Przewlekła encefalopatia pourazowa
Zapobieganie i profilaktyka
Przewlekła encefalopatia pourazowa (CTE) to postępująca choroba neurodegeneracyjna mózgu, powiązana z powtarzającymi się urazami głowy i wstrząśnieniami mózgu, szczególnie u sportowców uprawiających sporty kontaktowe. Profilaktyka CTE opiera się na ograniczeniu liczby i siły uderzeń w głowę, co może zmniejszyć ryzyko rozwoju choroby nawet o 50-75%. Kluczowe działania profilaktyczne obejmują stosowanie odpowiedniego sprzętu ochronnego (kaski, ochraniacze), przestrzeganie zasad bezpieczeństwa (np. zmiany w zasadach tackle w futbolu amerykańskim, eliminacja body-checkingu w hokeju), a także właściwe postępowanie po urazie głowy, w tym odpoczynek, stopniowy powrót do aktywności sportowej oraz multidyscyplinarną opiekę w przypadku utrzymujących się objawów powyżej 10 dni. Zalecenia medyczne podkreślają, że 85% wstrząśnień mózgu wymaga około 3 tygodni regeneracji, co jest dłuższym okresem niż dotychczasowe wytyczne powrotu do gry.
- Zrozumienie profilaktyki przewlekłej encefalopatii pourazowej (CTE)
- Zmiany w przepisach i regulacjach sportowych
- Edukacja i świadomość
- Sprzęt ochronny i technologia
- Protokoły medyczne i badania przesiewowe
- Styl życia i rehabilitacja
- Szczególne rozważania dla różnych grup
- Badania naukowe i przyszłe kierunki
- Zaangażowanie społeczności
Zrozumienie profilaktyki przewlekłej encefalopatii pourazowej (CTE)
Przewlekła encefalopatia pourazowa (CTE) to postępująca neurodegeneracyjna choroba mózgu związana z powtarzającymi się urazami głowy i wstrząśnieniami mózgu. Ponieważ obecnie nie istnieje skuteczne leczenie tego schorzenia, profilaktyka staje się najważniejszym elementem walki z CTE.123 Aktualne zalecenia dotyczące zapobiegania CTE koncentrują się na ograniczaniu liczby lekkich urazów mózgu oraz zapobieganiu dodatkowym urazom po pierwszym wstrząśnieniu mózgu.14
Zmniejszenie liczby udarzeń w głowę oraz zmniejszenie siły tych uderzeń to podstawowe zasady zapobiegania CTE.56 Badania wykazały, że u zawodników sportów kontaktowych zmniejszenie liczby uderzeń w głowę o połowę podczas treningów w szkole średniej i na studiach mogłoby zmniejszyć ryzyko rozwoju CTE o 50%, a zapobieganie 10% najsilniejszych uderzeń poprzez bezpieczniejsze ćwiczenia i zmiany zasad mogłoby dodatkowo zmniejszyć to ryzyko o kolejne 50%.7
Ograniczanie ekspozycji na uderzenia w głowę
Podstawą zapobiegania CTE jest ograniczanie liczby i siły uderzeń w głowę.89 Osoby uprawiające sporty kontaktowe są szczególnie narażone na rozwój CTE, dlatego kluczowe jest wdrażanie strategii ograniczających to ryzyko:1011
- Noszenie odpowiedniego sprzętu ochronnego podczas uprawiania sportów kontaktowych, jak futbol amerykański czy hokej na lodzie812
- Noszenie kasku podczas jazdy na rowerze, rolkach, deskorolce i podobnych aktywnościach813
- Zapinanie pasów bezpieczeństwa w pojazdach, co może zmniejszyć ryzyko wstrząśnienia mózgu lub ograniczyć jego ciężkość914
- Unikanie niepotrzebnej agresji podczas gry13
- Nauka i stosowanie właściwej techniki w danej dyscyplinie sportowej1312
Właściwe postępowanie po urazach głowy
Kluczowym elementem zapobiegania CTE jest odpowiednie postępowanie po urazie głowy, szczególnie po wstrząśnieniach mózgu.15 Lekarze podkreślają, że właściwa opieka po wstrząśnieniu mózgu może zmniejszyć ryzyko rozwoju CTE.16 Zalecenia obejmują:
- Odpoczynek po urazie głowy – danie mózgowi czasu na wyleczenie14
- Nieponawianie aktywności sportowej zbyt szybko po urazie1417
- Powrót do sportu tylko po uzyskaniu zgody lekarza1418
- Przestrzeganie protokołów powrotu do gry, które przewidują stopniowe zwiększanie poziomu aktywności tylko wtedy, gdy sportowiec pozostaje bez objawów na każdym etapie19
