NAIA Health and Safety: Traumatic Brain Injury (TBI) and Concussion

The NAIA bears an organizational responsibility to promote the welfare of its participating student-athletes. We recognize that optimal health and safety – on and off the field – are necessary conditions for learning and competing. In order to empower our student-athletes to fulfill their personal and professional potential, we view protecting their health and safety as a fundamental obligation. This report follows a prioritization effort in early 2016 that named TBI and concussions among the top health and safety topics facing NAIA student-athletes now and in the immediate future (see Appendix 1).

This document contains TBI and concussion resource information available to NAIA stakeholders. Each resource is coded according to the alphabetical legend below to indicate appropriate/relevant audience:

AD - Administrator     |    AT - Athletic Trainer (or other health care professional)     |     C - Coach       |   P - Parent    |    SA - Student-Athlete

Quick Links to Topics:

Subject-Matter Experts

Position Statements, Best Practices and Policies

Programs, Education and Support

Data, Analytics and Reports

Apps and Tools Asset Gap Evaluation

 


 

Subject-Matter Experts

The following individuals (listed in alphabetical order) would be considered among the thought leaders in this field:

•   Steven Broglio, PhD, ATC, Associate Professor, School of Kinesiology, University of Michigan
Director, NeuroSport Research Laboratory

•   Robert Cantu, MA, MD, FACS, FACSM, Clinical Professor of Neurosurgery at Boston University School of Medicine
Chairman Department of Surgery, Chief Neurosurgery Service, Director Service Sports Medicine at Emerson Hospital

•   Kevin M. Guskiewicz, PhD, ATC, Dean, College of Arts and Sciences, Department of Exercise and Sport Science
University of North Carolina

•   Thomas W. McAllister, MD, Albert E. Sterne Professor and Chair, School of Medicine Department of Psychiatry
Indiana University

•   Michael McCrea, PhD, ABPP-CN, Professor of Neurosurgery and Neurology and Director of Brain Injury Research
Medical College of Wisconsin

NCAA Concussion Safety Protocol Committee (AD, AT)

CDC Workgroup to Improve Clinical Care of Youth with Mild TBI (AT)

NFL Helmet Study (AT, C)

The NCAA and the US Department of Defense (DoD) have embarked on a landmark three-year, $30 million initiative to research and prevent concussion, known as the NCAA-DoD Grand Alliance. It marks the most comprehensive investigation of sport-related concussion conducted to date.


Position Statements, Best Practices and Policies

National Athletic Trainers’ Association (NATA) Position Statement: Management of Sport Concussion (AD, AT, C)

•   This document is the most current and thorough view of concussion management, and is espoused by the NAIA ATA. It effectively outlines detailed best practices for prevention, evaluation and ongoing management of sport-related concussions. This content is most appropriate for ATs and other healthcare providers.

Supplemental Position Statements

•   American Medical Society for Sports Medicine Position Statement: Concussion in Sport (AT)

•   Academy of Neurology Summary of evidence-based guideline update: Evaluation and management of concussion in sports (AT)

•   Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012 (AT)

•   The American Orthopedic Society for Sports Medicine Concussion Statement (AT)

NAIA Postseason Return to Play Policy (AD, AT, C)

CDC HEADS UP best practice resources for healthcare providers (AT)

NCAA Concussion Guidelines: Diagnosis and Management of Sport-Related Concussion Guidelines (AT)

NCAA Safety in College Football Summit leads to football practice, concussion management recommendations (AT)

NFL Return to Play Protocol (AT)

CDC HEADS UP Program Acute Concussion Evaluation Care Plan (AT)

CDC HEADS UP Sports Concussion Policies and Laws (AD, AT)

National Conference of State Legislatures Traumatic Brain Injury Legislation (AD, AT)

NATA Concussion website (AT)


Programs, Education and Support

Awareness and General Communication

•   CDC HEADS UP Brain Injury Basics (AD, C, P, SA)

•   CDC Heads Up! Play it Safe When it Comes to Concussions podcast (6:49) (AD, C, P, SA)

•   CDC What You Need to Know About Concussion (2:24) (P, SA)

•   CDC Taking Care After A Concussion podcast (1:27) (P, SA)

•   CDC Concussion in Sports 1 PSA (:30) (C)

•   CDC Concussion in Sports 2 PSA (:30) (P)

•   CDC Concussion in Sports 3 PSA (:30) (SA)

•   CDC Concussion in Sports 4 PSA (:30) (AD, C)

•   What is a Concussion? video from USA Football Medical Director Dr. Patrick Kersey (1:22) (AD, C, P)

•   Concussions 101, a Primer for Kids and Parents, video from DocMikeEvans (5:51) (C, P, SA)

•   Concussion Management and Return to Learn video from DocMikeEvans (10:02) (C, P, SA)

•   Egg Toss video from Dr. Kevin Guskiewicz (1:18) (C, P, SA)

•   NCAA Concussion (AD, AT, C, P, SA)

•   NCAA Concussion Safety (AT)

•   What is a Concussion Anyway? video from ORCAS (4:08) (SA)

•   Mom’s Team Youth Sports Concussion Safety Center has an extensive, constantly fresh library of assets (P)

Case Study or Story

•   A Student Athlete's Road to Concussion Recovery video from Adventist HealthCare (3:31) (SA)

•   T.J. Lavin Shares his Personal Concussion Story video from CDCFoundationTBI (1:08) (SA)

