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Concussions: Invisible Injuries

November 8, 2011 by admin Leave a Comment

ConcussionThere has been a lot of attention given to the topic of sports concussions over the last few weeks. Mike Leach the head football coach at Texas Tech University was suspended and later fired over his alleged treatment of Adam James, a Tech player who suffered a mild concussion. Adam happens to be the son of ESPN analyst Craig James. And recently the NFL and Congress have created committees to discuss the treatment of concussions, and the link between head injuries in sports and long term brain damage.

Not Your Normal Sports Injury

I for one am glad to hear this. Concussions are a different type of injury and are not as easily detected as other injuries. Unlike a knee injury, a broken arm, or a separated shoulder, there is no apparent physical evidence that anything is wrong with the athlete when they suffer a concussion. With knee injuries or other obvious sports related injuries there are crutches, knee braces, slings, or cast that tell doctors, coaches, teammates, trainers, and fans that something serious has happened to the athlete. It is obvious that rehabilitation and time are required for healing to take place and for the athlete to be able to return to competition.

What is a Concussion?

Concussions are in effect a bruising of the brain. When an athlete suffers helmet to helmet contact, or hits their head on the field or court the brain slams against the skull [which can cause bruising]. The more serious the concussion, the more serious the resulting swelling and bruising of the brain tissue can be. This swelling and bruising causes memory loss, headaches, poor reaction time, impaired thinking, confusion, slow recall, and other serious symptoms.

Current Treatment

Treatment requires literally turning the brain off. Athletes are required to stay out of school, stay away from television, computers, video games, or other activities that create stress on the damaged brain. IMPACT testing is utilized to identify deficiencies in brain functioning. This test also shows when the athletes brain functioning returns to normal levels. Physical activity is monitored looking for symptoms like headaches, dizziness, and nausea. When the athlete is symptom free and testing shows a return to normal levels of brain functioning the treating physician and athletic trainer give the green light to return to competition.

The Mental/Emotional Aspect of Sports Injuries

I believe that there is a mental/emotional component to concussions as well. In my work with injured athletes I have found that athletes who suffer concussions all experience intense mental and emotional reactions to their experiences. In most cases these reactions are traumatic.

I have worked with athletes who have been hit so hard they were out cold for over a minute. Some have no memory of the hit that knocked them out, but they have images in their mind that are created from what people tell them happened, or what they see on game film. They talk about the terrible confusion, fear, and embarrassment they feel when they recall sitting on the bench knowing something very serious has happened but not remembering anything about the injury. These images are incredibly vivid and disturbing to the athlete.

Other athletes have very clear memories of the experience. They have told me what it was like to be strapped to a stretcher, immobilized, and taken by ambulance to the hospital. I have heard numerous stories from athletes who return to play, threw numerous interceptions, and were booed off the field. These experiences are all filled with incredible intensity and have a profound impact on the mental and emotional state of the athlete.

These same athletes also tell me about coaches, teammates, and fans who tease, ridicule and humiliate them for sitting out of practice and games.

Sports injuries, particularly concussions are never just physical in nature. When we create a space for the injured athlete to tell their story and help them process and integrate the psychological impact and trauma of the concussion, athletes get better. Their “lights turn back on”. Their mind clears and their self confidence returns.

Now imagine Adam James standing in a dark shed for three hours, unable to sit down or lean against anything. What was the message being sent to him and other Tech athletes who might suffer a concussion? I can’t imagine anything therapeutic coming from this type of treatment. Imagine the pressure put on the athletic trainers to follow orders demanding this type of treatment for an athlete. Sadly, this story sounds like so many other stories I have heard about the treatment of a concussed athlete. This treatment was meant to humiliate, degrade, and punish Adam for sitting out of practice with a concussion.

Time For Change

It took Adam being the son of a high profile, nationally recognized sports analyst to bring attention to the treatment his son endured after suffering a concussion.

