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CTE, it's not just about football

Emil : 5/24/2016 10:03 pm
I hesitate to wade into this issue as it becomes emotionally charged and there is still so much we don't know. All that can be said with any certainty are that concussions and repeated blows to the head can cause CTE and the condition appears to be linked to the increased presence of the protein tau in the brain.

It is also clear the NFL has tried multiple times to prevent the release of any CTE info that damages its brand with the most recent news just being the latest example. The league's behavior in all of this has been substandard at best and devious at worst. I can turn a blind eye to how the commissioner has handled player discipline (as inconsistent as it may be) but he should fall on his sword for how the CTE issue has been handled. Instead of trying to hide in hopes it would all go away, the league should have pursued an aggressive and public campaign to re-educate tackling, change helmet design, change playing turf, promote youth flag football, and fund studies to prevent/treat CTE that include new medication and therapy. Many of these things are in fact going on, but this is a battle of public opinion, and the league office is not getting its message out or highlighting enough of the good faith efforts it is making to fight CTE.

All this brings me to the following story about late BMX biker Dave Mirra who committed suicide following complications from CTE. I lay immense amounts of blame at Roger Goodell's feet for how the NFL has handled CTE, but CTE is not football's fault. By that I mean the condition is not unique to football. There may be higher incidents of CTE in football but we don't really know. Extreme sports, rugby, water polo, hockey, boxing, and ultimate fighting all carry CTE risks, some to a great degree. This is a serious issue that encompasses many contact sports, and right now I feel we are on two extremes.

One that says this is all overblown and professional athletes make choices and are well compensated. I'm not unsympathetic to this argument because the facts are true, but it ignores the impact on youth sports and how much info did players really have at their finger tips. The other extreme takes us down the road of a severe reduction in participation in contact sports because of CTE fears. While I sympathize with these thoughts (we all want to protect kids) but are we willing to go that far? Are we willing to eschew all the sports I listed above because some athletes could develop CTE? I don't think so or at least I hope not.

Maybe it's just my view on life but you waste your time and others if you live every moment of every day trying to eliminate every possible risk. Sure you make calculated risks and we all have our own formula. Human beings are natural risk takers, it's what makes us great. People climb Everest (and many die), some sky dive and bungee jump, there are ultra marathon runners, and how much you want to bet NASCAR drivers who have been in more than a few crashes have some CTE.

Human beings do dangerous and reckless things all the time, that's not going to change. Now that doesn't mean we just let our young people do foolish things. They deserve protection and parents deserve unbiased info. Does football carry risks? Absolutely and the NFL needs to do everything possible to alleviate that risk. I'm all for no tackle football until at least 16 along with other safety measures. But society must be careful that in our desire to protect we lose sight of the consequences. There is a lot of fear out there at the moment and decisions are being made in a vacuum. Yet another reason why the NFL needs to be out in front on this issue. Short of putting everyone in a bubble, there is always risk. The NFL needs to be more proactive in managing risks inherent to the sport. Otherwise the impact could be felt far beyond football.
Late BMX biker Dave mirra had CTE - ( New Window )
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I believe  
mdthedream : 5/24/2016 10:23 pm : link
steroids have a big play in this issue.
RE: I believe  
Jim in Fairfax : 5/24/2016 10:46 pm : link
In comment 12970072 mdthedream said:
Quote:
steroids have a big play in this issue.

And that belief is based on what exactly?
Thank you.  
NorwoodWideRight : 5/25/2016 6:15 am : link
I have been saying this all along and have taken tremendous flak for it. Pointing the finger at and demonizing football is just plain stupid. All contact sports where the brain rattles around in the skull can be equally to blame for CTE.
RE: Thank you.  
BMac : 5/25/2016 6:32 am : link
In comment 12970191 NorwoodWideRight said:
Quote:
I have been saying this all along and have taken tremendous flak for it. Pointing the finger at and demonizing football is just plain stupid. All contact sports where the brain rattles around in the skull can be equally to blame for CTE.


Of course, but the very nature of football paints it as a prime target.
RE: Thank you.  
UConn4523 : 5/25/2016 6:38 am : link
In comment 12970191 NorwoodWideRight said:
Quote:
I have been saying this all along and have taken tremendous flak for it. Pointing the finger at and demonizing football is just plain stupid. All contact sports where the brain rattles around in the skull can be equally to blame for CTE.


