is conducted before the start of the sports season and measures various cognitive functions, including memory, attention, and reaction time. The results establish a baseline or reference point for an athlete's normal cognitive function.


In the event of a head injury, a post-injury comparison is made by conducting another assessment. This post-injury test is then compared to the baseline results to determine the extent of cognitive impairment. Such objective evaluations are vital in making informed decisions about when it's safe for an athlete to return to play.


Playing It Smart with Power of Patients


At Power of Patients, we are committed to empowering young athletes and their families with the knowledge and tools they need to enjoy sports safely. We want every child to experience the countless benefits of sports without unnecessary risks. Our platform offers valuable resources and guidance to ensure that:

  • Concussion Awareness: We provide information about recognizing and responding to concussions, ensuring that no head injury goes unnoticed.

  • Return-to-Play Safety: Our platform emphasizes the importance of a structured approach to returning to sports activities after an injury, with safety as the top priority.

  • Preventive Measures: We offer insights into preventing sports-related injuries through proper education, training, and the use of appropriate protective gear.

  • Baseline Concussion Test Questions: Baseline testing is a critical component of managing sports head injuries.


Power of Patients® and Baseline Testing


Power of Patients® recognizes the importance of baseline testing in ensuring the safety of young athletes. Their mission extends to empowering individuals with brain injuries and providing resources for informed decision-making. By promoting the use of baseline testing in sports, Power of Patients® contributes to a safer sports environment, where athletes can enjoy the benefits of physical activity while minimizing the risks associated with head injuries.


In conclusion, as young athletes gear up for back-to-school sports, safety should always be the top priority. Parents, coaches, and athletes themselves should be aware of the importance of adhering to safety guidelines, recognizing the signs of head injuries like concussions, and utilizing baseline testing to facilitate a safe return to play. With the right knowledge and precautions, we can ensure that the fall sports season is not only enjoyable but also safe for everyone involved.


Here are the cornerstones of safe play through using baseline testing:


  • Preseason Neurocognitive Assessment: Before the start of the sports season, athletes undergo a baseline test that measures various cognitive functions, including memory, attention, and reaction time. This provides a baseline or reference point for the athlete's normal cognitive function.


  • Post-Injury Comparison: If an athlete sustains a head injury during the season, they undergo another assessment. The results of this post-injury test are compared to the baseline results to determine the extent of cognitive impairment.


  • Informed Return to Play: Baseline testing helps medical professionals make more informed decisions about when it's safe for an athlete to return to play. It ensures that an athlete's cognitive function has returned to its baseline level, reducing the risk of re-injury.


  • Objective Evaluation: Baseline testing provides an objective measure of cognitive function, helping to remove subjectivity from the return-to-play decision-making process.


In Conclusion


Youth sports are a remarkable journey for children and teenagers, offering invaluable life lessons and experiences. While sports offer numerous benefits, safety should always be a top priority. At Power of Patients, we're passionate about making this journey not only enjoyable but also safe.


Understanding the types of sports injuries, the role of baseline testing, and the safe return-to-play protocol can help athletes and parents make informed decisions. Preventing head injuries and recognizing their dangers ensures a safer and more enjoyable sports experience for all. We believe in the power of sports to transform young lives, and we're here to ensure that every game is played smart and safe. With the right knowledge and resources, sports can continue to be a positive force in the lives of our youth.


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