Along with the NFL playoffs, bowl games, and the BCS National Championship, the eyes and ears of the sports world are now focused on the treatment of athletes who suffer concussions. I am elated to hear that mandatory guidelines are being put in place by the NFL for teams to follow when providing care for athletes who suffer a concussion. I hope the NCAA and high schools throughout the country follow their lead.

These injuries are real and very serious. The athlete who suffers a concussion deserves to be treated with the same care and dignity as any athlete who suffers any other type of sports related injury.  Download a pdf version of this post

Filed Under: Sports Shut Down and the Mental and Emotional Impact on Athletes Tagged With: Adam James, College Football, Concussion, Mike Leach, Recovery, Robert Andrews MA, Sports Injury, Sports Performance, Texas Tech University

Balance – Redefining Your Definition of Success

April 19, 2010 by admin Leave a Comment

Urban Meyer RetiresThe college football world was shocked this weekend when Urban Meyer the hugely successful and popular head coach of the University of Florida Gators stepped down due to health related issues.

In his press release he mentioned two things that jumped out at me. He said “I have neglected my health for years” and “I have given nearly every waking hour of my life to Florida football for the last five years.”

Urban Meyer has done an amazing job of returning Florida to the top of the college football world. In his five years at “Gator Nation” he has won two national championships and coached a Heisman Trophy winner in Tim Tebow. But his comments make me think something was seriously out of balance in his life. His body has been screaming at him for years to make changes that might have enabled him to continue coaching, created a healthier life style, and prolonged his life.

Recovery is vital to athletes and coaches alike. Creating time and engaging in activities that help our mind and body recharge and revitalize is imperative. Going for long periods of time without recovery creates incredible levels of stress. The body will do everything it can to restore balance. Pain, anxiety, headaches, and low energy, are warning signs from the body. The body is telling us that we are out of balance. That it is time to make changes. If we ignore these warning signs they intensify resulting in serious physical and mental health related issues or breakdowns.

Years ago I worked with a Doctor on his golf game. He talked about how much he loved golf but he rarely got to play because he was always working. I asked him what his definition of success was. He told me he wanted to see so many patients a week, and make so much money. I asked why family, social time, and making time to play golf were not part of his definition of success. I saw the light bulb go off over his head. He had been living in a very narrow definition of success that only included work. He was missing out on time with his wife and kids, his friends, and golf. He started taking Fridays off to play golf in the morning and be with his family the rest of the weekend. Not only did his golf game improve, but his attitude, relationships, and health improved remarkably.

Urban Meyers daughter was quoted in his press release as saying “I get my Daddy back”. I felt sad when I read this. He has been enormously successful as a head football coach and mentoring the young athletes under his care. But I wonder if he had a broader definition of success, a definition that included balancing his time and energy to take care of his own health, spend time with his family, and create social relationships that filled him up when he was empty would he have needed to step down.

Some might argue that he might not have been as successful at Florida. I know that being a head football coach on any level is demanding on time, energy, and resources. To coach at an elite program like Florida must be overwhelming on some days.

As leaders those we lead look to us as models for how to do life. By being a leader who models balance, working hard, and taking time to recharge and recover we teach those around us the power of self care, and personal integrity.

I believe Urban Meyer and others in the world of sports who “are stuck on the treadmill” can still be effective coaches and leaders by learning how to redefine their definition of success. I hope he returns to Florida to coach next season. He is a great man, a great leader, and a great coach. He is a great man, a great leader, and a great coach. He is good for college football, and the young men he leads and mentors. I hope he returns with a new definition of success.  Download a pdf version of this post

Filed Under: Sports Shut Down and the Mental and Emotional Impact on Athletes Tagged With: Balance, College Football, Gator Nation, Recovery, Robert Andrews MA, Sports Performance, Success, Tim Tebow, Urban Meyer

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From Our Blog

Overcoming Mental Blocks in Sports

What Happens When A Season Disappears? Drug and Alcohol Issues And The Sports Shut Down

A Parents Guide to the Sports Shut Down

Cancelled Seasons and the Mental and Emotional Wellbeing of Athletes

Learning Styles and Effective Coaching: Empowering Your Athlete To Their Full Potential

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