Why do people get so defensive when football is brought up with CTE? Of course other sports have the same risks but which sports are this violent, accumulate this much revenue, AND covered up evidence to not tarnish the game? That's why football is the focal point, as it should be. It was a criminal act of negligence to properly educate its employees, pretty plain and simple.
simple  
mdthedream : 5/25/2016 7:04 am : link
they are bigger faster and hit harder causing a big issue.
The NFL arrogance in many  
joeinpa : 5/25/2016 7:06 am : link
Issues is without match. From the CTE issue to saying they care about player safety while at the same time adding Thursday night games and wanting to extend the season to 18 games. Decisions are made on economics.

I don't see  
mdthedream : 5/25/2016 7:07 am : link
why its not a bigger part of the topic. Stronger,faster,bigger and hit a heck of a lot harder causing the brain to rattle more.
I seriously doubt football  
Rick5 : 5/25/2016 7:09 am : link
is going anywhere. If there were a 1 to 1 relationship between playing in the NFL and CTE, then there would be a serious problem for the future of the game. Without a 1 to 1 relationship, I expect many people to continue to assume the risks even with full knowledge that CTE is a possibilty. Hell, you'd have to be living in a cave to not realize it's a risk right now. This has been beaten to death in the media. There is no way that anyone in the current draft class could claim that he was unaware of any risk.
The current draft class has information  
UConn4523 : 5/25/2016 7:12 am : link
a decade ago that wasn't the case. Again, that's why people want to bring the hammer on the NFL. The employees should have he right to the same health and safety information as their employers and those that regulate the league.
Not getting your point.....  
WideRight : 5/25/2016 7:16 am : link
CTE is a consequence of risk-taking, which is part of the human condition, and the NFL is devious (probably criminal imo) for not taking a lead on this issue? While both are salient points, the the combination isn't clearly actionable. NFL can't lump a BMX rider into its core mission wether they want to or not. They are a private concern, obviously, limited to the business of football by their charter.
RE: The current draft class has information  
Rick5 : 5/25/2016 7:20 am : link
In comment 12970210 UConn4523 said:
Quote:
a decade ago that wasn't the case. Again, that's why people want to bring the hammer on the NFL. The employees should have he right to the same health and safety information as their employers and those that regulate the league.

Going forward, the nfl should be fully open about it. People will play unless the relationship approaches 1 to 1 in terms of serious future cognitive impairment (and that is extremely unlikely, imv).
Have any tested NFL players not had CTE?  
exiled : 5/25/2016 7:21 am : link
There's a constant drip of news--Bubba Smith most recently--about deceased former players who have been diagnosed. Has there been even one who hasn't? I mean, granted, if the player showed no signs of dementia or other CTE-related symptoms during his life, there's no real reason to test him. So it's a skewed sample. But still, it seems like *all* the brains tested have had CTE.
Maybe football is t going anywhere, but football ....  
Crispino : 5/25/2016 7:43 am : link
as we've know it is. The game is changing and will have to continue to change as the facts co to us to emerge. And don't think the volume of player lawsuits is going to decrease. The sport is going to be litigated into something unrecognizable to those of us who grew up watching in the '80's.
RE: I seriously doubt football  
BMac : 5/25/2016 7:44 am : link
In comment 12970206 Rick5 said:
Quote:
is going anywhere. If there were a 1 to 1 relationship between playing in the NFL and CTE, then there would be a serious problem for the future of the game. Without a 1 to 1 relationship, I expect many people to continue to assume the risks even with full knowledge that CTE is a possibilty. Hell, you'd have to be living in a cave to not realize it's a risk right now. This has been beaten to death in the media. There is no way that anyone in the current draft class could claim that he was unaware of any risk.


This the same "reasoning" successfully used by the tobacco companies to forestall action on the negative health effects of tobacco use.

The argument boiled down to the idea that smoking does not inevitably cause cancer. There were/are people who smoke their whole lives and who die of some cause not really related to smoking.

The reasoning used by the tobacco companies was that there was no "conclusive" proof that tobacco use carries health hazards.

This sort of doubt-promotion is very similar to what the NFL is using to muddy the water and, as a consequence, prolong their ability to make money off the sport regardless of how it impacts the participants.
Bill's GM, Whaley said,  
Doomster : 5/25/2016 7:57 am : link
"It’s a violent game that I personally don’t think humans are supposed to play.”

