Head Trauma and Learning

November 23, 2012

Researchers at my alma mater have joined their voices to the growing chorus of concerns about the effects of repeated blows to the head.

A study of the cognitive effects of head impacts on members of Dartmouth College football, hockey, track, crew and Nordic ski teams compared before and after season results on learning and memory skills.  Participating athletes also came from Brown and Virginia Tech.

  • 22 percent of athletes in contact sports had lower results on learning and memory skills tests after their season.
  • Only 4 percent of athletes in non-contact sports posted lower test results.

The researchers caution that it is unknown at this point how long these negative effects may last, but they also note there is some correlation between test results and how hard the athletes were hitting heads.

This adds to the mounting evidence that rules writers, program sponsors, coaches and officials must look for and implement a variety of measures to reduce the frequency and severity of head impacts in both practice and competition in all sports.

Fantasy Land

March 8, 2013

Advocating at the national level for unachievable ideals not only diminishes the importance of those achieving reasonable accomplishments at the grassroots level, it also threatens the future of organized sports for the masses; and few organizations in a position to know better are doing as much to create these unintended consequences as the National Athletic Trainers Association.

It is a NATA-driven “Youth Sports Safety Alliance” that has developed a six-page manifesto for youth sports, including NATA’s “Secondary School Student Athletes’ Bill of Rights” which is mostly beyond the means of youth sports sponsors, and has marched to Capitol Hill to urge the federal legislature’s action to pursue those goals, among which is the conveniently unstated objective of advancing job opportunities and security for athletic trainers themselves.

MHSAA surveys indicate that, conservatively, fewer than 20 percent of Michigan high schools and junior high/middle schools have a full-time certified athletic trainer on staff.  In fact, only a minority of schools think such a full-time position is necessary, given other cheaper options available to them in the form of contracted services of medical groups and the volunteered services of many other medical professionals.  An even smaller minority has the means to pay for a full-time certified athletic trainer, given all the cuts in state aid to schools; and many schools – urban, suburban, rural and remote – wonder where in their communities they would find a certified athletic trainer if such were mandated everywhere.

NATA’s earlier recommendations in the extreme for acclimatization of players at the start of the football season have already resulted in a state law in Maryland that football coaches there criticize for leading to a less safe sport now that they have less time to teach technique and prepare players for first-game contact.  In theory, NATA’s notions are nice ideas; but in practice, they are less safe for the participants.  And anything that is less safe for the participants not only endangers today’s players, it also jeopardizes the future of the game.  Which, by the way, does nothing to enhance employment opportunities for trainers.