- W przypadku utrzymywania się objawów ponad 10 dni, ocena i leczenie w środowisku multidyscyplinarnym przez specjalistów doświadczonych w leczeniu wstrząśnień mózgu związanych ze sportem15
Zmiany w przepisach i regulacjach sportowych
Jednym z kluczowych obszarów profilaktyki CTE są zmiany w zasadach sportów kontaktowych oraz wprowadzanie regulacji prawnych mających na celu zwiększenie bezpieczeństwa zawodników.1520
Modyfikacje zasad w sportach kontaktowych
Zmiany w zasadach różnych dyscyplin sportowych wykazały skuteczność w zwiększaniu bezpieczeństwa.1520 Przykładowe modyfikacje obejmują:
- Zmiany w zasadach tackli w futbolu amerykańskim2021
- Regulacje dotyczące body-checkingu w hokeju2022
- Surowsze kary za uderzenia w głowę, szczególnie w futbolu amerykańskim2112
- Opóźnienie wprowadzenia kontaktu w hokeju do minimum 15 roku życia22
- Ograniczenie liczby i długości treningów kontaktowych1323
Badania pokazują, że eliminacja body-checkingu może zmniejszyć częstość występowania wstrząśnień mózgu w Kanadzie od 20 do 90 procent we wszystkich grupach wiekowych.22 Takie zmiany w zasadach mogą być kluczowe dla zapobiegania zespołowi pochrząśnieniowemu i przewlekłej encefalopatii pourazowej u sportowców amatorskich w przyszłości.22
Przepisy prawne i polityki
Ustawodawstwo może zapewnić jednolity standard zarządzania wstrząśnieniami mózgu i bezpieczeństwa, szczególnie w sportach młodzieżowych.15 Organizacje sportowe odgrywają kluczową rolę w kształtowaniu polityk promujących bezpieczeństwo:
- National Football League (NFL) i inne organy zarządzające zainicjowały programy mające na celu poprawę zarządzania wstrząśnieniami mózgu i zgodności z raportowaniem20
- W wielu stanach USA wprowadzono ustawy dotyczące lepszej ochrony młodych sportowców, zabraniające powrotu do gry w dniu urazu, wymagające zgody lekarskiej przed powrotem do sportu oraz wprowadzające szkolenia dla trenerów, administratorów sportowych, rodziców i sportowców24
- Apele o zwiększenie świadomości na temat ryzyka związanego z powtarzającymi się urazami głowy25
Edukacja i świadomość
Edukacja jest kluczowa dla sportowców, trenerów i rodziców, aby rozpoznawać oznaki i objawy wstrząśnień mózgu.26 Programy edukacyjne wykazały skuteczność w poprawie wiedzy i postaw wobec zarządzania wstrząśnieniami mózgu wśród trenerów młodzieżowych i szkół średnich.26
Szkolenia dla trenerów i rodziców
Odpowiednie szkolenie trenerów, rodziców i personelu medycznego jest niezbędne do wczesnego wykrywania i właściwego postępowania z urazami głowy:2318
- Trenerzy powinni przejść szkolenie w zakresie rozpoznawania objawów wstrząśnienia mózgu27
- Rodzice mogą być w najlepszej sytuacji, aby wykryć subtelne zmiany w zachowaniu dziecka, których inni mogą nie zauważyć23
- Monitoring urazów głowy – rodzice i trenerzy powinni obserwować objawy wstrząśnienia mózgu po każdej grze lub treningu27
- Propagowanie właściwej techniki i zachowania, ograniczenia treningów kontaktowych oraz ograniczenia kontaktu według grup wiekowych27
Edukacja zawodników
Sportowcy również powinni być świadomi ryzyka związanego z urazami głowy:28
- Zachęcanie sportowców do zgłaszania wszelkich objawów wstrząśnienia mózgu12
- Edukacja w zakresie właściwej techniki i bezpiecznego uprawiania sportu12
- Uświadamianie, że nie trzeba stracić przytomności, aby doznać wstrząśnienia mózgu8
- Propagowanie kultury, w której sportowcy nie ignorują wstrząśnień mózgu i nie grają z objawami15
Sprzęt ochronny i technologia
Sprzęt ochronny, taki jak kaski i ochraniacze, jest istotny w ograniczaniu ryzyka neurotraum.26 Chociaż żaden sprzęt ochronny nie może całkowicie zapobiec wstrząśnieniom mózgu, odpowiednie wyposażenie może znacząco zmniejszyć ryzyko.
