It's been a week, but the excitement of Super Bowl Sunday is still in
the air, especially in New York. And somewhat overshadowed by that epic
Giants win was the appearance of ex-Saints player, Steve Gleason. You see, Steve Gleason is not just an NFL veteran. At the age of 34, he is also living with a debilitating disease, amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's Disease.
And he's not alone. A recent story in Scientific American profiles Kevin Turner, called "the collision expert," who played for the Patriots and the Eagles. In 1995, Kevin was the NFL's second-highest paid fullback. Today, he cannot button his shirt.
Nobody really knows what causes ALS, and there is no cure. Scientists
have tried and continuously failed to find conclusive evidence linking
ALS to concussive injuries sustained during contact sports like
football.
And now, controversial new research coming out of Boston University
suggests that these players may not have ALS after all, but another
motor neuron disorder with similar symptoms and a similarly bleak
prognosis. Except this one has a clear cause: repeated blows to the head.
Many researchers aren't convinced, but one thing they agree on is
that the types of head injuries sustained during football games can
cause depression, changes in mood and behavior, memory loss, and even
early dementia.
They call this syndrome chronic traumatic encephalopathy (CTE).
It's characterized at autopsy by the buildup of two proteins, tau and
TDP-43, which leak out when brain cells are injured and can buildup
where they aren't supposed to be.
I know I keep throwing around the word concussion,
which to most of us is a pretty vague term describing some type of
bruise or injury to the brain. Well, that's almost correct. In medical
parlance, a concussion is a traumatic brain injury
that causes transient alterations in the function of the brain.
It can
be mild or severe, and it can cause bleeding or swelling. Symptoms
usually go away within weeks following a concussion, with proper care.
For those who stay in the game after a concussion, they are at a high
risk for second-impact syndrome, which can result in lasting brain damage or death.
When it comes down to it, it's the damage to individual brain cells,
called neurons, that cause the real problem.
When a brain cell is
injured, its membrane (the sack surrounding it) can be breached, causing
all sorts of complications. And that's not all—these head-in-motion
injuries can also cause a phenomenon called diffuse axonal injury,
or axon shearing.
See, the soma (or cell body) is connected to a long
fibrous part of the cell, called an axon, which acts as a neuronal
"wire," delivering information from one part of the brain to another.
Axons follow along defined tracts and make up the white matter of the
brain, which sits beneath the cortical grey matter. Well, when your head
is moving, especially at an angle, and it is suddenly impacted, those
axons can stretch and break, causing diffuse injury to the very areas of
the brain necessary for communicating with one another.
And even if the
injury doesn't breach the cell membrane and cause nectrotic damage, apoptosis (so-called cell suicide) may still occur, if the cell deems the injury too severe to warrant repair.
When the cell bodies rupture, their contents can leak out, creating a
toxic environment for neighboring cells. This can occur during a
specific type of injury that's common in sports and automobile
accidents, known as a coup contrecoup injury.
We don't think about it, but the brain isn't really tacked down to
anything inside the skull. It's simple physics really. An object in
motion tends to stay in motion unless it is acted upon by an external
force. Imagine that your helmeted head is traveling toward the helmeted
head of another player.
Boom. They collide. Although your skull may stop
traveling through space, your brain will lag behind. Think of an egg
yolk inside its shell. First your brain will smash up against the front
of your skull.
And next, if it's traveling fast enough, the abrupt
collision will cause it to bounce backward, colliding against the back
of the skull as well. Now instead of one severe injury from a single
impact, there are two.
But is it really just concussions that we should be worried about?
Any only with football players? Since the 1920s, boxers have described
getting "punch drunk"
in the ring: feeling unsteady, slow, and mentally dazed.
And hockey
players, rugby players, pretty much any players of contact sports can
recount similar experiences. We now know that these are signs of a
concussion, but not everyone experiences that dazed and confused feeling
And many young athletes who do push through and play on anyway, hoping
that it will prove to their coaches and teammates that they're strong,
tenacious, and wont let the rest of the guys down.
How
will the science behind sports injuries change the way we play the
game? What do you think? You can reach out to me on Twitter, Facebook,
or leave your comments right here on The Huffington Post. Come on, talk
nerdy to me!
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