•   In Her Own Words: Rachel Abrams from Concussion Blog (SA)

•   CDC HEADS UP TBI Film Festival video set from CDCFoundationTBI (P, SA)

•   CDC Keeping Quiet Can Keep You Out of the Game video (2:00) (SA)

•   CDC Keeping Quiet Can Keep You Out of the Game... a Mother's Story video (1:42) (P)

Training

•   CDC HEADS UP to Clinicians: Addressing Concussion in Sports among Kids and Teens is a free, online course, developed by CDC through support from the CDC Foundation and the National Football League, available to health care providers. It features interviews with leading experts, dynamic graphics, and case studies and provides an overview of what you, as a health care professional, need to know about concussion among young athletes. (AT)

•   CDC HEADS UP Concussion in Youth Sports is a free, online course intended to keep athletes safe from concussion, and improve the culture of concussion. (C, P)

•   CDC HEADS UP Get a Heads Up on Helmets (2:10) provides tips for youth helmet safety and fitting, and contains helmet safety fact sheets for multiple sports. (C, P, SA)

•   CDC HEADS UP to Parents provides a variety of resources to help recognize, respond to, and minimize the risk of concussion or other serious brain injury. (P)

•   Teaching Tackling the HEADS UP Football Way (2:45) (C)

•   Proper Helmet Fitting (6:02) (C, P, SA)

•   National Federation of State High School Associations (NFHS) partnered with the CDC to create education on the importance of proper concussion recognition and management in high school sports. Concussion in Sports is a free, online course highlights the impact of sports-related concussion on athletes, teaches how to recognize a suspected concussion, and provides protocols to manage a suspected concussion with steps to help players return to play safely after a concussion. (AD, AT, C, P, SA)

•   University of Michigan Injury Center Sport Concussion Summit (Sep 2015) video set (AT)

Social Media

•   Follow CDC HEADS UP Program on Facebook or on Twitter #CDCHEADSUP (AD, AT, C, P, SA)

•   Follow concussion researcher Steven Broglio on Twitter: (AD, AT, C)

•   Follow The Concussion Blog on Facebook and Twitter (AT)

•   Follow Brain Injury Association of America on Facebook and Twitter (AT)

•   CDC offers free email subscription service, which allows users to receive alerts by e-mail when new TBI or concussion information is available. (AD, AT, C, P, SA)

Posters, Cues, Environmental Support

•   CDC HEADS UP Sports-Specific Concussion Information clipboard stickers and posters (AT, C, SA)

•   Concussion: A Must Read for Young Athletes brochure (SA)

•   Facts about Concussion and Brain Injury: Where to Get Help brochure (AD, AT, C, P, SA)

•   NATA Concussion 101 infographic handout (SA)

Additional Programming Ideas

•   Post quick read awareness documents in locker rooms and athletic training rooms

•   Share a case study or story for discussion with student-athletes

•   Hold a TBI/Concussion Awareness Fair during championship events

•   Coordinate campaign for Brain Injury Awareness Month (March)

•   Ask student-athletes to download helpful apps

•   Discuss necessary culture changes with coaches

•   Host Concussion Summits by exclusive invitation for key influencers in all audiences

•   Include concussion programming as health and safety topic in leadership seminars

•   Record short (1-2 minute) podcasts on concussion topics


Data, Analytics and Reports

Datalys Center NAIA Injury Surveillance Program should provide quarterly TBI and concussion reporting for NAIA student-athletes (and comparisons to the NCAA). (AD, AT, C)


Apps and Tools

CDC HEADS UP Concussion and Helmet Safety app helps users spot and manage a possible concussion, and includes a 3D helmet fit feature that teaches proper helmet fit, safety and care. (AD, AT, C, P, SA)

Return2Play for Concussion, from the Pediatric Trauma Program at C.S. Mott Children’s Hospital, in partnership with Michigan NeuroSport, is the first concussion recovery journal app that helps concussion patients track their activities and symptoms, and share that information with their healthcare team. It allows for injury entry and activity journal which can be emailed directly from the app to the healthcare provider. It also includes quick views for myths and facts, signs and symptoms, warning signs, recovery, return to play and risk factors. (SA)

The Concussion Recognition & Response™ app uses content from the CDC HEADS UP program. Key features include concussion recognition and response through guided questioning; in-app email to healthcare provider; home symptom monitoring; return-to-play guide outlining a five-step, tiered workout routine; concussion information and frequently asked questions, and acute concussion evaluation (ACE) post-concussion home/school instructions. (C, P, SA)

Concussion Management from Mobile Life Solutions LLC supports the accurate assessment and treatment for TBI or concussion. It includes a full course in evaluating and treating concussions, return to play protocol outline and reference, evaluation quiz to gauge progress, download PDF files or read course online, take voice notes to remember important details, and find closest hospital. It has already uploaded key position statements and information from NATA, American Medical Society for Sports Medicine, CDC HEADS UP, etc. (AT)

BrainCheck app from Dr. David Eagleman at the Baylor College of Medicine, provides comprehensive tests to baseline and assess brain functions such as attention, memory, response time, visual processing, and more, all in about 5 minutes via iPad. (AT)

NFL Sideline Concussion Assessment Tool Baseline Test (AT)

Sports-Related Concussions in Youth: Improving the Science, Changing the Culture contains multiple tools to assist healthcare providers with on-field assessment of concussion. (AT)