Subcommittee on Sports-Related Concussions in Canada committee  I think Bob really hit the nail on the head. Take the history at the beginning of the season. I was struck when he was talking about that patient, one of mine, a girl who came in with a history of two superimposed concussions who had actually had four of them superimposed. When s

Subcommittee on Sports-Related Concussions in Canada committee  We all wish we knew. We don't. Certainly, concussion within females is one of the hottest subgenres of concussion research at the present time. We are all looking for answers to that question. We certainly know that females, across many athletic injuries, are at higher risk. Th

Subcommittee on Sports-Related Concussions in Canada committee  That's a complex question. I think the fundamental answer is yes, but I would say that.... I'm a pediatric neurologist. I started this when my own kid was concussed 20 years ago, and I was looking over my shoulder for the emergency doctor because my formal training as a neurologi

Subcommittee on Sports-Related Concussions in Canada committee  Yes.

Subcommittee on Sports-Related Concussions in Canada committee  Canadians are four times more likely to be the primary authors of the articles. We own this condition. I would recommend anyone to google “concussion” under Google trends. Canada is number one in this area.

Subcommittee on Sports-Related Concussions in Canada committee  The neck strength thing has.... First off, data. If you do a cross-sectional study of high school athletes, neck strength will predict the likelihood of concussion in the following year. That's an older study now, and we were all enthused when it came out because we thought the t

Subcommittee on Sports-Related Concussions in Canada committee  That means if we're rolling that out, the test has to be cheap and globally available. I've already heard, as Dr. McCormack has pointed out, that you need expert people to do the interpretation of those tests. You can't afford to have any significant proportion of the population

Subcommittee on Sports-Related Concussions in Canada committee  That's the fundamental issue.

Subcommittee on Sports-Related Concussions in Canada committee  Yes, there has. Specifically, I would talk about our concern about the health and safety of players. From a head injury perspective, I think there are two components. It's frequently the issues of concussion and repetitive head trauma. I think everyone's worried about both. I don

Subcommittee on Sports-Related Concussions in Canada committee  We said at the very start of this that education is foremost. I would agree with you that one in four patients with a reported concussion does not seek medical care. That group is quite interesting. Obviously, we don't know a lot about them. They would be picked up by a more glob

Subcommittee on Sports-Related Concussions in Canada committee  One of the challenges you have when you address the issue of baseline testing is that you have to realize that the bulk of our players are youth players, and that means their baselines change at least once a year and possibly twice a year. You're going to have to put them in a te

Subcommittee on Sports-Related Concussions in Canada committee  Yes.

Subcommittee on Sports-Related Concussions in Canada committee  No, I don't think it's miscommunication. I think most practitioners in the field are not relying on testing at this stage. There are further issues. We can get into this. One of the issues is what you do when you fail your baseline test.

Subcommittee on Sports-Related Concussions in Canada committee  Okay. I think we're going to come back to the fact that every sport in Canada is moving to a compliance—in Ontario with Rowan's law—so we all are pushing a form of education of one sort or other. I think everyone needs to be educated about this as an injury. If I could get everyo

Subcommittee on Sports-Related Concussions in Canada committee  The evidence in soccer, as I pointed out to you earlier, is very much in its infancy. In getting ready for this committee, I was stressed to find primary preventative evidence within our field, but I think we have to go back 20 years to when we started to realize there were a lot