Kaski i inny sprzęt ochronny
Wykorzystanie odpowiedniego sprzętu ochronnego może pomóc w zmniejszeniu siły uderzenia w głowę:29
- Kaski są skuteczne w zapobieganiu poważnym urazom głowy, choć ich zdolność do zapobiegania wstrząśnieniom mózgu pozostaje przedmiotem dyskusji2629
- Wykorzystanie kasków i ochraniaczy na zęby zostało wskazane jako możliwy środek zapobiegawczy29
- Udoskonalenia w technologii kasków dla sportowców uprawiających sporty kontaktowe mają na celu zminimalizowanie wpływu uderzenia w głowę21
- Ważne jest odpowiednie dopasowanie całego sprzętu ochronnego13
Warto jednak podkreślić, że chociaż kaski i inny sprzęt ochronny mogą zmniejszyć siłę uderzenia, badania nie potwierdzają jeszcze jednoznacznie ich skuteczności w zapobieganiu wstrząśnieniom mózgu.293031
Postępy w technologii
Trwają prace nad rozwojem technologii, która mogłaby poprawić bezpieczeństwo sportowców:31
- Badania nad skutecznością sprzętu ochronnego31
- Rozwój ulepszonych kasków ochronnych31
- Poszukiwanie biomarkerów (substancji w organizmie, które można zmierzyć, aby wskazać obecność lub postęp choroby), które mogłyby pomóc w diagnozowaniu CTE u żyjących osób25
- Wykorzystanie technologii do dokumentowania niestabilności szyjnej (nadmiernego ruchu w porównaniu do normy) poprzez obrazowanie ruchowe, takie jak cyfrowe zdjęcie rentgenowskie ruchu32
Protokoły medyczne i badania przesiewowe
Odpowiednia opieka medyczna od momentu wystąpienia urazu jest kluczowym elementem zapobiegania długoterminowym konsekwencjom.15 Przestrzeganie protokołów medycznych może znacząco zmniejszyć ryzyko rozwoju CTE.
Protokoły dotyczące wstrząśnień mózgu
Protokoły dotyczące wstrząśnień mózgu są kluczowe dla zapobiegania CTE i obejmują:2719
- Zalecenie, aby żaden sportowiec nie wracał do gry lub treningu w dniu wstrząśnienia mózgu27
- Stopniowe zwiększanie poziomu aktywności sportowca, począwszy od początkowego etapu lekkiego wysiłku w kierunku pełnej aktywności kontaktowej, dopiero gdy sportowiec jest całkowicie wolny od objawów w spoczynku19
- Postęp przez każdy etap tylko wtedy, gdy sportowiec pozostaje bez objawów19
- Zatrzymanie procesu na dany dzień, jeśli objawy powrócą19
- Proces progresji może być zakończony w ciągu zaledwie 5 dni lub może trwać tak długo, jak wymaga tego sportowiec19
Według najnowszych badań, 85% wstrząśnień mózgu wymaga około trzech tygodni regeneracji, co jest dłuższym okresem niż cokolwiek obecnie w literaturze dotyczącej wytycznych powrotu do gry.19
Badania genetyczne
Badania genetyczne mogą pomóc w identyfikacji osób o zwiększonym ryzyku rozwoju CTE:3334
- Testy genetyczne pozwalające na wykrycie obecności allelu ApoE4 są kluczowe w identyfikacji osób z indywidualną podatnością na CTE3334
- Osoby z tym allelem mogą być bardziej narażone na rozwój CTE po powtarzających się urazach głowy3334
Styl życia i rehabilitacja
Poza bezpośrednimi działaniami zapobiegającymi urazom głowy, pewne aspekty stylu życia oraz rehabilitacja mogą odgrywać rolę w zapobieganiu CTE lub łagodzeniu jego objawów.3536
Ćwiczenia rehabilitacyjne
Coraz więcej dowodów wskazuje, że ćwiczenia rehabilitacyjne mogą zapobiegać spadkowi funkcji poznawczych, zwiększać plastyczność mózgu i skutecznie poprawiać funkcje neurologiczne w chorobach neurodegeneracyjnych, w tym potencjalnie w CTE:3536
- Rehabilitacja może poprawiać funkcje poznawcze i objawy kliniczne, takie jak depresja i lęk35
- Ćwiczenia rehabilitacyjne mogą chronić układ nerwowy poprzez indukcję produkcji czynnika neurotroficznego pochodzenia mózgowego (BDNF), insulinopodobnego czynnika wzrostu I i czynnika wzrostu śródbłonka naczyniowego (VEGF)35
