FACTS

“The concern is that injuring a brain that has not yet completed maturation can interrupt, delay or prevent normal development. Some of the brain regions that support higher-order executive functions are particularly vulnerable to concussion” https://t.co/IzZw6P1oSS

— Concerned Mom (@ConcernedMom9) April 29, 2019

Driving someone to the ground against their will is an unsafe act.

— Jim Hoffman (@JimH5) April 18, 2019

For #flagfootballu14 opponents: a new @CDCgov report finds that for boys ages 5-14, football causes more emergency department visits for traumatic brain injuries than bikes, playgrounds, & soccer COMBINED. If only there was a safer way to play... https://t.co/H4TC91taiG pic.twitter.com/3km4MAUiEF

— Chris Nowinski, Ph.D. (@ChrisNowinski1) March 14, 2019

Criminal Behavior? 

This is so awful: "The athlete was urged to "lie about or cover up" concussion symptoms, the university said in announcing the firing Thursday morning...Multiple parents and athletes accused him [Jerry Reighard] of negligent behavior involving injuries..." https://t.co/0KAje2qcYr

— Dr Kathleen Bachynski (@bachyns) April 18, 2019

I’ll be using this article in class. Sport is healthy? Not when the expectation is to play through pain. https://t.co/Xa2ZbNIVVM

— Stacy Lorenz (@SLLorenz) April 19, 2019

Here is a 2-page PDF on William Carlos Williams' short story "The paid nurse" and about the company doctor. I leave it here without comment on sports medicine.https://t.co/9BvewJ2GQi

— Stephen T Casper (@TheNeuroTimes) April 19, 2019

​Hippocratic Hypocrisy

This is why Sport & Exercise Medicine needs to be a recognised medical specialty (as opposed to special interest area) with the same regulatory oversight as other medical specialties (if not more) https://t.co/5dyd35QgkI

— John Orchard (@DrJohnOrchard) April 20, 2019

No industry can legitimately be asked to police itself. Over time, corruption of the process always creeps in - if it wasn't there at the start. https://t.co/NTNuZB38Vs

— Emmett Smith (@DocBearOMD) April 18, 2019

Keep in mind that this “play through injury” mentality extends back through high school and youth sports. https://t.co/NqVkxRxBOE

— Jeff Prudhomme (@PrudhommeJeff) April 19, 2019

Large coercive pressures on athletes contribute substantially to their downplaying of symptoms. Messages like this, coming from brain injury researchers, especially messages involving small boys like this, sends out powerful cultural signals about what is harmful and what is not.

— Stephen T Casper (@TheNeuroTimes) April 17, 2019

Ignorance, Negligence, Obfuscation

Brain Damage Timeline pic.twitter.com/wPssMLqpbd

— Greg Ransom (@GregRansom) April 28, 2019

So many of the doctor-authored opinion pieces suggesting football is safe enough are written by doctors with direct connections to football.

— Jim Hoffman (@JimH5) April 7, 2019

Child gets brain damage from tackle football -- insurance company UnitedHealth denies him the health care they are legally obligated by contract to supply https://t.co/FOU2I8pJVf

— Greg Ransom (@GregRansom) April 23, 2019

Can you imagine canceling a meeting with a grieving mom trying to learn how her son died at your institution? "The school, as well as the Kansas Attorney General's office, have said there will not be an independent investigation into Braeden's death." https://t.co/a5krNWulCl

— Dr Kathleen Bachynski (@bachyns) April 24, 2019

Damage to the brain caused by hits to the head has been observed for nearly a century

CTE was originally studied in boxers in the 1920s as dementia pugilistica@TheAtlantic @NHL @NHLPA @StanleyCup #NHL #NHLPA #StanleyCupPlayoffs #CTE #TBI #Concussionhttps://t.co/m6VEzttDlV

— Daniel Carcillo (@CarBombBoom13) April 25, 2019

The lies we tell ourselves about #motivatedbias and #COIs are just astonishing. That taxpayers subsidize the willful ignorance in ways that harm injured and vulnerable people is just . . . intolerable.https://t.co/7ESpBsT1uo pic.twitter.com/lw6B6Hk5oT

— Daniel Goldberg (@prof_goldberg) April 19, 2019

Fact of Life: Sports-Related Concussion prevention is bad for the Sports-Related Concussion treatment industry.

Feed a concussionologist... sign your kids up for kiddie football today!

