iPhone app iPad app Android phone app Android tablet app More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
David J. Skorton

GET UPDATES FROM David J. Skorton
 

Concussions in College Football: Time for a Real Game Changer

Posted: 11/16/2011 9:54 am

While the scandal at Penn State remains in the headlines, with good reason, we should also focus attention on a significant problem facing student athletes: concussions in college football. In the weeks ahead, along with the excitement of post-season play, we will, in all likelihood, see at close range the health consequences of a sport that's based on collisions.

An estimated 300,000 sports-related traumatic brain injuries, most of them concussions, occur annually in the United States, according to the Centers for Disease Control. Concussions can happen in a variety of sports, but it is football and the martial arts that have taught us the most about their incidence and severity.

The adverse effects of concussions may appear immediately or may occur weeks, months, or even years later. In former pro football players, we see higher than average levels of memory loss and even dementia. Further, it is not just the "big hit" that causes harm: data indicate that multiple smaller hits may be causing cumulative damage to neurological and cognitive function. We have also learned that after a concussion, patients need cognitive as well as physical rest -- a finding with important implications for college students.

We must act now to prevent the immediate and long-term harm caused by concussions in football. Of course, some argue that football is in essence a violent sport and in fact that is one reason both players and fans like it. Some may claim that protecting our athletes will somehow harm the sport. But such claims pale in light of the fact that young athletes are suffering unnecessary harm and that we can do something about it.

We can take preventive and therapeutic action without destroying the sport. Coaches know that athletes can prepare with less contact in training -- and thus fewer opportunities for injury -- than they're having now. Many of us have forgotten that there was a time when helmets were not worn and that the NCAA was formed in 1906 primarily to change football rules to protect the health and safety of players who were dying on the field. Football can -- and must -- change more.

The NFL has tightened some of its rules that govern when players can return to the game after concussions and has made efforts to educate players about the risks. These are good steps, although more can and should be done in pro football.

What about college football?

Last summer Ivy League presidents adopted recommendations from an ad hoc committee of coaches, administrators, doctors, trainers and expert consultants to significantly change the way our football teams practice and play, in order to reduce the chances of concussion and to limit the harm of concussions that do occur. We made the following changes:

  • Limit the number of full-contact practices in season to two per week, although the NCAA allows five.
  • Reduce the hitting that occurs during preseason and spring practice.
  • Better educate student-athletes about head injuries and about proper tackling techniques.
  • Limit physical and cognitive activity in the period following a documented concussion.
  • Increase penalties for helmet or head hits.

It may be hard for young players or pros to accept the fact that what they're doing could seriously damage their quality of life years from now. But we have plenty of data to compel us to limit the chances of head injury now and to treat our athletes after concussion in ways that will maximize their long-term health and well-being.

The Ivy League has taken an important step. Administrators, coaches, trainers -- anyone with authority in football programs, from middle school to the pros -- needs to do the same. Or find an even better way to protect our players.

 
FOLLOW COLLEGE
 
 
  • Comments
  • 12
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
03:59 AM on 11/17/2011
Video of a strange, new helmet is designed to help detect concussions. Player literally gets "lit up"!
http://sciencewitness.com/2011/11/14/concussion-discussion-iii-the-impact-indicator/
07:49 PM on 11/16/2011
The solution is to shut football down. Totally. It is about the kids. If football is not shut down, it sends a message we don't care whether little kids are buggered or not. A side-benefit is elimination of concussions. Hey, wait a minute. Is there a causality between receiving concussions, and desiring little boys?
07:16 PM on 11/16/2011
Many people don't realize (I didn't for a long time) that "football" doesn't necessarily mean the American kind. Worldwide, the most popular is "Association football," or soccer, which is actually more about moving the ball around to score goals primarily using the foot. That it became the punishing, injury-producing game it is today results from good old American innovation and the desire to please fans (particularly those of pro-football). And then there's the money. Players can make hundreds of thousands of dollars a year for as long as they are willing and able to play. That they may end up with chronic traumatic encephalopathy (CTE) or, like me playing high school football, a torn anterior cruciate ligament leading to osteoarthritis of the knee, ultimately resulting in a TKR, is not something you think about when you're young. Had soccer become the national sport, it is unlikely that American-style football would have caught on. Like the veterans of the wars in Vietnam, Iraq and Afghanistan, football's "walking wounded" are virtually forgotten once they are no longer in the "game."
06:32 PM on 11/16/2011
Good changes to limit concussions in the Ivy League schools but are they enough?