This possibly means, not all GM's have their head in the sand, and realize, the game, as we know it now, will never be the same in the future.....Rollerball, anyone?
RE: RE: I seriously doubt football  
Rick5 : 5/25/2016 8:15 am : link
In comment 12970230 BMac said:
Quote:
In comment 12970206 Rick5 said:


Quote:


is going anywhere. If there were a 1 to 1 relationship between playing in the NFL and CTE, then there would be a serious problem for the future of the game. Without a 1 to 1 relationship, I expect many people to continue to assume the risks even with full knowledge that CTE is a possibilty. Hell, you'd have to be living in a cave to not realize it's a risk right now. This has been beaten to death in the media. There is no way that anyone in the current draft class could claim that he was unaware of any risk.



This the same "reasoning" successfully used by the tobacco companies to forestall action on the negative health effects of tobacco use.

The argument boiled down to the idea that smoking does not inevitably cause cancer. There were/are people who smoke their whole lives and who die of some cause not really related to smoking.

The reasoning used by the tobacco companies was that there was no "conclusive" proof that tobacco use carries health hazards.

This sort of doubt-promotion is very similar to what the NFL is using to muddy the water and, as a consequence, prolong their ability to make money off the sport regardless of how it impacts the participants.

I don't understand your point(s). Nobody in 2016 can claim they aren't aware that playing football carries some (as yet undetermined) degree of risk of CTE. More broadly, no one could ever claim that it hasn't been known since its inception that playing football comes with "health hazards." It's a violent game. Tens of millions of Americans continue to smoke in 2016, but I am not sure what that has to do the possible future of the NFL (which is what I wrote about).
I doubt any GM has their head in the sand  
WideRight : 5/25/2016 8:16 am : link
They wouldn't would be GMs (except for Jerry, of course).

But their knowledge is proprietary and they have a fiducial interest to promote the best interests of the team over any individual. So what you see may not reflect what they know.
I think his point  
UConn4523 : 5/25/2016 8:23 am : link
is that the NFL got outed so there's no choice for them now to provide the info they have. With that info will come deflection, particularly that not all football players will develop CTE. While its true, its a chickenshit tactic, and one they have to make regardless because their business is on the line.

There isn't anything within reason that we as humans can do repeatedly that will guarantee a bad outcome. Whether its drinking, smoking, having a dangerous job, or just walking down the street, there's no guarantee that something bad will happen. That doesn't mean the warnings shouldn't be there.

Football players now are learning more than they ever have but its going to take a good decade to see its overall impact. Kids by and large are dumb, and I mean that from the "nothing can happen to me" standpoint. Its going to take a generation of education and a ton of thought from parents to reinforce what is known about the risks associated to all of sport, not just football.
RE: Have any tested NFL players not had CTE?  
Rick5 : 5/25/2016 8:24 am : link
In comment 12970218 exiled said:
Quote:
I mean, granted, if the player showed no signs of dementia or other CTE-related symptoms during his life, there's no real reason to test him. So it's a skewed sample.

Right. There is data available for people who choose to inform themselves.
link - ( New Window )
CTE..  
FatMan in Charlotte : 5/25/2016 8:29 am : link
is not limited to football. BUT. And it is a big BUT, football intentionally covered up the findings that repeated collisions cause brain damage.

Football knew about CTE and about concussions and decided to either downplay it or in some cases deny it completely.

This is like saying lung cancer isn't just caused by cigarettes. While true, it doesn't make the tobacco industry less culpable for spending years trying to deny that.

That's the issue with CTE - not that only football players can get it, but that the organization that employs professional football players intentionally decided to keep that information from seeing the light of day as long as possible.
Rick5  
UConn4523 : 5/25/2016 8:30 am : link
i think you POV is entirely too simplistic. The NFL's job isn't done, its only begun. While they continue to rake in billions, the research for CTE (any anything else out there that hasn't been found yet) is ongoing and won't/shouldn't ever stop. They have a duty, IMO, to present all findings to their employees.

I'm not sure what your argument is, to be honest.
RE: Rick5  
Rick5 : 5/25/2016 8:46 am : link
In comment 12970278 UConn4523 said:
Quote:
i think you POV is entirely too simplistic. The NFL's job isn't done, its only begun. While they continue to rake in billions, the research for CTE (any anything else out there that hasn't been found yet) is ongoing and won't/shouldn't ever stop. They have a duty, IMO, to present all findings to their employees.

I'm not sure what your argument is, to be honest.

