WWL>Topics>>2-11-14 2:10pm Angela: on concussions

2-11-14 2:10pm Angela: on concussions

Feb 11, 2014|

Angela talks about the epidemic of sports-based concussions in America with Josh Pruce of Pop Warner Little Scholars and Christin Moses, clinical director for neurological rehab centers in Louisiana.

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Automatically Generated Transcript (may not be 100% accurate)

Well as you sit and enjoy the Winter Olympics you may hear more about concussions. They've become a big issue especially. After twenty year old American snow boarder Trevor Jacob. Admits his memory is already a little Fuzzy. After at least 25 concussions. We've all heard of how the NFL is addressing a problem making changes to the game to protect players from head injuries. And interestingly a recent study came out saying 40% of parents said they would swayed their children away from football. All of this is a result that we are becoming more and more aware of the impact of concussions. And it's worthy of more discussion which were going to do for the next hour. With -- Moses who is clinical director of the neurological living centers of Louisiana. And also wanna say -- listening audience. Please call -- if you've ever had a concussion if you can child who's had a concussion. If you have any questions at all she can certainly try to help answer those. But -- I'd really love to hear from view the effects of a concussion. You have patent -- either as a child or as an adult. We're also going to be talking a little later wrong to someone from the pop Warner national organization. About some changes they're making in their rules. Okay so again we welcome Christian Moses. Clinical director neurological living centers in Louisiana tell us first of all about what that it's. We I post acute brain injury rehabilitation program located in Covington Louisiana. He and we are smaller facilities that we have around twenty to 22 clients. And we've built individualized. Rehab programs to help. Address deficits for adults with brain injuries he and the ultimate goal being to reintegrate them back into the community. So clients come from us from around the United States. -- and Qaeda they have certain cognitive deficits such as memory problems solving. Orientation. Just in in typical things that people would be able to recognize and where they have physical deficits. And we address them through speech therapy physical therapy occupational therapy. Not only used the skills that are taught in their fees but make -- functional in the community because that's where these guys are gonna have to go back to his. Living in and hopefully as supportive environment with their families in trying to make it in the world. So we're not gonna talk about concussions and concussions. Is an injury to the brain gets it is defined as a traumatic as a form of traumatic brain injury. So I think at least maybe up -- ten years ago when -- five years ago we -- Most of us thought well alone with -- fill his concussion but we didn't really understand the impact of it. And you sort of elaborate on that impact. Yes and I think you're right years ago five years ago even three weeks ago. People didn't really understand that this severe radio or the possible severity of it. And often times when children have concussions and even adults have concussions. It's not saying that one concussion is going to lead to this lifelong issue but one concussion has the ability to. And change somebody's neurological status in if the proper amount of rest isn't given not only -- from physical activity -- rest from cognitive activity. Then the changes in somebody's brain can. Have a really long lasting effect. And now we hear means this is a good example this dynamic young man at the Winter Olympics the twenty years old. Says yes you know I'm already feeling a little Fuzzy. Because he's -- 25 concussions and not from what I've read they were not all from snowboard in from other events that he was involved -- you know growing up. What twenty years holdings already a little -- The and that's the danger that comes with a sports. Parents. And then coaches alike have about. Not necessarily had that information available to them in the past he and so we're just really coming to an age where technology. Is catching up with how active we are so now we have a chance. To use the technology but for someone like that even my own brother he had. Nine concussions when we were younger. And my mother is an occupational therapist she worked in therapies and worked with children you know that was her life but. -- eighteen years ago you didn't know that information was out there and then she kept him home and -- him -- -- and he probably. Two concussions a year -- -- a year which now we know has you know a lifetime. Had a detrimental effect across in his life. -- -- playing all sports. He got a concussion playing football basketball. And baseball. And we were active kids you picnic -- -- it was out there I think ask a bomb. He broke. That net and he found in baseball he was a catcher and ripped his helmet off before the ball crossed the plate and hidden hand. In football he was the quarterback and he got sacked and he got sacked -- -- dollars. And it wasn't up after the game was over win and it didn't happen at the very end of the game and after the game was over he get taken to the sidelines and my mom is there and he was talking funny thinking of mechanic. Hospital. So he never was knocked out it. Never lost consciousness. You know there's another interest -- story out of the Olympics -- there's a female checks no border who who cracked her helmet. So after taking a fall. I think of those helmets cracks the helmet yes and she was not treated on the court she just slid down to the finish area. And she was sort of staying here very woozy. And then ultimately. She