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NFL Admits Game’s Link to Concussion Risk

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After years of denying that the game of football could have caused degenerative brain disease in some players, the National Football League has finally admitted there is a link connecting the game to chronic traumatic encephalopathy (CTE). According to the New York Times:

Representative Jan Schakowsky, Democrat of Illinois, asked during a round-table discussion about concussions whether “there is a link between football and degenerative brain disorders like CTE,”

Jeff Miller, the NFL’s senior vice president for health and safety policy, said, “The answer to that is certainly, yes.” His response signaled a stunning about-face for the league, which has been accused by former players and independent experts of hiding the dangers of head injuries for decades.

Miller’s comments were backed the next day by league spokesperson Brian McCarthy. Miller’s answer may actually help the NFL, as “It could make it harder in the future for a player to accuse the league of concealing the dangers of the sport,” the Times said.

“Strategically, the NFL’s admission makes a world of sense,” Jeffrey A. Standen, dean of the Chase College of Law at Northern Kentucky University, told the Times. “The league has paid a settlement to close all the claims previous to 2015. For future sufferers, the NFL has now effectively put them on notice that their decision to play professional football comes with the acknowledged risk of degenerative brain disease.”

While CTE has been found in former players, the NFL has for decades denied the danger, even after researchers with Boston University announced in 2014 that, in autopsies of 79 brains of former NFL players, 76 tested positive for CTE. A report in 2003 by the Center for the Study of Retired Athletes at the University of North Carolina found a connection between concussions and depression among former professional football players.

According to a 2007 UNC study, Recurrent Concussion and Risk of Depression in Retired Professional Football Players:

Our observed threefold prevalence ratio for retired players with three or more concussions is daunting, given that depression is typically characterized by sadness, loss of interest in activities, decreased energy, and loss of confidence and self-esteem. These findings call into question how effectively retired professional football players with a history of three or more concussions are able to meet the mental and physical demands of life after playing professional football.

The NFL has directed millions of dollars to research of CTE and head trauma and it gave $45 million to USA Football to promote safe tackling and reassure parents that football’s risks can be mitigated through on-field techniques and awareness, the Times said.

More Headaches for the NFL

In recent months, the concern about concussions and their long-term effects among NFL players has gained widespread attention. In the past month alone, two high-profile players — running backs Clinton Portis of the Washington Redskins and Brian Westbrook of the Philadelphia Eagles — have sustained concussions that have put their seasons in jeopardy. Meanwhile, in a hearing before the House Judiciary Committee last month, NFL Commissioner Roger Goodell defended the league’s policies amid heated criticism and accusations that the league has failed to protect and care for its players.

“I have been clear: medical considerations must always come first,” Goodell said. “We are changing the culture of our game for the better. Our goal is to make our game as safe as possible for those who choose to play it and treat our retired players with the respect and care they deserve.”

But after a weekend that saw both starting quarterbacks from last year’s Super Bowl — Ben Roethlisberger of the Pittsburgh Steelers and Kurt Warner of the Arizona Cardinals — leave their games early after suffering blows to the head and three members of the St. Louis Rams — quarterback Marc Bulger, linebacker Chris Chamberlain and offensive tackle Jason Smith — forced to undergo tests for possible concussions of their own, the NFL has decided to implement a new approach to handling concussions.

According to the plan, teams will be required to use independent neurologists to treat players with brain injuries. While teams already employ their own medical staff, outside consultation will eliminate potential of conflicts of interest from team owners and coaches who want injured players to return to the field more quickly than is medically advisable. While no deadline for implementation has been put in place, about half of the league’s 32 teams have approved doctors in place already.

But the independent, objective aspect of this is the key change.

These newly appointed neurologists would be “independent of the teams themselves, and they’re rendering an opinion that is guided by expertise in concussions,” the NFLPA’s Mayer said. “They’re not part of the club medical staff, so they’re an independent voice with regard to whether the player’s ready to return or not.”

The league has also called for other players to report teammates who they suspect are suffering from concussion symptoms but the players’ union opposes the requirement.

“If every player were a medical doctor that could recognize symptoms of concussions, then that would be a great idea,” said NFL Players Association assistant executive director George Atallah. “I hope that the league — instead of asking players to police each other — would consider calling on team medical staffs and independent doctors to police the situation closely.”

Some players, like Washington Redskins fullback Mike Sellers have even gone so far as to characterize players who report teammates as “snitches,” which speaks to a larger cultural problem among NFL players. Evidently in a game that values “toughness,” acknowledging an injury of any kind is frowned upon. According to an Associated Press survey of 160 current players, 30 report having hidden concussion symptoms from team personnel and half reported having at least one concussion during their career.

So it would seem that the NFL’s fight against brain injury will not only require a change in policy but a change in attitude as well.

For more on the NFL and concussions, check out the December issue of Risk Management, coming soon.

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