be caused either by a direct blow to the head, face, neck, or elsewhere on the body with an impulsive force transmitted to the head; result in the rapid onset of short-term impairment of neurological function that resolves spontaneously (but may evolve over hours); result in neuropathological changes, but the acute clinical signs and symptoms are largely a functional disturbance rather than a structural injury and cannot be imaged effectively; produce clinical signs and symptoms that may or may not involve loss of consciousness. So, concussive injuries don’t require head contact, produce deficits that arise quickly and are usually brief, can’t be seen using conventional imaging, and don’t need to involve getting "knocked out." But do people active in combat sports, where concussion risk is quite high, actually know any of this? Recently we published a study called ‘Understanding concussion knowledge and behaviour among mixed martial arts, boxing, kickboxing, and … [Read more...] about The Vicious Cycle of Concussion Ignorance in Combat Sports
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But that is sometimes easier said than done. In the child and adolescent psychiatry clinic where I work, we try to be cautious about all medications, including those for ADHD. If we hear about sleep problems (and we often do from parents who understandably can get quite frustrated with them), we try to address them, and this study ads support for that approach. Sometimes, it involves making recommendations about children getting more exercise or not playing video games late into the night. Sometimes, it involves teaching families about sleep hygiene – practices that can promote longer and more restful sleeping. But frequently sleep remains tough to correct and then the question becomes whether or not to use medications for sleep, which can have side effects just like ADHD medications. Nevertheless, this study reminds us clinicians not to ignore sleep problems among those who struggle to regulate their attention. … [Read more...] about How Much Do Sleep Problems Underlie ADHD Symptoms?
Research suggests that large group online learning programs with limited teacher support are not as helpful as school, face-to-face learning with teachers for children with special needs. However, this can be dependent on the construction of the learning program, the qualities and characteristics of the content, and the involvement of parents and teachers in indirect supervision and direction. To be successful with online programs, kids with learning difficulties often need more individualized instruction, strategies to get started and sustain attention on tasks, and regular feedback. … [Read more...] about Will Distance Learning Produce a Coronavirus Virus Slump?
For example, I had been monitoring an athlete in my clinic recently, and we noticed a spike in the anger domain on his daily symptom checklist. We called the parents to find out what was going on. We learned he was anxious and worried about not participating in school, falling behind and getting bad grades. He felt isolated from his peers. So, he decided to go off the protocol and return to school letting us know, or allowing us to set up an appropriate academic care plan. He went on his own, and couldn’t take it. He couldn’t focus, felt nauseated, and went to nurse’s office. He went home was really upset with himself and kicked trash can, and punched a wall. This showed up during the symptom tracking, and we were able to intervene by using the customized academic care plan built into the management protocol, which included visits to the school psychologist, and effectively returned him to the school environment. … [Read more...] about Balancing Precarious Emotions in Sport Concussion Protocols