— Kent Johnson (@37919KJ) March 28, 2019

---

 

​​PREVENTION 
MUST BECOME 
A PRIORITY

If you are interested in #TBI and long term neurological consequences of recurrent TBI, then you have to realize that for some researchers there will never be enough evidence, there will always be some problem with a study, there will always be missing minutia. Ask of them: why?

— Stephen T Casper (@TheNeuroTimes) April 24, 2019

CONCUSSION LITIGATION LEADING INSURERS TO DISCONTINUE COVERAGE FOR HEAD INJURIES IN FOOTBALL – American Journal of Trial Advocacy https://t.co/BnyTc7pc7V

— Kimberly Archie (@kimberlyarchie) April 30, 2019

"Players being put at risk of extreme pain and long-term impairment should be prevented by the team doctor, trainers, assistant coaches, athletic department administrators and strong university policies." https://t.co/gZTlEZHVx8

— Concerned Mom (@ConcernedMom9) April 28, 2019

"Our society is committed to protecting children—that’s why we ban smoking, remove children from homes with lead paint, and force parents to put their children in car seats. We should also protect children from unnecessary brain damage in youth sports." https://t.co/npCIF9mHSc

— Concerned Mom (@ConcernedMom9) April 4, 2019

INCENTIVIZED VIOLENCE

Once a team starts the season, there's a lot of pressure to finish, regardless of injury attrition.
State associations punish schools severely for beginning and then suspending the season. It's wiser to cancel beforehand,. https://t.co/Xb3pgepl0J@LewisLisaL @ConcernedMom9 pic.twitter.com/12KMbPm19r

— Kent Johnson (@37919KJ) October 11, 2018

#NCAA universities spend more money on competition guarantees than they do on medical care for college athletes. 50% of college athletes will suffer from chronic pain. #Amateurism https://t.co/gLapKFRxfy

— @AthleteRights_NC (@AthleterightsNc) April 7, 2019

Coaches don't trust their fellow coaches to self-enforce hittng limits:
“How much do I think teams would abide by it? Zero percent," said Ryan. “How much do I think people will say they’re abiding by it? One hundred percent.”https://t.co/q3Il6knRSo

— Kent Johnson (@37919KJ) March 26, 2019

 "Not only has this glorification of overcoming injury likely affected our concept of masculinity, it has the potential to worsen the lives of many athletes who strive to fit within this hypermasculine definition."

The masculinization of sports violence https://t.co/VIDgejywxG via @uwogazette

— Concerned Mom (@ConcernedMom9) April 30, 2019

“The cash-grab camps and combines that prey on high school kids have trickled down to the middle school and elementary school levels...they all have a few things in common: they're ego-based, they're unnecessary and they're really, really profitable.” https://t.co/gENBdtY9xZ

— Dr Kathleen Bachynski (@bachyns) April 28, 2019

PREVENTABLE SUFFERING

Traumatic Brain Injury is INVISIBLE and the symptoms include: Confusion and disorientation. difficulty remembering new information, headache, dizziness, blurry and double vision, nausea and vomiting, ringing in the ears,
changes in emotions and mood, changes in sleep patterns. pic.twitter.com/ORycsn0jqx

— Ted Stachulski (@StachulskiT) April 22, 2019

“People with a concussion history have a significantly higher margin-of-error and a significantly slower response time than people who didn’t have a concussion history,” Caffey said.https://t.co/GNahmpdQA5

— Concerned Mom (@ConcernedMom9) April 24, 2019

Autonomic Nervous System abnormalities persist in sports concussion patients, even after patient has "recovered". https://t.co/qUMGVVHPdZ

— Kent Johnson (@37919KJ) April 14, 2019

If the @NCAA is going to claim they do not have a responsibility for the health of athletes then lawmakers need to step in. @RepMarkWalker

— Jay Allred (@JayAllred) April 23, 2019

​“Cognitive deficits from concussions sustained in late childhood or early adolescence carry over into young adulthood. Caffey said their work thus far shows that participants experience inhibited brain function
​for an average of four years after their concussion.”

---

“CTE is not seen outside of individuals with a history of exposure
to brain trauma,
frequently from contact sports.
A 2015 study by the Mayo Clinic
could not find a single case
of CTE in 198 control brains,
including 33 who had
a traumatic brain injury
​in their medical record.”

It is a travesty however that overall rates of neurodegenerative disease (i.e PD and ALS) among retired football players continues to receive little to no attention in the media, and should never detract from the fact that the @NFL's problems go beyond #CTE.

— Samantha (@agentcurieuse) April 11, 2019

By Dr. Jana - http://docjana.com/saltatory-conduction/ ; https://www.patreon.com/posts/4374048, CC BY 4.0, Link

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