I completely agree with what you wrote above (I am pretty sure I wrote earlier that the NFL should disclose all information). Of course everything related to player safety should continue to be studied and improved if possible. My point is that I do not believe the prevalence of CTE among retirees will ever be high enough to kill football. It's a matter of degree. For example, see the survey data I just posted on self-reported mental health and cognitive problems in NFL retirees.
yeah i don't think its going to kill football  
UConn4523 : 5/25/2016 8:53 am : link
but you also can't test for CTE until someone is dead so its just one of those things that will simply take too long.

However, I think it will help evolve football into a game we probably won't enjoy watching as much. Quality of play is already lacking for numerous other reasons, but if big time adjustments to tackling happen, the game will just be pointless. And with so many other sports continuing to increase in popularity, sports fans will have plenty to choose from.
RE: RE: RE: I seriously doubt football  
BMac : 5/25/2016 9:03 am : link
In comment 12970258 Rick5 said:
Quote:
In comment 12970230 BMac said:


Quote:


In comment 12970206 Rick5 said:


Quote:


is going anywhere. If there were a 1 to 1 relationship between playing in the NFL and CTE, then there would be a serious problem for the future of the game. Without a 1 to 1 relationship, I expect many people to continue to assume the risks even with full knowledge that CTE is a possibilty. Hell, you'd have to be living in a cave to not realize it's a risk right now. This has been beaten to death in the media. There is no way that anyone in the current draft class could claim that he was unaware of any risk.



This the same "reasoning" successfully used by the tobacco companies to forestall action on the negative health effects of tobacco use.

The argument boiled down to the idea that smoking does not inevitably cause cancer. There were/are people who smoke their whole lives and who die of some cause not really related to smoking.

The reasoning used by the tobacco companies was that there was no "conclusive" proof that tobacco use carries health hazards.

This sort of doubt-promotion is very similar to what the NFL is using to muddy the water and, as a consequence, prolong their ability to make money off the sport regardless of how it impacts the participants.


I don't understand your point(s). Nobody in 2016 can claim they aren't aware that playing football carries some (as yet undetermined) degree of risk of CTE. More broadly, no one could ever claim that it hasn't been known since its inception that playing football comes with "health hazards." It's a violent game. Tens of millions of Americans continue to smoke in 2016, but I am not sure what that has to do the possible future of the NFL (which is what I wrote about).


Simple, the NFL depends on the "it may happen to others, but won't happen to me" syndrome. Add to that the allure of wealth far beyond what most players could gather elsewhere combined with that youthful feeling of invincibility.

Understand, I'm talking well-established, time tested industry tactics here. That's why I used tobacco (not just smoking) as my example of the use of such tactics. The tobacco industry gained 50 years of profits by using these tactics. The same can be said for climate change, pesticides, or any other product.

If a company is making profit off a product known to be harmful, it is going to do everything in its power to protect its profits. It's simply the bottom line and the inevitable by-product (along with many positive by-products) of Capitalism.

The NFL knows that the longer it can sow the seeds of doubt, the longer it can enjoy its profits. Do players benefit from the large sums of money many receive? The answer is mixed, with shorter-term gains outweighing long-term losses.

The short-term gains are going to win out over long-term losses, especially if those losses are presented as "well, there's no proof," or "not every player will get CTE," or "Nobody in 2016 can claim they aren't aware that playing football carries some (as yet undetermined) degree of risk of CTE."
Bmac  
Rick5 : 5/25/2016 9:27 am : link
What do you make of the survey data I posted?
I personally do not care  
djstat : 5/25/2016 9:30 am : link
There are massive risks to playing football and massive rewards. If you play you risk a broken neck, broken backm arm, legs, etc. Breaking your head/brain is no different. Boxing has risks, as does UFC. The science and research was not there in the 50's-80's. So unfortunately for those players they have little leg to stand on. The NFL would do right to take care of those legends but they are not required to. They made an offer. As for the future. You know the risks. There is a risk in driving in a car everyday. These guys are rewarded with high compensation. They can choose to do something else.
RE: Bmac  
BMac : 5/25/2016 9:36 am : link
In comment 12970352 Rick5 said:
Quote:
What do you make of the survey data I posted?