didn't make the cut. And the head coach of the US snowboarding -- That their group would not have handled it that way. And this -- just interesting to make. That medical people would have you know given them immediately sort of these who baseline tests. And then she would immediately head to rest. What I found interesting is at the Olympics -- you think the ultimate sports people. That all the international federations of the United States federation Russian Chinese and all run differently. There isn't -- consistent I find that very surprising at that level that there isn't a single standard. By which everybody. Has to appear to a situation like that. But every. Nation candles at their own way. Yes and I think that's just -- sign of the time even the United States. You know we don't even have a consistent approach across every high school or evergreen. College -- all of those systems are just really being created. I think in high schools alone you know impacts. Which is just impact is one of day. Main studies that they're doing and that they test. Kids on specific physical activities such as balance. Reaction times motor speed. In so that way to have those that statistics also than after an injury they can retest them in if their scores are significantly slower or delayed. And they can say -- you need to take arrest but it. On that you know Olympic level there. There's so many different players that want to have say I think on what was going on yeah that's. And it -- can't be a consensus among everybody but there aren't theory large groups that are. Being created. That have multi professionals on the air and they're really trying to push for a consensus. In a way to deal with the dressing concussions and brain injuries but there's nothing like and you realize. When you say three years five years but a short window of time that is. In the life of professional sports in particular not not necessarily just high school sports the sport that. Literally in professional sports that the player. Wants to go back count that's right and you know you can understand that this is their world at that moment on OK coach I'm OK they're not okay. And that's what people find with even those. Programs that I was talking about with high school sports is that athletes are Smart enough to say. And if I just don't give it my full effort. In the beginning and maybe you know it might be easier -- -- he did their system is built into where they know. Players' capabilities and you know encourages -- keeping them accountable but there's always that element of you know athletes are very dedicated and they're driven and that's. They're -- Stay with us we're going to be talking specifically about concussions and I hope that you will give us a call you never experienced it and kind of wanna share that. Stay with this were talking with Christian Moses and we'll be right back I'm Angela on WWL. Our guest today is Christian Moses who is the clinical director of the neurological living centers of Louisiana. And we're talking about concussions. What are we talk about. How do you know if -- child. Has had a concussion you're watching the boy or girl playing some sports. And all of a sudden you think OG he just took a bad fall or bad hit the how to you know. Think that's the difficulty if you look -- Information sites that are available such as the CDC or the heads up program which is coordinated through the center for disease control's. There's a lot of information out there but it's -- to know in the moment because often times concussions. Take time to have their symptoms kind of main offense so even though somebody has a blow to their head. Do adrenaline and other types of and things going on in the environment. They can look and feel completely fine and the heads up program says it can take up to twenty or thirty minutes for all of the symptoms to really. -- come -- out so I think. If -- think you're your child is hit his head too hard he need to act regardless of if there are symptoms or not. In the -- you know it's better to be safe. Then to have somebody having a concussion and running around in May be having another are having an issue but after that time when you're looking at your children you're talking to them. Often times people kind of give that description saying you know I'm just not feeling right. They may be having. And some balance issues having headache. A headache is probably the most common having some dizziness. Having any kind of sensitivity to light and noise is very common. Balance problems feeling tired when of the main things you wanna watch for when you have somebody has a concussion is making sure they're not going to sleep. Lot of times of difficulty kind of staying awake and keeping that stimulation going so it in all of those things kind of fit together. And yet you know there and Utah. About the adrenaline I wanna go back in the game -- Monica back in the game. There's nothing they can do right there that can say you know do you know your name to the reason I'm saying that my husband -- me a story that when he was young he was playing. I think it was football with a bunch of guys and neighborhood game none of school game and his very dearest friend got hit badly. And he kind of sat and then urban walked up to mention appeal we got to go home now faces I don't know where I live. Any citizen is the first time he's ever. Recognized that somebody was in trouble it's thankfully he knew how to get to get home. And then when the mother opened the door he said something's the matter. And so he stayed home preschool for several days -- but that was. An illustration of a concussion it. I don't know where I live. It's it's frightening to know the deficits or you know how how bad this tuitions can't even taking -- -- -- and and that's what's really difficult is sometimes that's what people associate with