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Feminism: Sex and gender discussions

Teen girls have double concussion risk of boys

33 replies

WarriorN · 28/04/2021 06:13

Important research on sex differences in sport between girls and boys.

I know there's current research on dementia in female and male football and rugby players, as a result of head impacts and injuries, with women having more risk for this.

Research was done in the US interestingly and makes a stronge case for sex differences to be taken note of, and focus on impact rather than collisions.

Girls were less likely to be taken off pitch.

Teen girl footballers have double concussion risk of boys www.bbc.co.uk/news/health-56894240

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Delphinium20 · 30/04/2021 21:05

Thanks @WarriorN for additional information- I didn't realize the difference in skull thickness. Great info!!

yes, I'm glad we have a coach who pays attention to the differences in boys and girls bodies with respect to risks...I would never have known about neck strength differences had he not given us that presentation-no doctor or other coach ever shared that information on girls and concussions!

WarriorN · 30/04/2021 07:39

I'll also add this which is really interesting and I recently bought her book:

thedoctorskitchen.com/womens-health/the-doctors-kitchen-podcast-59-how-to-reverse-ageing-part-3-of-4-the-female-ageing-brain-with-dr-lisa-mosconi

Bikini medicine is definitely a thing, isn't it?

•	The statistics regarding how women are far more likely than men to suffer from anxiety, depression, migraines, poor recovery from brain injuries, Autoimmune conditions like MS and Alzheimer’s disease.
•	What she refers to as Bikini Medicine
•	Her personal Story of Alzheimer’s in her family
•	What the ‘Women’s Brain initiative’ aims to achieve in science
•	How women’s brains age distinctly from men’s
•	The unique risks women face
•	How memory lapses, depression, stress, insomnia and the increased risk of dementia are key issues during menopause that arise in the brain rather than the reproductive organs
•	The key brain-protective hormone: Oestrogen
•	Abandoning one size fits all medicine and embracing personalised medicine
•	8 steps to improving women’s brain health including: Diet, Stress reduction, Sleep, harnessing the power of the Microbiome, deciding if HRT therapy is for you, Environmental toxins and supplements
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WarriorN · 30/04/2021 07:37

Sorry Prof, same person Chaz, thanks for the link.

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WarriorN · 30/04/2021 07:36

Thank you for these incredibly informative links and information.

It's shocking that in some sports the fact that girls are at more risk isn't played out in protocol.

I remember this being discussed in the last year on WH (JG) and in addition to finer neurones, and it seems neck strength, they note that both the skull can be thinner and there's a big impact of how the female hormones varies during the cycle.

They are even pinpointing times in the menstrual cycle where the brain is more vulnerable to damage than others.

All huge implications for women's sports.

That was Dr Stewart at Glasgow:

www.bbc.co.uk/programmes/p07zt9zf

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Delphinium20 · 29/04/2021 20:42

In the coach's presentation to parents, he noted the higher risk to girls for concussion, using this study, among others. pubmed.ncbi.nlm.nih.gov/24334504/

While they treat boy and girls concussions equally seriously, the coach is adamant about his staff to seek immediate medical treatment after intense crashes and when some grumble they are "fine to race," he always quotes the "girl are at greater risk for severe concussion."

Delphinium20 · 29/04/2021 20:35

The ski team relies on this protocol testing:

impactconcussion.com/

Delphinium20 · 29/04/2021 20:21

The ski team has a concussion management protocol that includes baseline testing. Here is the general language:

Athletes in many sports are vulnerable to a blow to the head that may result in a concussion. Although you will be wearing a helmet whenever you are on the slopes with XXXX, the risk of suffering a concussion during the season remains. When concussions do occur, athletes are required to take a break from the sport and return only after being cleared to participate again by professionally trained concussion expert. One tool available to medical care personnel is a computerized concussion test. For this test to be most helpful, athletes are asked to take the test when the brain is “healthy”, that is, when it hasn’t sustained a concussion. The test measures multiple cognitive functions and gives each athlete a score for each area measured. Should the athlete suffer a concussion, the physician or attending care giver may elect to have you re-take the concussion test (after all the concussion symptoms have disappeared) in order to compare pre and post-concussion cognitive functions. If the scores don’t align well, your physician or other qualified medical care professional may continue to restrict your activity until your scores improve. When a concussion is sustained, your brain must fully heal before you can return to play. If someone with a concussion sustains a second concussion before the first concussion has fully healed, the risk of long-term cognitive damage increases greatly. So, please set aside on of the two dates and times listed above to take your baseline test. If you can’t attend either of these testing dates, you will need to contact the athletic trainer at your high school to arrange to take the test at another time.

Helleofabore · 29/04/2021 07:57

MelissaVonStressel

There seems to be a significant gap between the knowledge that we now have about these injuries and policy to protect females against the injuries or mitigate the amount of damage.