Pretty much the same I take out of any survey; that it doesn't adequately cover the subject and appears to come to a foregone conclusion. It's essentially meaningless in relating to my points, so why bring it up?
RE: I personally do not care  
BMac : 5/25/2016 9:37 am : link
In comment 12970361 djstat said:
Quote:
There are massive risks to playing football and massive rewards. If you play you risk a broken neck, broken backm arm, legs, etc. Breaking your head/brain is no different. Boxing has risks, as does UFC. The science and research was not there in the 50's-80's. So unfortunately for those players they have little leg to stand on. The NFL would do right to take care of those legends but they are not required to. They made an offer. As for the future. You know the risks. There is a risk in driving in a car everyday. These guys are rewarded with high compensation. They can choose to do something else.


Same arguments I made to Rick5 apply here.
Rick...  
BMac : 5/25/2016 9:47 am : link
...One more question. Who commissioned and funded the study you used? Answer, the NFL.

This is right out of the doubt-creation playbook and is eerily similar to what other industries under fire in the past resorted to. It isn't a guarantee that the results have been massaged, or the interviewees pre-selected, or any other chicanery, but it certainly raises legitimate doubt regarding the results.
RE: I personally do not care  
UConn4523 : 5/25/2016 9:51 am : link
In comment 12970361 djstat said:
Quote:
There are massive risks to playing football and massive rewards. If you play you risk a broken neck, broken backm arm, legs, etc. Breaking your head/brain is no different. Boxing has risks, as does UFC. The science and research was not there in the 50's-80's. So unfortunately for those players they have little leg to stand on. The NFL would do right to take care of those legends but they are not required to. They made an offer. As for the future. You know the risks. There is a risk in driving in a car everyday. These guys are rewarded with high compensation. They can choose to do something else.


Yeah I don't really understand these posts. It isn't for you to care about, you don't play in the NFL. Of course there's risks, the argument is transparent information. This isn't black and white at all, its almost all a grey area which the NFL hid in until now. Again, that's the entire point of why people think so lowly of the NFL and its "standards" of safety.
RE: Rick...  
Rick5 : 5/25/2016 10:01 am : link
In comment 12970400 BMac said:
Quote:
...One more question. Who commissioned and funded the study you used? Answer, the NFL.

This is right out of the doubt-creation playbook and is eerily similar to what other industries under fire in the past resorted to. It isn't a guarantee that the results have been massaged, or the interviewees pre-selected, or any other chicanery, but it certainly raises legitimate doubt regarding the results.

Sorry, but I can't respond to that. I am not a conspiracy theorist when it comes to university-based research with hundreds of respondents. If you are going to dismiss scientific data outright, then I don't have anything else to add.
RE: yeah i don't think its going to kill football  
Rick5 : 5/25/2016 10:07 am : link
In comment 12970314 UConn4523 said:
Quote:
but you also can't test for CTE until someone is dead so its just one of those things that will simply take too long.

However, I think it will help evolve football into a game we probably won't enjoy watching as much. Quality of play is already lacking for numerous other reasons, but if big time adjustments to tackling happen, the game will just be pointless. And with so many other sports continuing to increase in popularity, sports fans will have plenty to choose from.

That may happen. BTW, I think saying you can't test for CTE until death is a media oversimplification. While technically true, there are many well-validated and standardized psychological and neuropsychological tests to evaluate all symptoms of CTE. For example, we can determine if there is cognitive impairment in any current or ex-NFL player right now. We can also quantify the degree of impairment. Nobody needs to be dead to measure and quantify the psychological and behavioral manifestations of CTE.
RE: RE: Rick...  
BMac : 5/25/2016 10:09 am : link
In comment 12970430 Rick5 said:
Quote:
In comment 12970400 BMac said:


Quote:


...One more question. Who commissioned and funded the study you used? Answer, the NFL.

This is right out of the doubt-creation playbook and is eerily similar to what other industries under fire in the past resorted to. It isn't a guarantee that the results have been massaged, or the interviewees pre-selected, or any other chicanery, but it certainly raises legitimate doubt regarding the results.


Sorry, but I can't respond to that. I am not a conspiracy theorist when it comes to university-based research with hundreds of respondents. If you are going to dismiss scientific data outright, then I don't have anything else to add.


Oh come now, that's not what I said at all. But if you're going to be petulant about it, forget I cared enough to post.