having a concussion is having this major event and I don't know mad -- Being lost in -- dazed and confused but in reality. You can have a really minor concussion. In not have all of those symptoms. In making progress all the way until. An example like your husband's getting hit very hard and not knowing where there. And not being able to kind of gain that awareness and an insight into their situation. Even after -- meaning driving to the house and seeing your own mother. -- in -- -- ten -- but this piece is to -- but so. We knew at the at the centers at the neurological living centers not everybody is there for concussions but you've had people there who have had concussions we've had people that have had mild to -- six. And so what do you see. -- saying that says. Every brain injuries you need and that really just references the same statement of every person is unique and we've had people that. Have had a mild traumatic brain injuries and that is in the sense when you take. A traditional scans and MRI or cat scan which is kind of what everybody goes to. When they take those scans there's no visible changes within the brain mattered so they'll get a skin and analysts say it's clear but their behavior. Is. Different than it was before the injury. We have people that have everything from simple memory issues or orientation issue is not necessary. Remembering where there at remembering you know. What brought into the place they're asked to having kind of minor behavior issues being a little bit more irritable. Often times emotional ability having sometimes crying when it's not very appropriate where crying under. A little amount of stress when normally it would require a lot of sense for some kind of breakdown and cry. And having sleep issues not being able to fall asleep stay asleep or -- There's there's really no limit to the problems we've seen cognitive issues like -- -- memory problem solving. All of those kind of bowling together in. Due to -- to the injury occurred is really kind of determines what kind of deficits they're gonna have for example. Each area of your brain is called the low and that -- has specific responsibilities so when somebody is hit in the frontal lobe he sees certain types of deficits when somebody's hit in. The -- -- a load in the -- EC other deficits because those parts of the brain have specific responsibilities. And and -- at the concussion as the your brain is literally rattled in your skull. And often times it's not just rattled once we call it direction -- so if somebody is hit say from football if -- hit head on. There is a certain amount of force. Say that helmets collided head to head. With their face risks so. Immediately all of the force going forward is transferred into the front of the home. But just like -- case of whiplash and a car accident all that force goes forward. And then all of that force goes backwards so sometimes people can have what's called acute constitute injuries -- not only today have. And the brain hitting in the very front of the head. But wind force goes backwards the brain can actually hit in the back of the school as well so they don't just have one area where it was injured they have to. And that is extremely common. I guess it's Friday. Leading again going back to this young man at the Olympics. To face at 25 concussions. Or your brother having nine in it that seems like a lot. -- And -- your brother's okay he is isn't business owner in Texas -- -- and with the support of his wife and absolutely think he married well but it's the you know does he think in terms of -- I've had nine. Injuries to my brain. He thinks interns and he he actually recognizes that some issues that he has are probably related to the number of concussions he has issues with. Memory in with organization. That through you know having him in -- -- field. Can compensate for using daily cleaners and you know having a support system around ten bullets. It takes -- told. How old was -- for his last one. His last concussion rule. Was swing he was. Eighteen so he was still a teenager just militant group hit all nine of his when he was between the ages and I think ten and eighteen. We're talking about concussions hope you won't hesitate to call you have any thoughts on it. Any concerns or any information to share to 601870. Baltic unbreakable code of the newsroom. And there's John -- We are talking about concussions and we've been listening to. Have been fascinated by absolutely. Our guest today we are also joined now -- team. National director of media relations for pop Warner Josh Bruce and I appreciate you joining us as well. Let's talk -- -- -- understand that fairly recently. Some changes to rules. Of pop former if you was sort of talk about the. Sure action for years ago all of the output in a concussion rules which mirrors the -- -- law which is when in doubt you'd sit out so many players -- Have a concussion or as concussion during game. They're not allowed to go back into the game and they're not allowed to practice or proceed -- in there until they're cleared by doctors they're symptom free. In two years ago we cut down the number of times contact your practice. Always want to practice time can be used for contact. And we said that she would now can't be more than three yards apart restraining. Looking at each of them to -- -- drove from far away for a run straight at each other we -- don't start nine feet apart. And so guilt let some of those blows and. And have you noticed that it has made a difference. We certainly decades starting accurate again we've. Jet to change those things in the back there. It is so new on EU level to be monitoring. We have seen it certainly go down -- it's difficult to get a lot of research still need to be done we've got a lot of positive feedback from our groups -- -- certainly has helped throughout the year. And -- just for me who does not have a little boy playing. What are the age restrictions in minutes by size more than age. He would spot. But also by eight with an eight week metrics you could start his argument fine. But -- you get a certain height Eritrea accused certain weight. We go all the way up to fifteen but it's based in between 550 and certain age groups and in the age groups there's a -- metrics which takes double. 