SUMMER IS THE season for hiking, bike rides and playing sports outdoors. Unfortunately, it&rsquo;s also the season of concussions.More than just a superficial head wound, a concussion is an injury that occurs when a person suffers a bump, jolt or blow that causes the brain to bounce around within the skull, where it is suspended in cerebrospinal fluid. According to a 2017 report in The Lancet, 30 to 50 million people suffer from concussions and other traumatic brain injuries every year, and falls are the most common cause.The vast majority of concussions are considered mild; these may result in a headache and some fatigue, appearing minutes to hours following the collision but resolving after 24 hours. A more serious concussion can lead to severe symptoms, such as nausea, issues with balance or dizziness, vision problems, sleep disruption, irregular moods and sensitivity to noise and light. Most of these will subside in a week or two with rest, reduced visual stimulation&mdash;avoiding screens and reading&mdash;and a measured return to one&rsquo;s regular activities. However, some concussion symptoms can linger for months or years, hampering daily functioning.<div style="page-break-before:always; page-break-after:always">35% OF TRAUMATIC BRAIN INJURIES ARE CAUSED BY FALLS.Scientists have only recently begun to scrutinize the long-term effects of concussions&mdash;and their findings are troubling. A 2018 study published in The Lancet Psychiatry found that a severe traumatic brain injury in one&rsquo;s 20s increased the risk of dementia 30 years later by 63 per cent; for people in their 30s, that rise in risk is 37 per cent. And, alarmingly, even a single mild concussion raised the lifetime risk for a person of any age by 17 per cent.For this reason, concussions have become a pressing topic, especially for athletes. A 2019 New England Journal of Medicine study of professional soccer players&mdash;who routinely head the ball and collide with other players&mdash; showed that they have a 3.5 per cent higher risk of dying from dementia than the general public.&ldquo;We have a pretty good idea of what happens to the brain in the years after a concussion,&rdquo; says Dr. Michael Grey, a brain injury expert at the University of East Anglia in Norwich, U.K. He explains that a hard blow to the head can lead to protein clumps around the neurons that send brain signals, disrupting communication between the brain and the rest of the body. In fact, any repeated head trauma&mdash;colliding with opponents while playing football or trading blows while boxing&mdash;can damage neurons over time.For anyone who participates in recreational activities in the summer, Grey says the benefits still outweigh the risks. Inactivity, he says, can lead to obesity and other health issues. He suggests practising sports as safely as possible, keeping an eye out for signs of a concussion and seeing a doctor immediately if any are present. Failing to treat a traumatic brain injury immediately&mdash; particularly if it&rsquo;s serious&mdash;can lead to a life-threatening blood clot, seizure or bleeding in the brain. In rare cases, swelling of the brain can cause death.Also, it&rsquo;s worth noting that while helmets are recommended for cycling and many other sports, they protect users only from fractures, not brain trauma.When it comes to kids, &ldquo;Try to put them in clubs that take concussions seriously,&rdquo; says Grey. &ldquo;If in doubt, sit them out.&rdquo;

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