New laws address concussion dangers among youths

Associated Press | 10/12/2010, 8:58 p.m.

Dylan Mello has good days and bad days.

On the bad days, the 18-year-old, who suffered three concussions while playing hockey and soccer during high school, gets piercing headaches or feels foggy. Often he has trouble reading or concentrating.

Mello should be in college right now but is taking a year off in the hopes that the symptoms of post-concussion syndrome will fade and allow him to return to a more normal life.

“I thought it was like an ankle injury that would go away with time ... but that obviously was not the case,” he said.

From high school playing fields to National Football League stadiums, increased awareness about the serious long-term impacts of sports concussions is changing attitudes about an injury once casually dismissed as “getting your bell rung.”

Lawmakers in Massachusetts, Rhode Island and Connecticut all passed new laws this year designed to make sure that student athletes who suffer suspected concussions get the proper treatment and do not return to action too quickly. Laws are also on the books in New Mexico, Oklahoma, Oregon, Texas, Virginia and Washington, while national legislation is making its way through Congress.

Mello suffered his first concussion playing hockey in his sophomore year at Portsmouth High School in Rhode Island. His mother, Donna Mello, remembers Dylan coming home that night with his speech slurred and a glazed look in his eyes. The following day, he had to leave church during Mass, complaining the music was too loud.

The symptoms of the initial concussion cleared, but that summer, while playing soccer for a travel team, Mello was struck in the head by an opponent's plaster arm cast. The third concussion happened in the fall, when he was hit in the same spot by a kicked ball in pre-game warm-ups.

Mello says he hasn’t felt the same since. He sat out sports his senior year, and while managing to keep his grades up and graduate, he needed accommodations from the school such as extra time on tests and extensions on papers.

“I was struggling to read, write, think and concentrate,” he said.

Donna Mello became a catalyst for passage of the Rhode Island law requiring that any athlete with a possible concussion be immediately removed from a practice or game. They cannot resume playing without written permission from a doctor.

Injuries are going to happen, “but if they are handled properly we can totally avoid these long-term situations that devastate these kids” she said.

The law also encourages school districts to provide a “baseline” neurological test for all student athletes, so doctors can better determine whether memory, reflexes or other brain functions have been substantively affected by an injury.

Similar to Rhode Island, the Massachusetts law has “return-to-play” guidelines and requires concussion awareness training for all coaches, trainers, athletic directors, parent volunteers, school nurses and even marching band directors. Parents or guardians of the estimated 165,000 public school students who play extracurricular sports must also be educated about concussions.

It’s all at least partly aimed at changing a culture that sees many young athletes, sometimes with the blessings of their coaches or parents, try to “tough it out” rather than get immediate attention. Colleen O’Brien, director of health, physical education and athletics for the Worcester, Mass., school district, saw that firsthand this summer when a high school football player suffered a possible head injury at practice.