Vancouver Sun

State’s concussion bill draws fire over parental provision

I don’t believe HB 116 is in the best interest of the athletes.

- DES BIELER

A bill under considerat­ion by the North Carolina legislatur­e calls for the implementa­tion of several measures aimed at improving safety for children engaged in high school or middle school sports. However, one provision has come under scrutiny, as it would allow parents of children thought to have suffered concussion­s to authorize their return to play.

A North Carolina law passed in 2011, called the Gfeller-Waller Concussion Awareness Act, included a passage regarding students participat­ing in an interschol­astic athletic activity who exhibited signs consistent with a concussion. Those students were to be removed from the activity at that time and not allowed to return to play or practice until they received written clearance from a licensed physician, neuropsych­ologist, athletic trainer, physician assistant or nurse practition­er.

The new bill, HB 116, keeps that wording but adds “the student’s parent or legal guardian” to the list of people allowed to give written clearance for a return to play.

More expansive than Gfeller-Waller, HB 116 would also require state and local boards of education to “educate those involved in school athletic activities on sudden cardiac arrest and heat-related illnesses,” and it would direct the establishm­ent of “a database on the occurrence of injury and illness” by student-athletes.

Reaction to the parental provision was swift.

“I’ll preface by saying I’m not a parent, but I don’t believe HB 116 is in the best interest of the athletes,” Katie Flanagan, director of athletic training at East Carolina University, told Vocativ.com. “It gives the parents a determinat­ion that their child is fine and can return to play with a concussion.”

Tweeted New England Patriots defensive end Chris Long: “I have a bill: Any parent that wants to bypass concussion protocol at the high school level should be banned from games. Oh and public roads, businesses, etc.”

The NFL reached a settlement last year of a class-action suit brought by thousands of former players, who accused the league of misleading them about the dangers posed by concussion­s and other forms of repeated brain trauma. Earlier that year, a league official affirmed for the first time that a link exists between footballre­lated brain injuries and the developmen­t among some ex-players of CTE (chronic traumatic encephalop­athy), a neurodegen­erative disease with no known cure.

Football players at all levels below the NFL are also increasing­ly viewed as being at risk for incurring brain trauma and possibly developing a neurodegen­erative disease, causing concern among parents and medical profession­als. However, while HB 116 calls for all parents of children playing high school and middle school sports to receive “a concussion and head injury informatio­n sheet,” few parents have the medical training to properly discern if a given child has recovered sufficient­ly from a brain injury.

The Canadian government took a major step forward in concussion care last October when it announced a $1.4-million investment to develop national guidelines for the management of concussion­s in amateur sport. Right now, there’s no common approach in Canada to address concussion­s, with protocols varying wildly from sport to sport and even from one side of a city to another.

Doctors say a formal concussion strategy is every bit as important as a helmet. Studies show concussion­s are three to six times more likely to be detected in an environmen­t with a protocol in place. And the concussion­s that cause the most damage tend to follow the ones that go undetected when the brain is not given the proper time to heal and rest.

I don’t believe HB 116 is in the best interest of the athletes.

 ?? PATRICK SMITH/GETTY IMAGES/FILES ?? Defensive end Chris Long of the New England Patriots: “Any parent that wants to bypass concussion protocol at the high school level should be banned from games.”
PATRICK SMITH/GETTY IMAGES/FILES Defensive end Chris Long of the New England Patriots: “Any parent that wants to bypass concussion protocol at the high school level should be banned from games.”

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