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Wednesday, May 9, 2018

Concussion Epidemic by Vianca Brieva




National Football League (NFL), Major League Baseball (MLB). National Basketball Association (NBA), and many other sport athletes have some kind of sports injury at some point in their career. A very common injury in sports consists of a concussion, which is a traumatic brain injury. A concussion occurs when your head is jolted either by impact or some kind of fall. This kind of injury happens a lot in athletes especially in impact sports such as football. Football in 2017 itself had about 281 concussions reported just in one year (Jones & Reyes). Concussions are very serious and can cause long-term brain injuries.
            Concussions have been evident since within the first decade of football beginning. Football first began to be played November 6th 1869. Soon after is when some early signs of concussion cases emerged. One prominent case occurred in 1883 when William Harvey, a collegiate football player from Penn State University began experiencing troubling signs. According to the article for Am J Public Health, during a football scrimmage Harvey was “knocked insensible” for fifteen minutes. Harvey later discovered that due to his previous injury he had gathered “blood in the head and was threatened with congestion of the brain”. During the times the American Culture embraced the violence and ruggedness of the sport, however certain institutions such as Ivy League schools banned the playing of the sport but eventually succumbed to society’s enthusiasm for the sport. In 1933 the NCAA’s Medical handbook warns that concussions have been being treated too lightly and recommended that a person who has been concussed have a waiting period of 48 hour before playing or practicing the sport until all symptoms subside. Another major development occurred in 1973, when “Second Concussion Syndrome” was identified. This “occurs when an athlete receives a concussion while still suffering the effects of a previous one”. It is said by the Journal of Neurosurgery that Second Concussion Syndrome is carried by 90% mortality rate and the 10% that survive are neurotically devastated. In 1997 through 1999 there was lots or resistance from the football league regarding the concussion guidelines from the American academy of Neurology, they suggested to remove players that get knocked unconscious from the game. The NFL rejects the guidelines given and starts to “quietly begins giving out millions in disability payments to former players suffering cognitive decline, finding that they had become "totally disabled" due to "league football activities.". In 2000 a study by the American Academy of Neurology discovered that sixty one percent of former NFL players sustain concussions and seventy nine percent of those injured said they had not been forced to leave the game. They also found “49% of the former players had numbness or tingling; 28% had neck or cervical spine arthritis; 31% had difficulty with memory; 16% were unable to dress themselves; and 11% were unable to feed themselves”. 


          In 2002 a doctor by the name of Bennet Omalu begins to do a study on a retired football player, Mike Webster’s, brain who had commit suicide. Before having commit suicide Webster had rather frightening past such as drug addiction, strange visions in his head, and sleeping in his car. Although Websters initial cause of death was a heart attack Omalu knew there had to be something more to it and began to research.  During the study he found that the former football players brain had evidence of a brain disorder called Chronic Traumatic Encephalopathy also known as CTE. The symptoms of CTE includes difficulty thinking, impulsive behavior, depression, short-term memory loss, emotional instability, substance abuse, and suicidal thoughts or behavior. This disorder is a neurological brain disorder that is more often found in boxers.  Not long after all these discoveries there were many former football players who began maintain the kind of symptoms that pointed to CTE. In the extreme cases there were even attempts of suicide. Justin Strzelczyk, Terry Long, Andre Waters, Junior Seau, these players have all commit suicide and the reasons for this point to CTE.  
It’s unfortunate when financial rewards are more important than human beings health. As researchers and doctors obtained information and gathered evidence related to CTE, they experienced resistance from powerful organizations that financially benefited from contact sports. The results were presented to officials of the National Football League (NFL). Even though officials already suspected that retired football players suffered due to the violence of the sport. Evidence of this was that the NFL decided to pay disability payments to retired football players suffering from injuries in the sport. However when they were presented with evidence that a large majority of football players had been suffering from Chronic Traumatic Encephalopathy they refused to accept the findings. Fearing that these findings would harm their multibillion dollar industry they placed this interest above the safety of its players. The doctor’s findings were published in reputable medical journals and provided to the media. According to the MTBI (Mild Traumatic Brain Injury) Committee of the NFL, they pressured the neuro surgeon to retract the article on the findings of CTE.  In Barry Petchesky’s article he states that in 2009 “For the first time, the NFL acknowledges the effects of head trauma. League spokesman Greg Aiello says, "It's quite obvious from the medical research that's been done that concussions can lead to long-term problems." The first lawsuits against the league are filed. Over the next few years, they will balloon to nearly 250 cases and 5,000 plaintiffs, including former players from the 1940s”. Only after this overwhelming evidence did this National Football League accept the realities of concussions and what it can cause.

