Concussion Care: Signs & Symptoms to Watch
October 27, 2020
Henry Ford Health System
When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.
Head injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.
"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."
Signs of Concussion
The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.
"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."
Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:
Physical Concussion Symptoms
- Changes in sleep patterns
- Difficulty with balance
- Dizziness or lightheadedness
- Fatigue
- Headache
- Light sensitivity
- Nausea
- Numbness or tingling
- Sensitivity to sound
- Visual problems
- Vomiting
Emotional Concussion Symptoms
- Anxiety
- Depression
- Irritability
- Mood swings
Cognitive Concussion Symptoms
- Confusion
- Difficulty concentrating
- Feeling "slow" or "foggy"
- Memory problems
Diagnosing Concussion: Getting It Right
One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.
"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.
People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:
- Difficulty walking
- Weakness on one or both sides
- Not waking up
- Repeated vomiting
- Persistent confusion
- Seizures
- Unconsciousness
No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.
"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.
Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.
Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.
Century of School Sports: MHSAA Work Guided by Representative Council
By
Geoff Kimmerly
MHSAA.com senior editor
December 3, 2024
One of the most common misconceptions about the MHSAA over its 100-year history is that all decisions regarding school sports in Michigan are made by the staff in the East Lansing office.
The MHSAA truly is an organization built upon its membership, with its Representative Council the legislative body that has produced the rules and tournament schedules currently in place to provide structure in athletics for more than 750 high schools and hundreds more middle schools across the state.
The Representative Council is the 19-member legislative body of the MHSAA. All but five members are elected by member schools. Four members are appointed by the Council to facilitate representation of females and minorities, and the 19th position is occupied by the Superintendent of Public Instruction or designee.
The Council considers all proposals brought before it from MHSAA sport and other appointed committees that meet throughout the year, and also makes decisions on a variety of eligibility rules, postseason tournament and operational issues. The Council regularly considers 30 committee proposals during its Spring meeting alone, along with a handful of others during Fall and Winter meetings which otherwise are primarily opportunities for discussion of topics that may come up for action at a later date.
Eight representatives are elected across four regions – two apiece from the Northern Lower Peninsula, Southeastern Michigan, Southwestern Michigan and the Upper Peninsula – and also based on school enrollment, with one representative from each of those regions from the larger Class A and B-sized schools and one representative from each region from the smaller Class C and D-sized schools. There are also two statewide at-large positions, two representing junior high/middle schools, and elected representatives from Detroit Public Schools and private and parochial schools.
All Representative Council members must be representatives of a member school, as faculty or board of education members. Every Council candidate must have superintendent or principal approval in writing and be qualified for the position for which that person is running.
Elections take place every fall after names of candidates are submitted and published to the MHSAA Website by April 15 the preceding spring. Ballots are mailed to schools in September and must be postmarked no later than two weeks after they were sent by the MHSAA office. A Board of Canvassers appointed annually counts the ballots, which must be signed by the principal and superintendent of that member school (except for private and parochial schools, which require signature by the principal only).
Council members are selected by majority vote.
Terms for elected Council representatives are two years long. Appointed members also serve two-year terms and may not serve longer than two successive terms.
The Council meets three times annually. Council officers – president, vice president and secretary-treasurer – are elected during the Fall meeting for the full Council.
Five members of the Council also convene monthly during the school year to form the MHSAA’s Executive Committee, which reviews appeals of Handbook regulations by member schools. Those five include the three elected officers.
Previous "Century of School Sports" Spotlights
Nov. 26: Finals Provide Future Pros Early Ford Field Glory - Read
Nov. 19: Connection at Heart of Coaches Advancement Program - Read
Nov. 12: Good Sports are Winners Then, Now & Always - Read
Nov. 5: MHSAA's Home Sweet Home - Read
Oct. 29: MHSAA Summits Draw Thousands to Promote Sportsmanship - Read
Oct. 23: Cross Country Finals Among MHSAA's Longest Running - Read
Oct. 15: State's Storytellers Share Fall Memories - Read
Oct. 8: Guided by 4 S's of Educational Athletics - Read
Oct. 1: Michigan Sends 10 to National Hall of Fame - Read
Sept. 25: MHSAA Record Books Filled with 1000s of Achievements - Read
Sept. 18: Why Does the MHSAA Have These Rules? - Read
Sept. 10: Special Medals, Patches to Commemorate Special Year - Read
Sept. 4: Fall to Finish with 50th Football Championships - Read
Aug. 28: Let the Celebration Begin - Read
PHOTO The MHSAA Representative Council and Executive Director Mark Uyl (front row, far right) take a group photo during its Spring Meeting in May. (Photo by Jon Ross.)