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Showing posts with label CTE. Show all posts
Showing posts with label CTE. Show all posts

Friday, 2 July 2010

18-game NFL season idea pains Pro Bowler Wilber Marshall

FloridaToday.com
July 1, 2010
by Pete Kerasotis

Once upon a time, the NFL played a 10-game regular season. Then 12 games. Then 14. Then 16.

And now?

NFL commissioner Roger Goodell is dropping some not-so-subtle hints about expanding the regular season to 18 games.

Wilber Marshall thinks he knows why.

"Money," he said.

Shocking, huh?

Marshall is the former Astronaut High standout who later had a great career for the Florida Gators that earned him induction into the College Football Hall of Fame. Then he assembled 12 NFL seasons that resulted in two Super Bowl championships and three Pro Bowl appearances.

He knows a little bit about football and what makes that oblong ball go round.

Yeah, obviously it's money.

But what particularly troubles Marshall and many other current and former NFL players is a perceived disregard the league has for the toll football takes on the body.

Marshall knows all too well about that.

For years now, doctors have told him he's going to need knee and hip replacement surgery -- on both knees and hips. He is 48.

It can take him a half-hour or longer to get out of bed. When he was recently in Titusville visiting family (he lives in Virginia) even the humidity adversely affected him. So do other weather changes. He's resisted prescription pain medication, but sometimes he has no other choice.

"I take meds just to walk," he said. "I don't like taking them. I know what they do to the liver. I saw what happened to Walter."

Walter was his friend, Walter Payton, the legendary Hall of Fame running back who died at 44 from autoimmune liver disease and bile duct cancer. Ever since losing his friend, Marshall has championed various organ donor programs.

Meanwhile, he feels the aftermath of his NFL career every day, and as he hears more and more reports about the long-term effects of head injuries, it gives him pause, especially because Marshall recently lost his father to Alzheimer's disease.

"So far, my head's good," he said. "It's just the rest of my body that doesn't work."

Chris Henry, it appears, wasn't as fortunate.

The news this week is that Henry, the former Cincinnati Bengals wide receiver who died in a traffic accident last year, had chronic traumatic encephalopathy (CTE), a form of degenerative brain damage caused by multiple head hits.

According to an ESPN The Magazine story, researchers discovered CTE in 50 deceased former athletes, many of whom were former NFL and college football players.

Henry was 26 when he died on Dec. 17, a day after he jumped or fell off a moving pickup truck that his fianc�e and mother of his children was driving after they had a spat. Now, Henry's family is wondering whether his erratic behavior -- one witness said he threatened to kill himself -- was more a byproduct of brain damage rather than the passion of the moment.

Wilber Marshall wonders, too.

"Love makes you do crazy things," he said, "but maybe there was also something wrong from all the hits to the head."

One thing isn't disputable.

Football is a brutal sport that routinely destroys the bodies of those who play it.

Earlier this year, one of Marshall's contemporaries, Hall of Fame linebacker Harry Carson, revealed that he suffered 12 to 18 concussions in his NFL career, and that today, at 56, his mental health is an ongoing concern.

The list of early deaths and debilitating, degenerative brain damage among former NFL players grows longer almost by the day.

Always well-spoken and eloquent, Carson these days champions the cause of retired NFL players. He also says that if he had to do it over again, he wouldn't have played football.

Against this backdrop, the league wants to expand the regular season to 18 games, while eliminating two preseason games, which already are fairly meaningless.

"They should keep it at 16 games and eliminate the two preseason games anyway," Marshall said. "But you know how it is. It's all about the NFL making money, and not about the players' health."

Last April, the NFL said it is gifting $1 million to the Center for the Study of Traumatic Encephalopathy at Boston University. That might sound like a lot of money. But for a billion-dollar industry like the NFL, it's a token. It's sort of like beer companies telling people to drink responsibly at the end of commercials where adults act in the most irresponsible way when there is a brew to be imbibed.

I'm sure the NFL is concerned about head injuries. Why wouldn't they be? It's just that many of its past and present players believe the concern pales in comparison to its most overriding interest.

Money.

Young player had brain damage more often seen in NFL veterans

CNN
By Madison Park, CNN
July 2, 2010 8:28 a.m. EDT

(CNN) -- Young, athletic and troubled -- NFL player Chris Henry might have been a football clich�.

After being arrested four times, suspended by the league three times and released once by the Cincinnati Bengals, the wide receiver appeared to be on a personal and professional comeback.

