October 14, 2011 by staff
Sidney Crosby, Sidney Crosby took a step toward the restoration of the National Hockey League on Thursday, but the Pittsburgh Penguins superstar still faces a significant hurdle in their attempt to recover from a brain injury.
Crosby has been out more than nine months after taking two shots to the head in the same week in January. Postconcussion symptoms you experienced as recently as late August. On Thursday, the Penguins captain happy announced that it has been approved for contact in practice, and said he was excited to be moving in the right direction.
But with a patient, such as Crosby, who has been out of action and suffered symptoms of such a prolonged period, physicians must now discuss the consequences of risk-reward of a return to play, according to a specialist concussion. Crosby has reached the final step before completing their return – the fifth of six stages in the “return to play protocol graduated” agreed in November 2008, International Symposium on Concussion in Sport – but was cleared for contact could mean a return to action is even weeks.
Paul Echlin, a sports medicine specialist in Burlington, Ontario., Advises patients in similar circumstances who are at risk of suffering another concussion, with a similar duration of symptoms or long. It informs people who have suffered multiple concussions, or take a long time to recover, there may be some permanent brain damage. The risk of suffering another concussion is higher in these patients.
“The risk after this period of time is significant,” said Dr. Echlin of Crosby. “That’s the risk you take when you return to play, and make patients understand the risks.”
Dr. Echlin said that after all this time out, he tells patients that require “full contact multiple episodes of” drilling and participation before a round can be considered.
It also protects against the thought that the athletes can return shock within days, if they exceed the benchmarks used to determine the severity of a concussion. He said that these tests have been developed as a “mixed bag” and “do not cover someone with the depth of the lesion that we are talking about.”
Mark Aubry, a doctor in Ottawa-Gatineau and one of the authors return to play protocol, said there are no rules to clean the patients, such as Crosby to return, but added that there is a conservative trend among medical professionals.
“The trend has been that it allows us more time to rest,” said Aubry. “It might take longer than expected, based on how long they have been out, and how many there have been a concussion.”
In Pittsburgh, Crosby said it was hard to be patient, and that there is no timeline for his return to game action. He poured the white helmet – means no contact – that has been used for almost a month and was a full participant in a morning skate Thursday.
Crosby did not release or accept checks as the Penguins skated mostly and went through shooting drills before their game against the Washington Capitals. However, Crosby said he was not reluctant to instigate contact when you do practice.
While the Penguins said Crosby was initially a mild concussion, proved quite the opposite. That affected her vestibular system, which controls the stability of a body and movement. For months, even the simple acts of walking with the people around him or trying to concentrate while watching TV was annoying.
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