While a day or two of complete rest may be necessary for children after concussion, they would be able to…
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A few weeks ago, eight-year-old Liam Ramsay-Leavitt swung from Martinez, Calif. On the monkey in school. “And then I just fell on my side,” he says. “I was kind and I had a headache.”
It turns out he had a brainwash.
The doctor said he had to miss school for a week – there would be no homework think about it too much) but also no reading, no recess, no video game, no chess club, no activity. “I’d just say that it’s very boring,” says Ramsay-Leavitt. “And disappointment.”
“It was Hard” confirms her mother Michelle Ramsay-Leavitt. “Particularly with its energy level. After about three days, I stopped asking the doctor if he could go to school and just sit. “
Their physician followed what was almost a decade of conventional wisdom to treat childhood hardships: keep the children at home, keep them in a dark room without screens and minimal stimulus and prohibit any form of physical effort.
However, in the light of recent research, the US Academy of Pediatrics updated this month its guideline for treating mild brain trauma, urging doctors and parents to let the children return to school earlier and let them use electronics and relieve physical activity after just a few days of rest.
“It’s because of a child who deals especially with curiosity and new experiences that have so much more energy than their mother or dad, it’s almost like a punishment to tell them that they have to stay in a dark room, so gives Dr. Angela Lumba-Brown, a pediatric emergency medicine e-doctor and associate director of Stanford University’s brain injury and brain performance center.
While a day or two of complete rest may be necessary, more than ever, let children feel isolated and worried, notes Lumba-Brown. And a new study showed that children who rested one to two days after a concussion reported fewer symptoms and recovered faster than those who took a strict five-day break from school, work and physical activity.
The AAP recommendations, as well as guidelines from the Centers for Disease Control and Prevention released in September as Lumba-Brown and her team developed, suggests that children’s return to activity should be adjusted – balancing their need for stimulus with their need for rest.
“Doctors, parents and teachers should all work with the child to figure out a plan,” says Lumba-Brown. “Maybe after two or three days of rest, it means we return to school, but maybe just half a day at the beginning. Or maybe not, maybe the patient can do it through a whole day without her headache getting worse.”
Students will receive a delay from homework and exams, and make as little or as much as possible the new guides suggest. They also propose a similar, gradual approach to physical exercise.
“We do not recommend that a child go back straight back to practice practice”, explains Dr. Mark Halstead, pediatrician and assistant professor at the Washington University School of Medicine in St. Petersburg. Louis, Mo. as co-author both the AAP and the CDC guidelines. “But they may be able to do some lively walking or some easy work on a training bike – things to get their heart rate going.”
In addition to resuming physical activity, another major change in the guidelines suggests that children can come back on their phones and computers earlier. “One thing we must recognize with children nowadays is that they are strongly connected socially through their electronic devices,” said Halstead. At least there is no research that indicates that watching screens is obviously harmful after a brainwashing – but in some cases starters on TV or computer can make headache after brain injury worse.
To diagnose brain injury and trace recovery, older guidelines and the new both recommend using CT scans or fMRI preparations, except in severe cases where doctors suspect bleeding or fracture In the skull, it is because brain shakes rarely show up on these brain tests.
Instead, AAP and CDC doctors aim to undergo a checklist of symptoms in young patients and ask them to judge how moody sleepy or uneven balance they feel.  The two organizations differ slightly in the use of terminology. The AAP address addresses “Sportrel.” atherosclerosis “while the CDC guide focuses on” mild traumatic brain injury “or mTBIs. For most, the two terms are interchangeable – but technically, mTBIs are a subset of brain shocks, which can describe more severe cases of head trauma. “We try to use the term” mild traumatic brain injury “for the most part because people tend to take it more seriously, says Lumba-Brown. There is actually research indicating that people tend to underestimate” brain shakes “compared to” brain injuries. “ But whatever you call it, it has become clear in recent years that “this type of injury is more common than we previously thought.” Lumba-Brown says. An estimated 1.1 million to 1.9 million children are treated annually for sports or game-related head injury, although researchers believe many more cases are not reported.
“The difficulty is that not all brainwounding children should get up and start tripping,” said Halstead. “You can not always see the symptoms, such as headache or dizziness.” Older children, especially those who are serious about their sports, may not tell adults that they feel comfortable. “They may be more concerned about getting to the game, or not disappointing their teammates,” he says. Therefore, adults must be alert – ask the children specifically how they feel and notice when they play odd.
At the same time sports and games are an important part of childhood, he says. “So we do not want to put children in a bubble either, just because we’re afraid.”