How Can We Help Concussed Students?

RD
by Rebecca Dalise3 views·Updated May 26, 2021

Chapters

Katie Allen How Can We Help Concussed Students?: Reformation of High School Academic and Athletic Policies in Regards to Brain Injuries

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  1. flashback to freshman year, I was a three season athlete
  2. competing to the best of my ability and loving sports.
  3. I played the very beginning of my sophomore year.
  4. That all changed Three weeks in the field hockey season.
  5. I took a ball right to my head, conveniently, just
  6. barely missing my goggles since I didn't pass out, I
  7. convinced my coaches and myself that I was fine to
  8. keep playing, but after just about 10 minutes I was
  9. so dizzy that I could barely see and I felt
  10. like I was going to be sick and staying at
  11. the same time 2.5 years later.
  12. Today, I sometimes still experience that same feeling from physical
  13. activity or even from school work.
  14. Many people don't realize that even modern concussions can have
  15. prolonged and even permanent physical and mental concussion effects following
  16. my injury.
  17. Both my athletic and academic high school life has been
  18. turned upside down by post concussion syndrome.
  19. My story is just one example of thousands of high
  20. schoolers who struggle with post concussion effects.
  21. My personal journey has motivated me to want to help
  22. other students who are also struggling with concussions and post
  23. concussion effects.
  24. I feel it is essential to prevent as many teenagers
  25. as possible from dealing with serious concussion effects, which I
  26. feel it would be best achieved by reforming school policies
  27. to aid students with concussions and related conditions.
  28. In addition to negative physical, athletic and mental health components
  29. are also a lot of academic limitations that a concussion
  30. or post concussion syndrome can impose on students in massachusetts,
  31. there are currently concussion protocols in place, but I have
  32. noticed several flaws in them.
  33. The biggest being that progression through the phases is based
  34. on time.
  35. Ultimately, I decided to create my own return to learn
  36. policy that I thought would be more helpful to students
  37. with concussions, post concussion syndrome or other related effects.
  38. My plan includes specific accommodations to help students be successful
  39. academically despite their condition and unlike other plans, progression through
  40. phases is based on student symptoms alone.
  41. I'm in the process of implementing my plan it into
  42. her high school and I want to help as many
  43. struggling students as possible and prevent as many head injuries
  44. as we can.
  45. The driving question for my project is what are the
  46. consequences and long term effects of a concussion?
  47. And how can we reduce the risk of these conditions?
  48. To answer this question, I explored these conditions more in
  49. depth through secondary research to find out how exactly a
  50. concussion leads to them.
  51. In addition to exploring how one can reduce the risk
  52. of getting further condition after concussion, I also really wanted
  53. to focus on helping those who already deal with these
  54. conditions to address this.
  55. My essential question is how can we reform school policies
  56. to aid students who are struggling with concussions and related
  57. effects in high intensity academic settings, both when returning to
  58. school and in the long term.
  59. In terms of my secondary research, there's a lot of
  60. research out there that explores the effects of concussions in
  61. the long term and the impact that these conditions can
  62. have on learning specific topics.
  63. Are diagnosis effects on learning.
  64. Return to learn approaches prevention strategies and the current laws
  65. and regulations that are in place.
  66. The sources helped to answer my driving an essential questions,
  67. but they also show what further research needs to be
  68. done and what additional school policies should be implemented to
  69. help students in return to learn experiences.
  70. The sources, I found are mostly medical references, scholarly journals
  71. and state document publications.
  72. A lot of the sources I found described post concussion
  73. effects and conditions.
  74. Doctors believe that any cognitive activity that negatively reinforces symptoms
  75. should be avoided during recovery.
  76. Medical professionals also recognize that all recovery processes are different,
  77. but those with post concussion syndrome do not retain structural
  78. changes in the brain, just cognitive changes.
  79. Sources also described that students face struggles when returning to
  80. school with a concussion in some specific cognitive deficits that
  81. can occur our attention concentration, memory processing speed and efficiency.
  82. Um, and verbal fluency.
  83. I explore different methods of testing that can show before
  84. and after abilities for athletes.
  85. And some sources explained that student athletes made purposely underperform
  86. when taking these tests so that if they do get
  87. concussed, they can appear to be testing normal and further
  88. regard to concussions and athletics.
  89. I explored sports safety, um, gear such as helmets and
  90. other protective gear and medical professionals found that they are
  91. not as effective as we often believe them to be.
  92. Sports regulation, like fair play policies and education for coaches
  93. and athletes have proven to be effective.
  94. In terms of statistics studies on high school football players
  95. Found that concussions go frequently unreported in seasons, only 47.3%
  96. of participants reported concussions sustained during their most recent season.
  97. Even though concussion rates are so high, some sources suggest
  98. that they might be even higher in reality.
  99. In terms of academics, there are return to learn approaches
  100. in 10 states, but that means that 80% of states
  101. don't have any of these protocols at all.
  102. During a return to learn phase, medical professionals recommend a
  103. complete rest phase, but not for an extensive period of
  104. time. Rather, they promote a gradual return to school as
  105. soon as seemed possible.
  106. Concussed students and schools are supposed to be constantly observed
  107. and monitored and they have to follow a really gradual,
  108. slow return to class work.
  109. Educational staff are supposed to complete concussion training and coaches
  110. are required to teach athletes to minimize concussion.
  111. Um, place that can promote concussions.
  112. Lastly, I explore the mental health components that are involved
  113. in concussions and found that mental health is greatly influenced
  114. by concussions.