It won’t catch up until the subject of inclusion is finally resolved. By then, how many more women and girls will have been harmed. That is where the scandal lies in making these inclusive policies before research proved the historically built up knowledge rather than after it might have been proven safe. I suspect the lobby groups knew exactly what they were doing. ‘Suspect’ is a mild word here.

Helleofabore · 29/04/2021 07:50

minniemomo

Of course girls/women can play on boys/men’s teams as long as the parents or the women agree having been properly told of the risks. That is a long standing practice for certain age groups.

It is the admission of males into female sports where females don’t have a choice except to leave that sport that is the issue. It is the lack of acknowledgement of the risks that are known and are being proved via studies coming out regularly that compounds the issue.

MelissaVonStressel · 29/04/2021 07:38

www.telegraph.co.uk/football/2021/04/02/exclusivefa-accused-treating-womens-footballers-second-class/ This is the article about how the FA requires less medical personnel at women's games despite the science saying they are more likely to be injured.

minniemomo · 29/04/2021 07:36

@HopeClearwater

My dd played football until 18, several of her friends played football on boys teams (because they are a better standard) until 16, it's allowed. Not everything is about trans

ChazsBrilliantAttitude · 29/04/2021 07:33

The Glasgow Brain Injury Research Group is a co author on this.
gbirg.inp.gla.ac.uk/publications/

Prof Stewart was on a programme about concussion in rugby where he talked about the greater risks for women. It’s not just neck strength it’s that our neurones are finer. Cycling is another risky sport. They have a partnership with a US charity pink concussions.
www.pinkconcussions.com/

Helleofabore · 29/04/2021 07:24

That is really interesting delphinium.

It is supported by the findings of the Swansea Uni study into women and rugby. They too stated it was the way females hit the ground because of less muscles in their necks. And then the double whammy of the more delicate brain fibres that take much less impact to sustain permanent or cumulative damage.

Helleofabore · 29/04/2021 07:19

I read this article this morning and it was heartbreaking.

Zac Easter: He left his brain behind to save others from his fate www.bbc.co.uk/sport/american-football/56894868

I suspect these brain injuries in the American football will be very similar if not the same. As the article states though,

CTE tends to develop over several years, with symptoms similar to Alzheimer's disease, and can so far only be detected after death.

So, proper diagnosis only after death at the moment.

Obviously, Football, may not be as high a risk. The Rugby codes may be up there in the risk factors.

And boxing and other fighting codes.

Each year, we get to know more and more about this. I wonder what the next steps will be for these sports.

More importantly though, how to protect our girls and women due to the known differences in our brain physiology.

WarriorN · 29/04/2021 06:39

Is this established practice Delphinium20? As in a known known in the sport?

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Delphinium20 · 28/04/2021 23:27

I should have noted that ski/snow board hits to the head are often due to crashes on ice, rocks or poles, but often happen on the ground, so if you are landing on your head, it's easier for males' necks to get rigid and not repeat hit the ground vs girls who are more likely to get a double hit after whiplash.

Delphinium20 · 28/04/2021 23:23

I mentioned this on another thread, but ski and snowboarding head accidents are often more severe in girls than boys as our neck muscles aren't as strong.

When you hit your head, the whiplash can make your head swing back and get hit again. The stronger your neck muscles, the lower the chances of secondary strikes to the head, making head injuries less severe.

Female skiers and snowboarders are at higher risk than males for this and testing them pre-injury (it's an annual concussion baseline test) and watching them after head injuries needs to be a different process than boys.

WarriorN · 28/04/2021 19:52
Shock
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MelissaVonStressel · 28/04/2021 19:48

Aren't the FA rules for how many doctors or First aiders different for men and women's games too? Less required for women, naturally.

ArabellaScott · 28/04/2021 19:41

@cheeseismydownfall

Heartening at least to see repeated and explicit mention of sex-based differences, without a single reference to gender.
I can't imgine it would be possible to insert gender into this.
WarriorN · 28/04/2021 19:12

Sex-specific research used repeatedly and clearly. Good to see and illustrates the importance of it.

Regarding hormones; there's an app developed by a U.K. football team around best training regimes around cycle. (Again sex specific.) But it does say that even on the pill there's some hormonal cycle. I believe it really helped them.

www.telegraph.co.uk/football/2020/02/13/exclusive-chelsea-become-first-club-tailor-training-menstrual/

(I got the app, it's great.)

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cheeseismydownfall · 28/04/2021 19:06

Heartening at least to see repeated and explicit mention of sex-based differences, without a single reference to gender.

WarriorN · 28/04/2021 19:05

In the study, teenage boys were most often injured when colliding with another player while girls were more likely to be concussed on contact with the ball or a goalpost, but this was less obvious.

Girls also took longer to recover, again more worrying.

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WarriorN · 28/04/2021 19:03

Yes exactly pickle.

I'm not sure if that's because coaches are looking at concussions from collisions (possibly more boys colliding?) and not spotting it from headers or if it's harder to spot concussion in girls, or they're actually better at hiding it / coping (possible, trying to look tough)

I need to read it again; either way it's worrying.

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