In all schools, winning is secondary only to protecting student athletes from injury; unfortunately, when practicing and especially during competition, a player may try to hide the effects of a hard hit rather than leave the game. Ignoring a “bell ringer” or concussion symptoms doesn’t mean the impact didn’t happen or the brain hasn’t been changed is some way; furthermore, these “unrecorded incidents” place the player at risk for “second impact syndrome (SIS)."

These Ivy League changes, 30 states, the NFL and the NCAA have policies and concussions management plans based on a multi-facet approach beginning with observed and the player’s responsibility to self-report symptoms; unfortunately, effective sideline observation and self-reporting are major weaknesses especially considering those “unrecorded incidents.”

The best solution is automatically recording and saving records of all significant G-force helmet hits; in so doing, the player’s reluctance to admit a problem is eliminated and the trainer can test for a concussion before the risk of SIS comes into play. Using inexpensive biosensors to measure and keep accurate team records of the actual number and the frequency of G-force helmet impacts every player experiences will start helping protect our student athletes.

Record the G-force impacts and let the parents decide if playing contact sports is in the best interests of their child!

Herman Hothead
04:54 PM on 11/16/2011
Head injuries in an activity where people deliberately take a running start and deliberately run head on into each other.

Who wuda thunk it?
04:10 PM on 11/16/2011
The Ivy league can do so because they are not concerned with the revenue generated by their football programs.

Football and other athletics are secondary to the mission of the school. Other universities will say the same thing but when it comes down if X is going to affect the money then they are going to be against X.
This user has chosen to opt out of the Badges program
02:47 PM on 11/16/2011
Football is not a violent sport, it's a collision sport.
02:15 PM on 11/16/2011
I have three words - Performance Enhancing Drugs.

The modern athletes are becoming so unnaturally big and strong. The speed and power of the hits are just getting bigger and bigger. Steroids are so extremely prevalent in all sports, it's probably a big part in why concussion effects are getting worse.
This user has chosen to opt out of the Badges program
01:03 PM on 11/16/2011
Concussions increase the IQ level of those involved in the sport. Some actually come close to triple digits after multiple collisions.
photo
BigBearcatBill
This is the real Bearcat - a Binturong
12:27 PM on 11/16/2011
Ideas - take points away from score for excessive head shots, get more agressive at throwing players out of games - you bet the stars will quit head shots/helmet to helmet fast if they want to keep in front of NFL scouts eyes for their possible weatlhy future. Basically, we need to make it instinctive for the player to avoid as many head shots as possible - just like they did back in the pre-1940's / hard helmet days whent they did not have so much protection, remember the leather helmets and little shoulder pads? Our fathers would not have been out fathers (i.e. not lived) if they had smacked heads in games back then.
12:05 PM on 11/16/2011
Let's just put it this way. If a university president only had one hand free, and there was a baby rolling toward a cliff and a $100.00 bill drifting away in the breeze. Bye, bye, baby, bye, bye...
HUFFPOST SUPER USER
BlairCase
11:24 AM on 11/16/2011
Colleges football teams maintain 100-man rosters for a sport in which each team can put only 11 players on the field at a time. They play about 12 games a year. Since the games last only one-hour, not counting time outs, most first-string starters get no more than six hours of playing time a year. Second, third and fourth team players are lucky to get any playing time at all. It's absurd.