            According to Petchesky the National Football League began putting informative posters in the locker rooms informing football players about the severity of concussions and they warned the football players there would be fines and penalties for any tackles that are aimed for the head. Although these changes were implemented there were still instances when concussed players would be allowed to continue playing such as the case of a San Diego Charger football player, Kris Dielman, who later experienced a seizure on an airplane flight home. Another advance in the treatment of concussions stems from researchers that developed “a simple collar worn by athletes that compresses vessels in the neck to increase cranial blood volume, thereby reducing internal movement of the brain.” (Chicago Health). The National Football League assembled a group of physicians at every football game to conduct concussion protocol and forbid the athletes from returning to a game if they experience signs of a concussion. The NFL has partnered with more medicine associations to help reduce the risk of concussions and also CTE.
            The harms of CTE are so devastating to athletes and their families that the research of this disease was imperative to the save lives and improve the health of athletes participating in contact sports. It is shameful that certain interests were put above the health of professional athletes. The overwhelming evidence often harm of concussions has changed societies attitude and improves the safety of athletes prone to concussions everywhere. Changes in training and the rules of youth sport have been enacted to prevent the harm concussions can do to young growing athletes. Concussions will continue to be studies and technology to lessen the possibilities of harming human beings. Though football was the main focus for this study of the disease other sports such as boxing, soccer and others have changed their rules as well to comply with the findings.

Work Cited
Harrison, Emily A. “The First Concussion Crisis: Head Injury and Evidence in Early American Football.” Advances in Pediatrics., U.S. National Library of Medicine, May 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC3987576/
Jones, Lindsay H., and Lorenzo Reyes. “NFL's Reported Concussions at Six-Year High in 2017.” USA Today, Gannett Satellite Information Network, 26 Jan. 2018, www.usatoday.com/story/sports/nfl/2018/01/26/nfl-concussions-2017-season-study-history/10703
Petchesky, Barry. “A Timeline Of Concussion Science And NFL Denial.” Deadspin, Deadspin.com, 30 Aug. 2013, deadspin.com/a-timeline-of-concussion-science-and-nfl-denial-1222395754.
Rogers, Justin. “Lions' Jarrad Davis in Favor of NFL's New Helmet Rule.” Detroit News, DetroitNews, 17 Apr. 2018, www.detroitnews.com/story/sports/nfl/lions/2018/04/17/lions-jarrad-davis-favor-nfls-new-helmet-rule/33920347/
Mike Webster, 50, Troubled Football Hall of Famer, Is Dead, 25 Sept. 2002, rip-tv.com/pages/webster.htm.
“HEADS UP.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 22 June 2017, www.cdc.gov/headsup/index.html
“Researchers Develop New Potential Solutions to Concussions.” Chicago Health, 16 Nov. 2017, chicagohealthonline.com/researchers-develop-new-potential-solutions-to-concussions/
“Pro Football Hall of Fame.” Pro Football Hall of Fame Official Site, www.profootballhof.com/football-history/birth-of-pro-football
 “Chronic Traumatic Encephalopathy.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 20 Apr. 2016, www.mayoclinic.org/diseases-conditions/chronic-traumatic-encephalopathy/symptoms-causes/syc-20370921


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