Articles Posted in Traumatic Brain Injuries

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In a Miami courtroom today, a panel of federal judges are scheduled to hear arguments in a case with implications for athletes here in Oregon suffering from traumatic brain injuries. According to the Associated Press, the judges are “considering whether to consolidate lawsuits filed around the country by more than 300 former NFL players seeking damages for concussions they suffered.” The list of defendants includes some players, such as Tony Dorsett and Jim McMahon, who were once among the game’s biggest stars.

With the NFL fully engaged in the annual hype surrounding the Super Bowl the timing is, perhaps, unfortunate for the league. It serves, however, as an important reminder of risks of the game, even as it seems likely to revive the bad publicity the league has received for what some former players, attorneys and doctors describe as its lack of attention to long-term mental health issues. Granted the example that professional players set for other football players, and aspiring players, at every level the implications of the suit are significant. The growing public realization here in Oregon and elsewhere of the seriousness of traumatic brain injuries is surely not something the NFL wants to remind fans of in the run up to February 5’s clash between the Giants and the Patriots.

As ESPN notes, the number of players filing or joining traumatic brain injury suits has grown rapidly in recent months. The suits have been filed across the country, and today’s hearing in Miami deals with the narrow legal issue of whether all of these cases should be consolidated and go forward as a single legal action. The NFL denies charges that it failed to protect the players both during and after their careers. The players counter with painful personal stories all too familiar to any Oregon brain injury victim or their family: memory loss and more serious conditions including, as reported by ESPN, “headaches, dizziness and dementia.”

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The Consumer Product Safety Commission has issued a voluntary recall of “Little Tricky” kids bike helmets. See the link below for the original CPSC news release, including pictures of the helmets themselves. Parents should immediately double-check their kids’ helmets to ensure that the children are not using the affected products.

The agency news release says that the helmets “do not comply with CPSC safety standards for impact resistance.” That means that in the event of an Oregon bicycle accident the helmets might fail to offer the required protection. “Customers could suffer impact head injuries in a fall,” the CPSC warns.

According to the CPSC the helmets have been on sale since 2006. The company’s “Triple Eight” and “Sector 9” size “S/M” (for “small/medium”) models are affected by the recall. The government is urging parents to ensure that their children stop using the helmets immediately, and to return the helmets to the manufacturer for a full refund.

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Kevin Pierce’s long journey back to snowboarding is an object lesson for everyone here in Oregon concerned about traumatic brain injuries in sports. Once one of the world’s top riders and a likely member of the 2010 US Olympic team, the snowboarding star was severely injured “when he fell and hit his head on the icy wall” of a halfpipe where he was training.

A few weeks short of the second anniversary of that accident, Pierce got back on a snowboard, last week according to the New York Times. The paper reports that his road to recovery has been long and slow. That first run, at a ski resort in Colorado, was a slow cruise down an easy slope: “No tricks. No big air,” the newspaper reported.

Even now, Pierce’s life remains marked by “an unsteady walk, blurry vision and a diminished memory.”

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An article published this week in the New York Times offers details of a “class-action suit that claims the NCAA has been negligent regarding awareness and treatment of brain injuries to athletes.”

According to the newspaper there are currently four plaintiffs involved in the suit – three football players and, unexpectedly, a soccer player. As the newspaper notes, the suit is particularly interesting because it targets the NCAA, the body that oversees most college athletics here in the United States, rather than the individual schools for which the plaintiffs played.

The focus of the article is a former University of Central Arkansas football player, described in the piece as once having been a three-sport athlete, straight-A student and talented trumpet player. Following a severe hit as he was returning a punt last year he has been unable to play. Heeding doctors’ advice he has now permanently abandoned contact sports, the newspaper reports.

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The National Hockey League’s 2011-12 season kicked off last night with both the defending Stanley Cup champion Boston Bruins and the team they edged out last summer, the Vancouver Canucks, losing close fought, first-night match-ups.

Those games (along with a Montreal-Toronto contest) were the first official ones to be played under new NHL rules that severely restrict (but do not entirely ban) hits to the head during play. Long known as a fast and violent game, professional hockey has shown increasing concern for the long-term health of its players in recent years. Concussions and traumatic brain injuries emerged as a concern partly because of changes in the game itself – players are larger, skate faster, hit harder and wear better padding than their predecessors a generation (let alone half a century) ago, and the wear and tear on their bodies shows. The issue became especially salient for the league in the wake of several high-profile injuries that have sidelined star players for extended periods of time.

The most notable examples are Boston’s Marc Savard who has never completely recovered from a grade 2 concussion sustained in March 2010, and Pittsburgh’s Sydney Crosby, arguably the league’s most famous active player, who has not played since the beginning of the year after suffering two hits to the head in rapid succession during games on January 1 and January 5.

