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Is football’s condition terminal?

By | October 15, 2009, 8:30 AM PDT

The New England Journal of Medicine writes that advanced dementia, whether caused by Alzheimer’s Disease or something else, is a terminal illness, and suffering could be reduced if it were treated as such.

Blink author Malcolm Gladwell, writing in The New Yorker, suggests this week the same might be said of football.

(Close-up of a picture taken by Jason Takata for Georgiafansite, which focuses on University of Georgia football.)

Gladwell writes that studies of the brains of dead former football players, conducted in Massachusetts, show an immense amount of chronic traumatic encephalopathy (CTE), a condition caused by head trauma that has symptoms similar to Alzheimer’s.

What Ann McKee found looking at the brains of former footballers, especially lineman, was an immense amount of tau, the protein characteristic of Alzheimer’s, in the frontal lobes, where football happens.

This was not the result of concussion, which football is seeking to deal with, but the repeated blows caused by ordinary play, even practice. This constant trauma can result in a concussion with an ordinary blow to the head, or it can lead to fatal brain degeneration in later life.

Gladwell’s premise was comparing football, the sport Michael Vick played, with dogfighting, the violent “sport” he was convicted of backing with his football money. Is there any difference, he asked.

Dogfighting is brutal because death and injury are built-into it. It can’t be made safe.

Is football the same way?

American football is not the only culprit here. Association football (soccer), the football the rest of the world plays, can be equally implicated.

The problem with soccer is the ball. We know that many players from 50 years ago died prematurely from heading the leather balls of that time. Balls were then redesigned. They are now made of a softer plastic. But when the University of Glasgow simulated heading old and new balls in 2004, they found little difference in the impact.

It’s not a few big concussive hits that cause CTE. It’s all those little ones. Just as it’s not a wild bender that causes cirrhosis in alcoholics. It’s all those little ones. It’s the accumulation.

This leaves all kinds of football facing a big problem. You can’t have the sport without the hitting and the heading. The hitting and the heading causes fatal dementia.

Is football’s condition terminal?

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Dana Blankenhorn

About Dana Blankenhorn

Dana Blankenhorn was a contributing editor for SmartPlanet from 2009 to 2010.

Dana Blankenhorn

Dana Blankenhorn

Contributing Editor, Healthcare

Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta.

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Dana Blankenhorn

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.

He writes for SmartPlanet and is not an employee of CBS.

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RE: Is football's condition terminal?
No it' managable, only when officials from the government force standards of care already being used in the NFL, NHL and NBA.

http://www.mahercorlabs.com/news/article-20090831.htm

The latest research peer reviewed by the Academy of Sports Dentistry and a Harvard MGH specialist, suggests a retainer like Mouth guard used in the NFL and with such programs as the University of Texas, should be considered as part of a return to play protocol. One concussion and your six times more likely to have another, this protocol identifies and corrects a known link to the concussion origin. www.mahercor.com
Posted by stevieboy777
15th Oct 2009
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The problem isn't just concussion
It's not the big hits that do most of the damage, unfortunately. It's all those little hits on the practice field.

I appreciate the link and the information very much, though. I have noted that mouth guards are becoming standard equipment, although many players insist on sticking them between the bars of the helmet between plays so they must start tasting nasty.
Posted by DanaBlankenhorn
16th Oct 2009
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Terminate Full Contact Football for Minors
Bad enough this is happening to adults. If it's happening to children playing sports then it should be considered institutional child abuse.
Posted by Dr_Zinj
16th Oct 2009
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Dr_Zinj
Hard to do. The woman who did the brain study actually has Brett Favre stuff in her office.

Especially hard to do in the South. There are two sports here. College football and pro football. They don't know any other way to live.
Posted by DanaBlankenhorn
16th Oct 2009
0 Votes
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What about other impact sports?
Boxing comes to mind.

There is a possibility that football is the culprit and not the small
collisions they receive.

Also, what about college football players that never make it to the
pros? Or Semi-Pro players?
Posted by caspianhiro
16th Oct 2009
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RE: Is football's condition terminal?
What most people don't realize is:
Life itself is a terminal condition.
Posted by nofixed@...
17th Oct 2009
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Caspianhiro
The problems with boxing can be corrected with proper headgear. The problem is that "proper headgear" in football isn't correcting the problem.

My late brother-in-law was a semi-pro football player and I agree with your concerns there. I believe he died relatively young in part due to damage from the sport. But I can't prove that.

That's the problem. You get a case, you probably can't prove it. You prove a case, and they say just one case. You show a pattern, and suddenly you have something to talk about.

These studies showed a pattern.
Posted by DanaBlankenhorn
29th Oct 2009
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