  115. For example, 30% of concussion patients um, can experience depression.
  116. These secondary sources show what research has been done to
  117. help with the issue of concussions and what further research
  118. still needs to be done, as well as what additional
  119. protocols need to be created in order to help concussed
  120. students in educational settings.
  121. Specifically changes in requiring and regulating athlete and school staff
  122. compliance to concussion protocols, Creating protocols and the remaining 80%
  123. of states and raising general awareness for the effects of
  124. a concussion on learning and mental health really needs to
  125. be prioritized.
  126. The secondary research also influenced me to create my own
  127. return to learn plan where I could implement all the
  128. medical suggestions for recovery as well as create a survey
  129. to better assess how concussion awareness levels are and over
  130. high specifically.
  131. So I'll get into talking about these two components of
  132. my primary research.
  133. I believe that my return to learn plan that I
  134. created for primary research addresses the problems that exist with
  135. the current plans in place.
  136. Uh, like I said, plans like this do currently exist.
  137. However, I found that they are difficult to adhere to
  138. properly and it's also unclear when students should progress to
  139. the next phase.
  140. The return to learn plan that I created has six
  141. outlined phases with clear direction of what protocols to follow.
  142. The biggest difference between my return to learn plan and
  143. others that I have seen is that progression through the
  144. phases is based solely on students symptoms alone rather than
  145. time base.
  146. And when I made my plan, I took into account
  147. all medical and professional suggestions that I found during my
  148. secondary research.
  149. And then the other part of my primary research was
  150. my survey and the survey that I created was intended
  151. to be taken by school administrators, students, teachers and parents.
  152. The survey included a variety of questions that are all
  153. meant to assess the knowledge levels and awareness levels and
  154. also concerned levels about concussions.
  155. At end of our high school and 33 people took
  156. my survey.
  157. The first section of data is from school administration Over
  158. all the data in this section shows that teachers and
  159. other school faculty are aware of the problem with concussions
  160. at the high school, which was to be expected When
  161. asked about the number of students that teachers had to
  162. accommodate two in the classroom for head injuries.
  163. The number greatly varied.
  164. Um, and this data is helpful because it shows that
  165. some teachers are well aware of the academic limitations of
  166. a head injury while others have never experienced this in
  167. their classroom.
  168. And then this graph shows administrators opinions on the level
  169. of concussion education they receive in many saw as not
  170. enough, they also left helpful, um, open ended ideas for
  171. potential accommodations based on what they have seen helpful, which
  172. gave me good insight into where accommodations need to be
  173. available to the students.
  174. The next section of the survey was for students, and
  175. it describes what they know about concussions.
  176. Although most reported never having had a concussion themselves, most
  177. did know someone who had had a concussion if not
  178. just a regular concussion, of serious concussion.
  179. Most were pretty aware of what post concussion syndrome is,
  180. as well as the potential symptoms of head injuries.
  181. The image here shows what most students believe, um that
  182. more prevention can be taken in high school sports, and
  183. they offered suggestions on what further precautions to take.
  184. The majority also said that either they, themselves or their
  185. parents or both had been wary of their participation in
  186. certain sports and activities at the high school due to
  187. the potential risk of head injury.
  188. The last section of the survey is intended for parents
  189. to test awareness and concern levels of concussions for high
  190. schoolers, the parents who took the survey seemed less aware
  191. of what post concussion syndrome is than the students.
  192. They voted similarly to students regarding the amount of concussion
  193. prevention in sports.
  194. 100% of parents who took the survey said that they
  195. felt like student athletes live by the severity of the
  196. symptoms in order to return to athletics.
  197. Parents seem concerned also about the rates of concussions, but
  198. they were unsure whether or not concussion rates have spiked
  199. in recent years, and they did not have strong opinions
  200. regarding the amount of concussion training for teachers.
  201. Interestingly, parents were far more likely than the teachers to
  202. say that they struggled to tell when their child is
  203. struggling as a result of an invisible head injury.
  204. Lastly, the image here depicts that parents greatest concerns with
  205. their child getting a head injury, our physical health, cognitive
  206. ability and changes in temperament.
  207. Um, well, mental health and athletic capability ranked lower as
  208. concerns. The suggestions given by all sections of those who
  209. took the survey are helpful in guiding what changes need
  210. to be made both in academics, academics and athletics as
  211. prevention and treatment at the high school.
  212. Some of the responses displayed a general understanding of concussions,
  213. while others displayed a lack of proper knowledge and perhaps
  214. a lack of concern where there should be more.
  215. One specific problem that really stood out to me is
  216. that mental health ranked as such low importance to parents
  217. when it came to the symptoms that their child faces
  218. when getting a concussion, which either shows that they're unaware
  219. that mental health is a concussion symptom or it's just
  220. not being prioritized the same way that academic capability and
  221. physical health is being prioritized.
  222. I took my plan to my guidance counselor for review
  223. and I really hope that I returned to learn plan
  224. like mine can be implemented and over high.
  225. And I also hope that my research will encourage school
  226. administrators to better educate teachers and coaches and even students,
  227. as well as just making high school sports safer.
  228. Thank you for your time and listening to my caps
  229. presentation, and I hope this was helpful in teaching.
  230. Um, what more we can be doing to help students
  231. that are struggling with concussions and related effects at end
  232. of our high school.
  233. Thank you.