If you don't know that "studies" and "surveys" have been slanted in the past and are still being used to disseminate disinformation, then perhaps YOU are the one who needs to seek out more info. I refer you to the history of the (now defunct) Tobacco Institute as a start.
Bmac  
Rick5 : 5/25/2016 10:18 am : link
It's all good. I regret posting that. Sorry. Take care.
Emil, your threads are always welcome and cogent.  
Big Blue '56 : 5/25/2016 10:24 am : link
Fats once again on target
Thanks Big Blue 56  
Emil : 5/25/2016 10:37 am : link
I agree, Fats was right on target. I hope I didn't sound like I was absolving the league of wrong doing, because I think they totally botched this from all angles. The worst part is, it would have been so easy and much better in the long run to do the right thing. I don't necessarily think the tobacco and football correlate directly as products, but the behavior of the tobacco companies and the NFL are far too similar to ignore at this point. It's not to late to do the right thing.

I enjoyed UCONNs comments as well. I think it supports the points that this controversy isn't so much about CTE as it is how the NFL has handled CTE. If its possible, I would describe myself as a cynical optimist. I think far too often it's the natural inclination of humans and organizations to do the "easy" thing which is often the "wrong" thing, but I also believe that when armed with information, shared interests, and public support it becomes far easier and beneficial to do the "right" thing. I think the NFL has that chance. I think much can be done to lessen the instances and consequences of CTE. They just need to get aggressive about it. And overall, I guess my point was this just isn't about football and playing football. Ultimately, this is about contact sports and other extreme sports in general, and whether we (we as in society) are going to continue to see them as acceptable and viable activities. I personally do, and probably always will. But as Homer said, "I'm only one man Marge."
In the not-to-distant future...  
manh george : 5/25/2016 11:20 am : link
this will all change again, once the medical technology to diagnose CTE in living individuals is finalized.

5-10 years away, according to the head of the BU project. (Link).

Of course, BU doesn't count because the NFL doesn't like them, according to the just-finished NFL investigation.

Also, symptomatic diagnosis will probably arrive even sooner than that. It has already been done in a few cases.
Link - ( New Window )
RE: Bmac  
BMac : 5/25/2016 11:53 am : link
In comment 12970462 Rick5 said:
Quote:
It's all good. I regret posting that. Sorry. Take care.


No sweat, man. It's a hot topic issue and, as of today, too little is known to make any pronouncements. I think in a lot of cases, those of us who are pretty invested as fans in a team don't want to see the sport changed to something we don't care to watch.
RE: In the not-to-distant future...  
Rick5 : 5/25/2016 11:56 am : link
In comment 12970594 manh george said:
Quote:
this will all change again, once the medical technology to diagnose CTE in living individuals is finalized.

5-10 years away, according to the head of the BU project. (Link).

Of course, BU doesn't count because the NFL doesn't like them, according to the just-finished NFL investigation.

Also, symptomatic diagnosis will probably arrive even sooner than that. It has already been done in a few cases. Link - ( New Window )

That's all well and good, but CTE manifests in psychological, cognitive, and behavioral problems that can be observed and tested right now. Just like we don't need a medical test to figure out whether or not someone has schizophrenia, the problems associated with CTE are measurable right now.
RE: RE: Bmac  
Rick5 : 5/25/2016 11:58 am : link
In comment 12970668 BMac said:
Quote:
In comment 12970462 Rick5 said:


Quote:


It's all good. I regret posting that. Sorry. Take care.



No sweat, man. It's a hot topic issue and, as of today, too little is known to make any pronouncements. I think in a lot of cases, those of us who are pretty invested as fans in a team don't want to see the sport changed to something we don't care to watch.

Yup. I agree.
RE: In the not-to-distant future...  
Rick5 : 5/25/2016 12:25 pm : link
In comment 12970594 manh george said:
Quote:
this will all change again, once the medical technology to diagnose CTE in living individuals is finalized.

5-10 years away, according to the head of the BU project. (Link).

Of course, BU doesn't count because the NFL doesn't like them, according to the just-finished NFL investigation.

Also, symptomatic diagnosis will probably arrive even sooner than that. It has already been done in a few cases. Link - ( New Window )

Manh - I don't know anything about the future of these medical tests for CTE, but it will be interesting to see what the reality ends up being. As an example, medical tests for major psychiatric disorders were 5-10 years away during the 1980s. You could pick any random year between about 1985 and 2016 and some researcher would tell you the tests for psychiatric disorders are "right around the corner." The brain is a tricky thing. I hope they do figure out as much as possible, but I'll believe it when I see it.
Rick5  
manh george : 5/25/2016 12:46 pm : link
CTE is a physiological disorder with very specific physical manifestations

Most major metal illnesses are actually a collection of illnesses, with varying causes.

