Concussions and play-related head blows in American football have been shown to be the cause of chronic traumatic encephalopathy (CTE), which has led to player deaths and other debilitating symptoms after retirement, including memory loss, depression, anxiety, headaches, stress, and sleep disturbances.
A 2003 report by the Center for the Study of Retired Athletes at the University of North Carolina, for example, found a connection between numerous concussions and depression among former professional football players.
Robert Cantu of the American College of Sports Medicine noted bias in the committee's extremely small sample size and held that no conclusions should be drawn from the NFL's studies.
The article stated, "suicides of former players linked to head trauma have combined to increase the public's awareness about the potential dangers of concussions in all levels of football.
[40] In November 2011, the Cleveland Clinic Center for Spine Health created an online study released by the Journal of Neurosurgery in which various football helmets were compared with each other via crash test dummies.
According to the league's protocol, signs of a concussion include: loss of consciousness, lack of balance, holding head after contact, absentmindedness, lethargy, confusion or a visible facial injury in combination with any of the other factors.
[47][45] The NFL spent years trying to deny and cover up any link that emerged connecting head injuries sustained while playing football with long-term brain disorders.
[48] Dr. Ira Casson, who was then co-chair of MTBI, denied in a televised interview that there was any link between head injuries sustained playing in the NFL and long-term brain damage.
"[48] Two months later, Aiello told New York Times reporter Alan Schwarz that "it's quite obvious from the medical research that's been done that concussions can lead to long-term problems.
In a roundtable discussion with the U.S. House of Representatives Committee on Energy and Commerce, Jeff Miller, the NFL's senior vice-president for health and safety, admitted that "there is a link between football-related head trauma and chronic traumatic encephalopathy.
A report from the Democratic members of the House Committee on Energy and Commerce said that "the NFL rescinded a gift to the National Institutes of Health (NIH) for concussion research when it learned the study's findings would be detrimental to the league's image.
[60] One month later, former San Diego Chargers player Junior Seau also died of a self-inflicted gunshot wound, and a brain autopsy showed he suffered from CTE.
Neuropathologist Bennet Omalu has identified CTE in the autopsies of former players Mike Webster, Terry Long, Justin Strzelczyk, Andre Waters, and Chris Henry.
[65] In April 2012, a group of former Dallas Cowboys—including Pro Football Hall of Fame inductees Randy White, Bob Lilly, and Rayfield Wright (among other retired players from around the league)—filed a lawsuit against the NFL, again accusing it of ignoring a link between concussions and brain injury.
[67] After quarterbacks Jay Cutler, Michael Vick and Alex Smith sustained concussions in Week 10 of the 2012 season, the National Football League Players Association (NFLPA) reiterated their plans to have independent neurologists on the sidelines at every game.
[70][71][72] In March 2013, the League proposed a rule to reduce concussions by making it illegal for a ball carrier or tackler to "initiate forcible contact by delivering a blow with the top crown of his helmet against an opponent when both players are clearly outside of the tackle box."
Retired players who suffer severe neurological conditions such as Alzheimer's and amyotrophic lateral sclerosis (ALS) diseases in the future will also be eligible to apply for medical help.
The Independence attorney for the five ex-Chiefs, Ken McClain said, "The lawsuit is allowed in Missouri after a state workers' compensation statute was amended in 2005 to exclude cases of occupational injury that occur over an extended time.
On December 1, 2012, Jovan Belcher, a then-current member of the Kansas City Chiefs, shot and killed his fiancée, Kassandra Perkins, before committing suicide in the Arrowhead practice facility parking lot.
[85] On September 30, 2014, it was announced that the brain of former Kansas City Chiefs player, Jovan Belcher, contained neurofibrillary tangles of tau protein; which is associated with CTE.
[85] On March 11, 2016, the family of deceased San Diego Charger defensive back Paul Oliver sued helmet-maker Riddell along with its related corporate entities, in the Circuit Court of Cook County, Chicago, Illinois.
Shortly thereafter, Pro Football Hall of Fame running back and Super Bowl champion Paul Hornung, represented by The Brad Sohn Law Firm and Corboy & Demetrio, filed a related case against these defendants.
[98] In 2008, during the original league's final season, the "Shockometer" made its debut at two season-opening games (Dallas Desperados vs. Georgia Force/San Jose SaberCats vs. Chicago Rush) on 40 player helmets.
[102] One of the first studies of its kind was performed during the Fall 2011 football season when researchers from Virginia Tech, receiving permission from parents, placed accelerometers (which measure g forces) inside the helmets of seven youth players.
[108] According to the Boston University School of Medicine (BUSM), kids who begin playing football before the age of twelve are at a greater risk of depression, behavioral regulation, apathy, and executive functioning.
One example is a device created by Schutt Sports during the Arena Football League's 2008 season known as the "Shockometer"—a triangle-shaped object with adhesive on its side that sticks to players' helmets.
These athletic trainers assist medical personnel located on the sidelines in identifying potential concussions because the symptoms are often difficult to spot and assess from the field level.
Starting in the 2013–2014 season, if a running back lowers the crown of his helmet while he is inside the tackle box or while he is less than three yards downfield and makes contact with a defender, the team will be given a 15-yard penalty.
However, because there are similarities between Alzheimer's and the effects of Chronic Traumatic Encephelopathy (CTE), FDDNP was used to study the extent of brain trauma in consenting, retired NFL players.
Researcher at UCLA, Gary Small explains, "Providing a non-invasive method for early detection is a critical first step in developing interventions to prevent symptom onset and progression in CTE".