New research identifies SHAAKE as key concussion indicator

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New research identifies SHAAKE as key concussion indicator
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Concussion researchers have recognized a new concussion sign that could identify up to 33% of undiagnosed concussions.

Mass General BrighamOct 23 2024 After a hit to the head, individuals sometimes quickly shake their head back and forth. Although it has been depicted in movies, television, and even cartoons for decades, this motion has never been studied, named, and does not appear on any medical or sports organization’s list of potential concussion signs. A new study, led by Concussion Legacy Foundation CEO and co-founder Chris Nowinski, PhD, says it should.

Nowinski recognized SHAAKE as a concussion sign after Miami Dolphins quarterback Tua Tagovailoa’s controversial undiagnosed concussion during a game on September 25, 2022. After Tagovailoa’s head hit the ground, he rapidly shook his head side to side two separate times, before stumbling and collapsing. At the time, doctors attributed the collapse to a prior back injury, so he was not diagnosed with a concussion.

“In the athletes we studied, about three out of every four SHAAKEs happened because of a concussion,” said Daneshvar, who also serves as Chief of Brain Injury Rehabilitation in the Department of Physical Medicine and Rehabilitation at Spaulding Rehabilitation and Harvard Medical School. “Based on our data, SHAAKE is a reliable signal that a concussion may have occurred, like an athlete clutching their head after contact, being slow to get up, or losing their balance.

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