Physical attributes such as size, fitness and strength in combination with ball control have long been considered critical factors in the hunt for new football talent. Executive functions are special control functions in the brain that allow us to adapt to an environment in a perpetual state of change. Also, clinicians may be seeing certain behavioral and cognitive changes as markers of brain degeneration, propelling them to consider a CTE diagnosis, while downplaying or not fully exploring alternative explanations for the symptoms, such as sleep apnea, heart disease or depression. For example, some clinicians may suspect the presence of CTE because past studies have identified a link between neuropsychiatric symptoms in the decade preceding an athlete’s death and subsequent postmortem CTE diagnosis. Inside each athlete’s helmet was a Head Impact Telemetry (HIT) System, which measures head acceleration. With the exception of the dummy/sled tackling drill, the most common location of impact was the front of the football helmet.
Kelley et al. used biomechanical data and videos not only to identify the number, magnitude, and location of head impacts, but also to interpret possible contributors to variations in these factors among different practice drills. However, when high-magnitude impacts (60g or greater) were evaluated, in some drills-namely, open-field tackling, Oklahoma, one-on-one, and position skill work-the most common impact location was the top of the helmet, which the authors suggest may represent improper tackling technique. The frequency of impacts was assessed by compiling the number of impacts per minute per player for each drill. The researchers, however, say a number of factors could be at play. The regular season consists of 34 games, and during the middle of July, this play comes to a halt for the WNBA All-Star game, with the star players from the Eastern Conference facing off against the stars of the Western Conference. No difference in player activity was found between matches at the beginning in the end of a season.
However, other less severe head impacts are frequently experienced by young athletes throughout the football season. Kelley and her colleagues collected biomechanical data and videos to evaluate the number, location, and magnitude of head impacts sustained by nine youths during football practice drills. The authors point out that the high magnitude of head impacts associated with open field tackling is most likely caused by the fact that athletes build up speed as they move toward each other across distances greater than 3 yards. Open field tackling, for example, was only practiced in five of the 30 practice sessions. Strengthening the muscles that open your hands by generating tension in the center of your palm and is the precise exercise needed to rebalance the muscle in the elbows. The key part of actual therapy must include the implementation of spine and limb “neuropathic” stretching and resistance training (the Lamb Program) that allows for all muscle groups affected to be treated, and for spinal and limb segments to be properly repositioned.
The authors suggest that further studies should be conducted in larger numbers of players from different age groups to evaluate additional variations in biomechanical data across practice drills and assess risks of practice-related head injury. And, important to note, studies have shown that far more head impacts occur during football practice drills than during games. The network operates 24 hours a day, 365 days a year, showcasing a wide array of classic-to-current sports and televising more Olympic sporting events and women’s sports than has ever been aired on any other network. Through selective recruiting, weight training and nutrition (‘hyper-nutrition’), we end up with a population of large linemen,” says Greenblatt. “The public health issue is that everybody involved with American football needs to develop concerted ways to assure the health of players when their football days are over. MLS currently requires players arriving from abroad to quarantine for minimum of 10 days.
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