From Wiki:

Quote:
The primary physical manifestations of CTE include a reduction in brain weight, associated with atrophy of the frontal and temporal cortices and medial temporal lobe. The lateral ventricles and the third ventricle are often enlarged, with rare instances of dilation of the fourth ventricle.[6] Other physical manifestations of CTE include anterior cavum septi pellucidi and posterior fenestrations, pallor of the substantia nigra and locus ceruleus, and atrophy of the olfactory bulbs, thalamus, mammillary bodies, brainstem and cerebellum. As CTE progresses, there may be marked atrophy of the hippocampus, entorhinal cortex, and amygdala.

On a microscopic scale the pathology includes neuronal loss, tau deposition, TAR DNA-binding Protein 43 (TDP 43) beta-amyloid deposition, white matter changes, and other abnormalities. The tau deposition occurs as dense neurofibrillary tangles (NFT), neurites, and glial tangles, which are made up of astrocytes and other glial cells[6] Beta-amyloid deposition is a relatively uncommon feature of CTE.


One would think that a number of these could be measured in living humans. In football players, for example, I can envision a time when every rookie entering the league is given a brain scan. Then, if potential symptoms of CTE begin to show, a second brain scan would show changes in the size and relative size of various areas of the brain. As I understand it, the problem with identifying deposits such as tau is that they are microscopic, and can only be seen on a slide.

But, again, CTE has a very specific set of physiological symptoms--it's a "brain illness"--so it shouldn't be that difficult to identify changes that aren't occurring at a microscopic level.
It makes sense. I imagine NASCAR and soccer  
Matt M. : 5/25/2016 12:54 pm : link
will have more incidences as well. It is not simply about getting hit in the head, as so many think. Every time your head moves violently, even without hitting it on or against something, your brain slams into your skull. The repetitive occurrences are what lead to CTE.

A simple example is driving 30 MPH and braking suddenly. For a brief moment, your car is reduced to 0 while your brain continues forward into the front of your skull.
I think an overlooked dangerous sport  
SomeFan : 5/25/2016 12:57 pm : link
especially for girls is soccer. It strikes me as odd that girls lacrosse has virtually no contact as compared to biys lacrosse. Yet, I have watched my daughter and her friends play soccer through high school and no doubt, they have suffered more injuries than my friends and I did playing football thru high school. Many of the injuries are concussions. Through the past 10+ years of soccer, my daughter had a broken wrist, slightly dislocated jaw and concussion that kept her out of school for two weeks. In her high school, there have been two high level players who quit soccer because of concussions. One of them was out of school for a number of months and may have to repeat her grade. There may be long-term consequences to that.

Also, and this angers me a bit, the referees at these soccer matches call less fouls than games in the English premier league. IMO, they need to cut down on the collisions by calling tighter games. Granted, they make $30 a game but they should be trained to blow the whistle more. Number one for a ref in youth soccer and even high school is safety.
RE: I think an overlooked dangerous sport  
Matt M. : 5/25/2016 1:02 pm : link
In comment 12970792 SomeFan said:
Quote:
especially for girls is soccer. It strikes me as odd that girls lacrosse has virtually no contact as compared to biys lacrosse. Yet, I have watched my daughter and her friends play soccer through high school and no doubt, they have suffered more injuries than my friends and I did playing football thru high school. Many of the injuries are concussions. Through the past 10+ years of soccer, my daughter had a broken wrist, slightly dislocated jaw and concussion that kept her out of school for two weeks. In her high school, there have been two high level players who quit soccer because of concussions. One of them was out of school for a number of months and may have to repeat her grade. There may be long-term consequences to that.

Also, and this angers me a bit, the referees at these soccer matches call less fouls than games in the English premier league. IMO, they need to cut down on the collisions by calling tighter games. Granted, they make $30 a game but they should be trained to blow the whistle more. Number one for a ref in youth soccer and even high school is safety.
I think I read last year, that women's soccer has the 3rd highest number of incidents of concussions. Football is #1. I forget if hockey or men's soccer was #2.
Matt M  
old man : 5/25/2016 1:02 pm : link
I'm with you on that! Any activity that contains often repeated jerks and collisions to the head, over a long period of time, has to produce SOME level of CTE. I'm sure pro wrestling, especially the old school guys that were jobbers, who were abuse bodies for the 'bad guys', had so have suffered as well.
Another example, similar to the car, is a RB  
Matt M. : 5/25/2016 1:50 pm : link
with a full head of steam, hit and stopped cold by a LB. He may never go helmet to helmet, may never slam his head to the turf, and may never suffer a concussion or concussion like symptoms from the hit. But, the force of his brain slamming into the front of the skull at the RBs speed at the time of impact has long term effects when combined with all the other like hits, plus any times he does slam his head. I would expect more and more RBs to show up with CTE.
RE: Rick5  
Rick5 : 5/25/2016 2:09 pm : link
In comment 12970778 manh george said:
Quote:
CTE is a physiological disorder with very specific physical manifestations

Most major metal illnesses are actually a collection of illnesses, with varying causes.

