Category Archives: College

Kevin Turner Is in ‘Dire’ Situation

Kevin Turner, who has been a catalyst for change in how the public views the consequences of concussions on the football field, is near the end of his battle with the incurable disease amyotrophic lateral sclerosis, or ALS.

A Washington Post story this week described Turner’s predicament as follows:

“Turner’s mind is sound — his humor, personality, charm all still there. But the disease has devastated the facade. When his nurse removes his shirt, Turner’s bones are outlined against his skin, the once-powerful muscles of an NFL fullback surrendered to atrophy. He receives oxygen through a port in his neck and nutrition through a tube to his stomach.”

His friend, Craig Sanderson, told the paper: “Honestly, had he not chosen to go on a ventilator he probably wouldn’t be here right now. He’d be gone. That’s what we were preparing for really. It was that dire a situation.”

For the story and very powerful video that accompanies it, go here: http://www.washingtonpost.com/sports/kevin-turner-leading-plaintiff-in-nfl-concussions-lawsuit-battles-als/2014/12/15/b4c369ac-8137-11e4-b936-f3afab0155a7_story.html

 

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Athletic Trainer’s Book Ice ‘n’ Go Focuses on Keeping Perspective in Youth Sports

“The NFL has chosen to build its brand on the broken heads of kids,” writes columnist Sally Jenkins in her recent Washington Post article “NFL must pay for its handling of concussion issues — or Congress should intervene.”

Jenny Moshak could not agree more.

Moshak, who for 25 years was athletic trainer for the University of Tennessee’s Lady Vols basketball team under the legendary Pat Summitt, has been sounding the alarm for years about youth sports and keeping it all in perspective. Her book, Ice ‘n’ Go, is in large part a plea to parents, coaches, and organized sports programs to remember that youth sports is about using exercise as a part of healthy living and developing social and problem-solving skills, not training 7-year-olds to become professional athletes. The price, Jenny says, is just too high.

“The philosophy of ‘the earlier, the better’ suggests that if a child starts young enough, she or he will have a better chance at the pro’s,” said Moshak. “This concept is a myth. There is zero evidence to support that it’s true. Some high school football teams have shut down their entire season due to injuries. And the problem is not just football. For every Tiger Woods or Mia Hamm, there are thousands of kids whose careers ended very early because of physical injuries, emotional issues, or burnout. Our kids are paying a very high price for the failure to make them safer when they’re playing sports. We must keep sounding the alarm until the people making the decisions sit up, listen, and do something about this.”

“The lessons in [Ice ‘n’ Go] are valuable for parents of young athletes along with coaches of elite athletes.” —Tara VanDerveer, Stanford Women’s Basketball Coach

Moshak retired from the University of Tennessee in 2013 and is currently on assignment in Russia providing athletic support for the UMMC Ekaterinburg Women’s Basketball Club, whose roster includes Candace Parker, Diana Taurasi, Kristi Toliver and Deanna Nolan. Jenny, with Chicago native Debby Schriver, is the co-author of Ice ‘n’ Go: Score in Sports and Life (University of Tennessee Press; $29.95).

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Researchers Find Link Exists Between White Matter and Concussion-Related Depression and Anxiety

White matter brain abnormalities in some patients with depression disorders closely resemble abnormalities found in patients who have experienced a mild traumatic brain injury (mTBI), more commonly known as concussion, according to new research presented by University of Pittsburgh School of Medicine researchers earlier this month at the annual meeting of theRadiological Society of North America (RSNA).
The researchers, who also studied anxiety in concussion patients who underwent imaging, believe determining these white-matter injuries also could help guide treatment in people who suffer such symptoms, whether they are due to trauma or not.
White matter in the brain is made up of long, finger-like fibers projecting from nerve cells and is covered by a whitish fatty material. While gray matter, the part of our brain without the fatty covering, holds our knowledge, white matter is what connects different regions of gray matter, allowing different parts of the brain to communicate with one another.
Over the past several years, cognitive consequences of concussion have dominated the news.  Any association between concussion/mTBI and the development of psychiatric disorders hasn’t garnered the same level of attention.  Saeed Fakhran, M.D.,assistant professor of radiology at Pitt and his team wanted to determine if a trauma to the brain could be found in imaging as an underlying cause of depression or anxiety in certain patients.
“We know that neuropsychiatric disorders like depression and anxiety can be as disabling as Alzheimer’s dementia and chronic traumatic encephalopathy, affecting a person’s quality of life, and are often accompanied by higher rates of obesity, substance abuse and even suicide,” said Dr. Fakhran. “We wanted to see if there were commonalities shared by patients with depression and anxiety disorders caused by brain trauma and those with non-traumatic depression.”
For this study, Dr. Fakhran and his team examined MRI scans performed in 74 concussion patients from 2006-14 using an advanced technique called diffusion tensor imaging.  Diffusion tensor imaging allows doctors to visualize the white matter and look for places where the white matter may be injured, resulting in decreased connections in the brain and post-concussion symptoms.  In patients with depression, researchers found injured regions in the reward circuit of the brain, which has also been found to be abnormal in patients with non-traumatic major depressive disorder.  Greater injury to the reward center of the brain correlated with a longer recovery time, similar to patients with non-traumatic major depressive disorder, the researchers said.
“Finding such similar injuries in mTBI patients with depression and major depressive disorder may suggest a common pathophysiology in both traumatic and non-traumatic depression that may help guide treatment,” said Dr. Fakhran. “The first step in developing a treatment for any disease is understanding what causes it, and if we can prove a link, or even a common pathway, between post-traumatic depression and depression in the general population it could potentially lead to effective treatment strategies for both diseases.”
While noting that continuing research is vital in this area, the researchers said their project was limited by its retrospective nature and moderate sample size. Because so few concussion patients undergo imaging, the researchers added that future, prospective research could benefit from following a larger group of patients. Moreover, their findings didn’t include irritability, the third neuropsychiatric symptom they set out to study – causing them to determine that not all such post-concussion/mTBI symptoms appear to result in discrete white matter injuries. It also was difficult to determine, they said, if pre-existing brain abnormalities rendered certain patients more susceptible to depression or anxiety.
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