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In an extraordinary, and welcome, initiative reported last week by the New York Times, the national retailer Dick’s Sporting Goods plans to offer millions of baseline concussion scans to student athletes in an effort to cut down on traumatic brain injuries.

“Through a program it calls Protecting Athletes Through Concussion Education, or PACE, Dick’s will pay for schoolwide neurocognitive testing of athletes across more than 3,300 schools totaling more than a million students,” the paper reports. The goal is to help schools know when athletes have been injured by establishing a baseline against which their brain functions can be compared following a sports-related traumatic brain injury. The idea is to test athletes before their seasons begin.

Having data on “functions like verbal memory, visual memory, and reaction time” collected while a student is healthy will make it easier to determine later on whether injuries, even subtle ones, have altered the way the brain is functioning. The paper notes that the same tests are now routinely administered to professional baseball, football and hockey players.

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According to The Oregonian a shocking number of Portland-area children have been injured in falls from windows since the beginning of the summer. The newspaper recently reported that there have been eight such accidents in recent weeks, the latest one involving a toddler who fell “from the second-floor window of his family’s Southeast Portland home.”

The paper, quoting Portland fire officials, says the injured Oregon child suffered “a skull fracture and broken teeth.” Thankfully, the child is reported to have suffered no Oregon traumatic brain injury as a result of the accident. Such injuries are a particular concern when children fall from windows, as I noted in an earlier post.

In a related article the newspaper reports that there are roughly 4000 such injuries to children nationwide each year, with Oregon averaging “40 to 50.”

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A class action lawsuit filed in Salem is taking aim at a perhaps surprising target. According to area television station KDRV the lawsuit alleges that a major insurance company has been “fraudulently denying claims after car crashes.”

The target? USAA, a banking and insurance giant that deals exclusively with current and former members of the military and their families. Because of its focus on the military community USAA has long cultivated a customer-friendly, service-oriented image far removed from that of most commercial banks and insurance companies.

The Oregon suit, however, charges the company with “using medical reports by physicians to say treatment for injuries suffered in car crashes were not medically necessary. Plaintiffs allege in their suit that the insurance medical reviewers of their cases never even talked or consulted with them.” The station’s report said USAA “declined to comment on the lawsuit.”

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A recent column in the Capitol Hill newspaper Roll Call highlights a potentially serious attack on patients rights here in Oregon and elsewhere, one that has received relatively little notice in the months since the new Congress convened.

The focus of the piece is HR 5. Formally titled the Help Efficient, Accessible, Low-Cost, Timely Healthcare Act (i.e. the “HEALTH Act”), it is billed as a centerpiece of Republican efforts to repeal and replace the health care reform act passed by President Barack Obama and the Democrats last year. According to the federal government’s legislative bill-tracking service, Thomas.gov, the bill is co-sponsored by about half of all the Republicans in the House. Among Oregon’s congressional delegation only Rep. Greg Walden, whose district covers much of rural eastern and central Oregon, is a co-sponsor.

The official summary says that the bill “sets conditions for lawsuits arising from health care liability claims.” In particular, it establishes a three-year statute of limitations for most health-care related injuries. In addition, the bill “limits noneconomic damages to $250,000 (and) makes each party liable only for the amount of damages directly proportional to such party’s percentage of responsibility.” It also forbids the awarding of punitive damages “in the case of products approved, cleared or licensed” by the federal Food and Drug Administration (FDA).

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A poignant reminder of the long-term effects of concussions on football players cane over the weekend when Terry Bradshaw revealed in a blog post that “he is suffering from deficits in short-term memory and impairments in his hand-eye coordination,” according to the Los Angeles Times. The newspaper reports that the former Pittsburgh Steelers quarterback, a long-time NFL commentator on television, attributes his ever-worsening problems to “at least six concussions” sustained during his NFL career.

Bradshaw, of course, played in the 1970s and it might be argued that today’s players are better-trained and use better equipment than their predecessors. Two minutes watching NFL films from that era, however, will show any viewer that while today’s equipment may be better, today’s players are bigger, stronger, play the game faster and hit much, much harder than those of a generation ago.

Bradshaw’s revelations of the ongoing effects of brain injuries come at a time when the league is trying to improve its less-than-stellar record of caring for players once their careers are over. It also, as the paper notes, arrives at a time when team officials and players in the worlds of football and hockey are increasingly aware of the damage lesser hits can cause. The Times cites a doctor at UCLA who mentions the cumulative effects of multiple less-than-concussion-level hits – an issue that the NHL has recently begun paying particular attention to.

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