From Wiki:



Quote:


The primary physical manifestations of CTE include a reduction in brain weight, associated with atrophy of the frontal and temporal cortices and medial temporal lobe. The lateral ventricles and the third ventricle are often enlarged, with rare instances of dilation of the fourth ventricle.[6] Other physical manifestations of CTE include anterior cavum septi pellucidi and posterior fenestrations, pallor of the substantia nigra and locus ceruleus, and atrophy of the olfactory bulbs, thalamus, mammillary bodies, brainstem and cerebellum. As CTE progresses, there may be marked atrophy of the hippocampus, entorhinal cortex, and amygdala.

On a microscopic scale the pathology includes neuronal loss, tau deposition, TAR DNA-binding Protein 43 (TDP 43) beta-amyloid deposition, white matter changes, and other abnormalities. The tau deposition occurs as dense neurofibrillary tangles (NFT), neurites, and glial tangles, which are made up of astrocytes and other glial cells[6] Beta-amyloid deposition is a relatively uncommon feature of CTE.



One would think that a number of these could be measured in living humans. In football players, for example, I can envision a time when every rookie entering the league is given a brain scan. Then, if potential symptoms of CTE begin to show, a second brain scan would show changes in the size and relative size of various areas of the brain. As I understand it, the problem with identifying deposits such as tau is that they are microscopic, and can only be seen on a slide.

But, again, CTE has a very specific set of physiological symptoms--it's a "brain illness"--so it shouldn't be that difficult to identify changes that aren't occurring at a microscopic level.

Manh, my point was that we can measure the impairments right now. We don't have to wait years to get good data. They can do batteries on former players right now to get an excellent sense of how many are likely to develop impairment in the future and also to what degree.
RE: RE: Rick5  
Rick5 : 5/25/2016 2:12 pm : link
In comment 12970940 Rick5 said:
Quote:
In comment 12970778 manh george said:


Quote:


CTE is a physiological disorder with very specific physical manifestations

Most major metal illnesses are actually a collection of illnesses, with varying causes.

From Wiki:



Quote:


The primary physical manifestations of CTE include a reduction in brain weight, associated with atrophy of the frontal and temporal cortices and medial temporal lobe. The lateral ventricles and the third ventricle are often enlarged, with rare instances of dilation of the fourth ventricle.[6] Other physical manifestations of CTE include anterior cavum septi pellucidi and posterior fenestrations, pallor of the substantia nigra and locus ceruleus, and atrophy of the olfactory bulbs, thalamus, mammillary bodies, brainstem and cerebellum. As CTE progresses, there may be marked atrophy of the hippocampus, entorhinal cortex, and amygdala.

On a microscopic scale the pathology includes neuronal loss, tau deposition, TAR DNA-binding Protein 43 (TDP 43) beta-amyloid deposition, white matter changes, and other abnormalities. The tau deposition occurs as dense neurofibrillary tangles (NFT), neurites, and glial tangles, which are made up of astrocytes and other glial cells[6] Beta-amyloid deposition is a relatively uncommon feature of CTE.



One would think that a number of these could be measured in living humans. In football players, for example, I can envision a time when every rookie entering the league is given a brain scan. Then, if potential symptoms of CTE begin to show, a second brain scan would show changes in the size and relative size of various areas of the brain. As I understand it, the problem with identifying deposits such as tau is that they are microscopic, and can only be seen on a slide.

But, again, CTE has a very specific set of physiological symptoms--it's a "brain illness"--so it shouldn't be that difficult to identify changes that aren't occurring at a microscopic level.


Manh, my point was that we can measure the impairments right now. We don't have to wait years to get good data. They can do batteries on former players right now to get an excellent sense of how many are likely to develop impairment in the future and also to what degree.

Sorry. I thought you were responding to my first post, but you were probably thinking about the 2nd. My bad. Could be. I have heard lot of stories of overly optimistic timelines for medical advances. We'll see.
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