90% of the kids on the GDP growth chart. And down. You know it's just very interesting there was a recent poll which I'm sure you're well aware of that said Douglas was on January 31. Pull -- of 40% of parents would sway their children away from football. And it's really based on with the ever growing amount and -- of the information we're getting first and foremost from the NFL who's addressing the situation. Not parent to perhaps looking at this as a safety issue. I'm sure we market we actually found that parents -- just ask more questions which we can get to go to. Are we want our -- -- questions we want to talk was -- football like sport to play at mid -- you should talk about. Baseball. Football hockey soccer any of those. Asking more questions about what's going on one or safety procedures responded that parents are more active and involved we can get good people around. I've had the opportunity interview Archie Manning who of course is alleged here in New Orleans and Drew Brees who recently was on Letterman and we're both of them common they each have three sons that they did not want dear boys playing until they were older and older being twelve or thirteen. And I just didn't think their bodies were. Formed enough that's my -- not Ayers and you're starting your thoughts on that. I'm a big schools of thought I think it's good beginning keep involved earlier. Take it it's a lot like quite a -- I -- it the lottery you eat your work I gave it you just read it to be aged forty -- that's -- All want those kicked out there we want the war in proper technique. -- young age is there weren't proper tackling technique -- finds 67. They will be doing it 8910 all the weight for a the technical -- all the way around. -- get -- everybody's decision not what you wanna start playing football we believe that there's some benefits is starting rate. Because worst sort of having a national conversation on this issue do you feel that the pop Warner organization will be continuing to evolve. In its practices. All we -- that with any incentives that we we know more about migration we did ten years ago we now know more about conduction. More research on I begin so when we change that could be made we also started national concussion call question that includes arts. USA soccer on USA hockey US will cross the NCAA NFL -- LP eight. In an attempt to try to learn more about concussions across all sports for use -- -- for all of our games. When you mention that sent the very first thing he says is sort of rhymed about and play. I'm sorry maneuvering has -- -- -- he wanted to that it's the coach that's making that decision. You -- -- that group of people a lot of cases each Culkin it's player along with the medical personnel that runs by making those decisions itself. In it he took -- just a culture. If you're the coach says that I felt like he should go back in the medical personal on the site and all the -- you know what we we've -- concussion he needs to sit out the rest of the game. That's exactly how it goes through there's EMTs there there's a trainer there is a doctor there. They have that ability I'd like to take note you know why he shouldn't play you know we aren't out between -- -- They need to sit out the rest of the game. Well -- lamenting I really appreciate your insight into this and I'm glad to hear that pop Warner. His son is listening to what what's happening in what we're finding out to the NFL it's been. Very interesting to. To learn what the NFL has been learning about the long term effects of these confessions. Yeah and again it's a lot beyond -- -- for the seat before markets. We want football to be funding and -- more markets we planes -- we believe brings a lot of leadership qualities and a bunch of other great things I appreciate you haven't beyond. Oh absolutely I think everybody wants that understands that sports and growing up this is a very important aspect it's just that what we're learning so rapidly. Is how we can do a better. I had to get that -- all we do -- always continue to strive to do better tactic that. We keep keep trying to beyond that with with where we are now we want to make sure that we are on the forefront to argue better to keep our participants. Josh Bruce thank you very very much for joining us. OK we'll take another break we'll be right. Well we are talking about concussions aren't that -- -- And hang up if you wanna call back we'd love to get that but we're also talking to Cynthia in home Cynthia. On -- okay. Anybody please give -- called back we wanna hear which kept saying I think the other lady was gonna talk about it isn't just for apologies absolutely correct. That -- causing these issues at all I mean you fall off your bike forensic. But. We know that some sports are a little rougher than others but as you were talking about your brother -- has had on the basketball. Yes so it can be we just have to be very alert. -- it was interesting what the -- Josh proves was saying about the changes in the pop Warner. Safety policies. And yet. When we talk about tackling at five years old I think it brings up some issues. Yes and that's really the question to the appearances just looking at India is the risk back having concussions. Or having any kind of neurological. Deficits from it worth the benefits of a five year old learning how to tackle another five hailed and I'm not trying to not support pop Warner I think. Kids playing sports is amazingly. Important