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Concussions - www.leaguematters.com

Should we be worried about this?

Posted 28/3/2011

By Shaun Maher

Watching Richie Fa'aoso crab drunkenly across Brookvale Oval on Sunday was funny. As league fans it’s our first impression is to laugh at these events.  But the laughing quickly gave way to surprise when the Knights were unable to replace him, and then the surprise turned to concern when he stayed on the field for another ten minutes or so. As fans we love our contact and a bit of blood, a black eye or a player getting a bit wobbly, but it when it comes to players having surgery on the sideline (DeVere vs the staple gun Origin 2003) and having convulsions on the field (Anthony Quinn v Simon Mannering's knee 2009) that’s a bit much and we cringe in our recliners. It might be time to start putting the basic concussion in the same category.

Head injuries are a part of Rugby League. In the same game as Fa’aoso was hurt, Shannon McDonnell was concussed after an accidental shoulder to the head from Glenn Stewart and earlier in the round, Chris Sandow’s disproportionately large head was causing problems for the Panthers’ players. Sandow loves going for the big shoulder charges, but he lacks the big shoulders for it, and his big head keeps getting in the way. But the point is that it's a common thing in the game so it needs to be managed appropriately. Richie Fa'aoso was clearly concussed and should not have been on the field regardless of the other injury and interchange concerns the Knights had.

Listening a to a Bill Simmons podcast last week (excellent podcast for fans of US sports and pop culture look for it on ITunes as ESPN: the BS Report) I was made aware of the research into the long-term damage that is occurring to the brains of American Footballers, wrestlers and boxers. There is real concern how regular brain injury is affecting their longevity and their behaviour while they are still alive.

Simmons was interviewing Chris Nowinski, a former pro-wrestler who was forced to retire after being diagnosed with post concussion syndrome after sufferings headaches and depression. He went onto to write a book called Head Games: Football's Concussion Crisis (Drummond Publishing Group 2006) and has since become a leading voice in highlighting the dangers of head injuries in contact sports.

In the US, this is becoming such a concern that ex-players are donating their brains to research the topic. What they are concerned about is Chronic Traumatic Encephalopathy (CTE), a condition caused by repetitive concussive brain injuries. There's alot of research out there about CTE, but the bottom line is that repetitive or multiple concussions leads to impaired memory function, poor impulse control, increasingly intensive outbursts of anger and aggression (sound like any NRL players you know???) depression and ultimately leads to early dementia.

CTE is evidenced by the build up of a toxic protein in the brain that kills brain cells and ultimately looks alot like Alzheimer's Disease. Of the 12 retired college and professional footballer players that have had their brains examined post-mortem so far, all have exhibited signs of CTE and many more players have signed up to the program to aid the research.

Serious questions are being asked now about what CTE is doing to ex-athletes while they are still alive. It’s more likely that Muhammad Ali is suffering from the effects of CTE rather than Parkinsons and the tragic story of Chris Benoit (well known WWE wrestler who murdered his family before killing himself over a three day period in 2007) is now being attributed to CTE rather than the “roid rage” that was initially assumed. When his brain was examined it was revealed to be similar to an 85 year old Alzheimer’s patient.

I'm not sure what all this means for league, but given this is such a big issue in the NFL, it’s surprising that it’s not an issue in the Australia. Nobody wants to see the contact and aggression of league toned down, but it's pretty clear the game can do better when it comes to head injury management, both at the professional level and most importantly at the junior level where alot of the repetitive injury can occur.

 

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