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Concussions and head injuries in youngsters: Understanding Concussions and Head Injuries in Young Minds

  • May 9, 2025
  • Kyle Wells

As with adults there is now growing awareness and knowledge of the effects head injuries and concussion in children and teenagers. 

unfortunately, a child or adolescent used to be sent straight back to playing with friends, to the playground or back to school after a head impact. 

However, now this is not ok! Doctors, parents, coaches, and teachers need to look and listen here. We need to take a more robust approach to managing a head injury and concussion, don’t just fob it off!.

With young children exploring the world, playing on staircases, enjoying scooters, bike and climbing everything in sight, or adolescents playing their favourite sport with the upmost enthusiasm. 

Most parents would view a childhood concussion as something that can just happen.

Many youngsters will bump their head, sometimes hard enough to make parents come running and panicking, other times rubbing their head and brushing it off to build some resilience after a fall. 

But be aware!

 

The effects of concussion in children

The young brain responds differently to trauma than the adult brain and is in some respects more vulnerable to damage with weaker necks and torsos being unable to absorb or brace for an impact.

There is currently only a limited scientific understanding of the effects of concussion on the developing brain, because studying these is difficult, reporting rates are low with societal norms and communication with a child more difficult. 

Be ready and informed, many cases of head injury and concussion in the younger person will take significantly longer than their adult counterparts in life to see a reduction in symptoms with return to play, school and sport requiring much more planning and care then you think!

 

Diagnosing concussion in children

Although concussion will present in the same way as adults with many wide varying symptoms. 

See a Blog on those HERE 

Sporting based head injuries are more reported than play, as organised event with parents, coaches or first aid staff are often available. However, children can be often playing with little supervision around the home, at friends or even at school and as a result many head injuries can go unnoticed and unmanaged.

These are silent head injuries!

Diagnosis in children can be complicated with communication difficulties. Adults may be able to recognise and verbalise their symptoms, younger children can struggle with what they’re experiencing.

Leaving parents observing changes in behavior or mood, sleep disturbance, concentration or disturbance in focus and withdrawal from playing as odd, or unexplained. 

Parents, coaches, teachers, doctors and physiotherapists must be more direct in their questioning of the youngster and observe their behaviours, taking note of any changes from the normal day to day and acting to treat this well. .

In recent years, forms of computer-based testing has been developed in order to determine changes in reaction time, memory and brain processing post injury. This can be quite engaging for adolescents in our ever-changing technological world.

 

Treating concussion in children

Treatment of concussion in children involves an accurate assessment of the presenting symptoms and assistance from parents in identifying any change in behaviour. 

 

A brief 24-48 hour period of rest is always recommended with clear (not vague) and specific  education on what’s going on, the signs and symptoms to keep an eye on.

It should never be “just rest and in a few days it’ll come good and get back into it”.

Education of what EXACTLY to do and when makes a huge difference in managing symptoms of concussion, reducing their effects and returning to the child ot the world as quickly as possible following head injury. 

Next a graded return to activity with school and learning takes priority as the ability to concentrate can be affected in many concussion cases.

Following success with school and social engagement, is the return to physical activity.

Light exercise followed by training then a return to sport or play must be gradually increased, monitored and measured. NOT GUESSED!

The doctor, physiotherapist and parents will needto continue to monitor the youngster through the return of activity as symptoms, even things like sleep and emotional disturbances can be ongoing in child and adolescent concussion cases.

If you’ve got any questions or want to know more, I’m always down for a chat and to help you navigate your child’s concussion the best way possible!

Never vague, always precisely what you need to do!

Kyle Wells

Kyle Wells is a Physiotherapist at Fighting Fit Physio.

He has a special interest in arthritis, neck pain and tendinopathy. Just to name a few.

Kyle loves cross fit and has an exceptional eye for technique and performing exercise correctly.

He use exercise to improve patient results and get them moving better for the long term.

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At Fighting Fit Physiotherapy, we recognise the impacts that pain and dysfunction can have on one’s personal and professional life. We are committed as primary healthcare professionals to help our clients resume their lifelong pursuit of health and well-being.

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Fighting Fit Physiotherapy Nerang Gold Coast

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call 0402 938 661

Fighting Fit Physiotherapy provides the ultimate physiotherapy experience! No matter what type of injury or condition you suffer, we strive for all our patients to be ‘fighting fit’ and achieve peak performance in their sport and everyday life.

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Fighting Fit Physiotherapy Nerang Gold Coast

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GOLD COAST PHYSIO

Fighting Fit Physiotherapy provides the ultimate physiotherapy experience! No matter what type of injury or condition you suffer, we strive for all our patients to be ‘fighting fit’ and achieve peak performance in their sport and everyday life.

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