not only for development like he's kind of leadership skills and team working social skills. And there's so many things that can come from the question is just do these sports still have to have tackling for our younger children and you know -- was the. The point I was making about the interview with Archie Manning -- says he waited for his his voice to play tackle. Until they rolled or twelve or thirteen and. Look at them today it's hot but they're very good at what they do and that's I think it has been to just looking -- I didn't read any information on -- Choosing to wait but children aren't very well developed their muscular. Systems are still developing their bone structures are still developing so a lot of a lot of the force that goes -- to tackling it doesn't have January -- it's transfered to the brain there next allot more vulnerable. And you were talking in the commercial about and other. Former Olympic athlete who had a very bad injury. Yes he was eight US. Athlete his name was Kevin Pearce and he was training for the 2010 Olympics. It was working on a specific tree a specific trick. Right above his high and this happened in Salt Lake City, Utah. -- he had he extremely severe brain injury. He was. And touching go for awhile they weren't Terry was going to make it out of -- -- and through the help of several major hospitals. He's done extremely well in is now speaking and having tumors but in these risk every. But they are everywhere and let me tell you I enjoy the Olympics but I hold my breath. When I see people flying through the year and I I literally do and then I wonder to myself. You know. Is that the thrill and the potential. Of the harm that is the draw. I think I think for adults in the question is differently in team. Any cognitive adult that can make their own decisions decides to do you jump out of a perfectly good -- progressed. Themselves of a perfectly good that's an issue. I don't know I think some people are chasing that thrill. In some people are just pushing themselves they have again that's that drive that always makes -- wanna get back out there. They wanna be able to do the next big thing are braced themselves and it's really an internal process. But some of them I think you are -- that through which is scary. It is. Jerry and yet. Again I'm almost looking myself as a viewer. I don't go to the big hot rod chosen things like that but I see the commercials for them. And it all looks dangerous to find -- people bring their kids and and enjoy it and I'm just thinking but no way they're looking for the accident. Yes I think it plays you know I'm I'm from a small town in Texas. In Wheeler -- playing sports and playing outside and climbing trees and her parents never it's. A crime that stream. Back. That -- get injured and so. We every am anxious in I think it's important to his. In the kids of today and the kids of tomorrow but I think we're gonna happen in a way to -- Absolutely we do have another call Steven. -- He's -- I mean -- made up for a while doing. Martial arts. And you know our attitude gosh. But the first one goes. Oh Obama broke and a model. Yet it wasn't pretty but it. It suited for the purpose sports you know low but at the same progress also teaching this plan. It is much is for your Taekwondo and he knows the patients. But I had trainers did does that give it happens -- they stopped the fight than wait a minute you know something that righty. We didn't get into. And out and fight for the same way on the other side -- traders has stepped -- and that you know and not enough. Not -- look up the fight to call. He's still doing. Idea. Better days -- -- at. -- it's so you'd like professional. Pushing it. I have another job that fuel so. It's it's -- and temperature law like if she could check. And it is -- with -- talk about it is sort of for the thrill of that it's the competition not that. I'll probably have created you know moderated you know art art -- dedicated -- we don't cause tape you know all the luck record. We've we're all around the book want to cage or closes that it did -- war on ground to robbery. Let me ask you have you ever been told by. Some -- within that profession or a medical person you know -- -- to concussions. And Brett you're pushing it. Yes window Mia purpose of that -- don't you think you know tiger almost equal to torture you need a little bit after I talked to guys that have done it. For ten years in -- -- concussion. -- it -- -- -- board because it's like boxing you're gonna get hit my head. Generally you're dedicated target -- And they're not you can do about it this. -- when it happens you've got to be aware of yourself and say OK. Enough about -- -- -- -- -- -- -- -- -- -- -- -- And other guys there or let you know we're all the same page we will Brothers each other. Walk out candidate in Britain admit -- -- -- reward you bill. Will there come a point where -- saying. The risk is too great for the long term of your life. Yeah. -- well I mean I've. A few broken bones thing. Bob summary of the wave in. Green is they didn't ever know fighter it does you actually hear any mixed martial arts for that matter. What used to happen by the cage arbitrary that we do you know be the last I ever sat out maybe 80%. And that extra weight is because we seen that all we push body. But it felt law doing what we do if you go. And yet there's a couple power you know enough about -- about from. It by what they drop out now. And you really are not looking. You're not concerned when we signed that on not the after effects I mean when you're sixty. The effects of those confessions. Advocate. Buddies in my diet is extremely strict on back. There are there. I really appreciate you calling in and telling us about it and good luck to you and be safe. We'll be right back. We're gonna have -- -- big 1000 dollar contest code word in testament.