But all that ended in December 2009. Henry died after falling from the bed of a moving pickup during a fight with his fianc�e. His death was considered a tragic and bizarre end to a life plagued by behavioral problems.

This week, findings from Henry's brain examination reverberated through the sports world, raising questions about head injuries and safety in high-contact sports.

Doctors found evidence of brain damage, called chronic traumatic encephalopathy, that has been observed in retired players who've had many concussions. Unlike those older players, Henry was 26 when he died.

Chris Henry's brain sample had brown discolorations, a tau protein  buildup, inflammation and white matter changes.
Chris Henry's brain sample had brown discolorations, a tau protein buildup, inflammation and white matter changes.
In healthy brain tissue, virtually no protein tangles, which show  up as brown spots, are visible.
In healthy brain tissue, virtually no protein tangles, which show up as brown spots, are visible.

CTE is also known as dementia pugilistica, because career boxers who've suffered repeated blows to the head have been known to develop the syndrome. Sudden stops and collisions can cause the brain to slosh inside the skull.

Its effects are mainly neurobehavioral. These symptoms include poor decision-making, behavioral problems, failure at personal and business relationships, use of drugs and alcohol, depression and suicide.

"The effect on the brain appears to be damages to the emotional circuitry of the brain," said Dr. Julian Bailes, chairman of neurosurgery at West Virginia University.

"We think Chris exhibited some of the characteristics of the neurobehavioral syndrome of CTE," he said at a news conference Monday. "We don't know if there is a cause and effect."

The neurologists at the Brain Injury Research Institute at West Virginia University did not draw any association between Henry's actions and the disease.

"His case highlights the fact there is documented damage in someone young and actively playing," said Bailes, a former doctor for the Pittsburgh Steelers.

Bengals coach: Henry 'beacon of hope' before death

The syndrome is believed to be caused by large accumulations of tau proteins in the brain that kill cells in the regions responsible for mood, emotion and executive functioning. Tau proteins are also found in the brains of patients with Alzheimer's disease and dementia.

The findings regarding Henry's brain raised unsettling questions: Could CTE contribute to misbehavior of football players? If Henry, a seemingly healthy athlete in his mid-20s, had signs of CTE, could other young athletes have this syndrome, too?

Dr. Jon Weingart, professor of neurological surgery and oncology at Johns Hopkins University, said extrapolating from one case, like Henry's, would be a "big leap."

"That would be misleading," he said. "There's not enough data. ... To think that this is something brewing in many players -- there's no data to support that statement."

Weingart said the relationship between multiple traumas and head hits and CTE is not a proven cause and effect. At this point, it's a correlation.

Sports Illustrated: Concussions and football: Is the game too dangerous for our kids?

In 2009, the Center for the Study of Traumatic Encephalopathy at the Boston University School of Medicine reported that an 18-year-old multisport athlete who suffered multiple concussions also had CTE, a finding that a neuropathologist described as "shocking."

MRIs and CAT scans are unable to detect CTE. Detecting the syndrome requires brain samples, which cannot be given until a person is dead.

The samples are colored with special microscopic stains. In Henry's brain, doctors found a tau protein accumulation, inflammatory changes and white matter changes that were significantly abnormal.

The fibers in the brain had brown discoloration and showed significant damage.

In previous findings of former NFL players, the brown tangles flecked throughout the brain tissue resembled what might be found in the brain of an 80-year-old with dementia.

Dead athletes' brains show damage from concussions

Henry could've had a genetic predisposition for the type of brain injury, because a majority of the brains with CTE contained the gene called the apolipoprotein E3 allele.

"We may be seeing a genetic trend that Chris is in the 70 percent of those diagnosed with CTE, who have a special genetic sign," said Bailes, the West Virginia University neurosurgery chairman. "Perhaps that may be a clue as to who's at risk for this to develop."

Genetic factors could make some people less able to tolerate subtle trauma to their brains. For example, some high school athletes get a concussion and struggle afterward, while others who experience the same degree of head bump recover without a hitch.

"There's some variability of how someone is able to handle and recover from trauma to the brain," Weingart said.

Henry's case has "sparked a lot of social debate and reflection and was scientifically valuable," Bailes said.

"We want to continue to study. We don't have all the answers. We're also looking, as soon as we can, to find treatment and prevention," he said.

NFL medical heads and Goodell convene on brain injuries

The NFL has recently pledged to step up its efforts on head injuries and named new co-chairs and members to its medical committee. The league has also changed guidelines prohibiting a player suffering a concussion to practice or play.