- Mogą zmniejszać ilość nieprawidłowych białek (P-tau i A) związanych z CTE36
- Ćwiczenia rehabilitacyjne sprzyjają uniknięciu dysfunkcji śródbłonka naczyniowego i zmniejszeniu naczyniowego uszkodzenia oksydacyjnego36
- Rehabilitacja może poprawiać zaburzenia mikroobiegowe i funkcji nerwowej36
W związku z tym zaleca się, aby pacjenci z zespołem encefalopatii pourazowej (TES) jak najszybciej rozpoczynali ćwiczenia rehabilitacyjne.37
Rezerwa poznawcza
Budowanie rezerwy poznawczej, czyli złożoności i elastyczności sieci neuronalnych, może być dodatkowym środkiem profilaktycznym:38
- Czytanie38
- Nauka nowych umiejętności38
- Uczestnictwo w kreatywnych hobby38
- Regularne ćwiczenia (bez kolizji głowy)38
- Socjalizacja i poznawanie nowych ludzi38
Niektóre badania wykazały, że proces ten może również spowolnić postęp CTE.38
Szczególne rozważania dla różnych grup
Różne grupy osób mogą wymagać specjalnych podejść do profilaktyki CTE, w zależności od ich specyficznych czynników ryzyka i potrzeb.
Młodzi sportowcy
Dzieci i młodzież uprawiający sporty kontaktowe wymagają szczególnej uwagi:39
- Ograniczanie odbijania piłki głową w piłce nożnej – regulacje w młodzieżowej i szkolnej piłce nożnej zabraniają odbijania piłki głową do 10 roku życia40
- Programy „Heads up football” – edukacja w zakresie świadomości wstrząśnień mózgu, przygotowania do upałów/nawodnienia, nagłego zatrzymania krążenia, dopasowania sprzętu i bezpiecznych technik40
- Opóźnienie wprowadzenia kontaktu w hokeju do minimum 15 roku życia22
- Nadzór przez profesjonalistów przeszkolonych w zakresie rozpoznawania objawów wstrząśnienia mózgu41
Eliminacja body-checkingu w hokeju mogłaby zmniejszyć częstość występowania wstrząśnień mózgu w Kanadzie od 20 do 90 procent we wszystkich grupach wiekowych.22
Personel wojskowy
Żołnierze są kolejną grupą wysokiego ryzyka rozwoju CTE ze względu na narażenie na wybuchy i inne urazy głowy:42
- Minimalizacja powtarzających się urazów głowy42
- Zwiększanie świadomości w społeczności żołnierzy na temat związku między urazami głowy a CTE42
- Zapewnienie dostępu do odpowiedniej rehabilitacji i opieki42
- Opracowywanie strategii zapobiegania, łagodzenia i leczenia neurodegeneracji po narażeniu na powtarzające się wybuchy43
Badania naukowe i przyszłe kierunki
Kontynuowanie badań nad CTE jest niezbędne do opracowania skuteczniejszych strategii profilaktycznych i potencjalnych metod leczenia.44
Trwające inicjatywy badawcze
Wiele ośrodków prowadzi badania nad różnymi aspektami CTE:4445
- Centrum CTE w Bostonie prowadzi badania nad neuropatologią i patogenezą CTE, prezentacją kliniczną, genetyką i innymi czynnikami ryzyka, biomarkerami, metodami wykrywania za życia oraz metodami zapobiegania i leczenia44
- Australian CTE Biobank pracuje nad zrozumieniem CTE w celu stworzenia precyzyjnych podejść medycznych, transformacyjnych badań i programów translacyjnych dla społeczności45
- CTE Hope to organizacja non-profit zajmująca się wykorzystaniem danych dotyczących białek biomarkerowych do identyfikacji zdarzenia wstrząśnieniowego i opracowaniem kompleksowego urządzenia testowego46
Rozwój protokołów
Opracowywane są protokoły mające na celu zapobieganie CTE:47
- Protokół Zapobiegania CTE, stworzony we współpracy z Concussion Legacy Foundation, to zestaw rekomendacji opartych na dowodach naukowych dotyczących zapobiegania CTE w sportach kontaktowych47
- Konieczne są dalsze badania skuteczności sprzętu ochronnego, rozwój ulepszonego sprzętu ochronnego, dalsze egzekwowanie i rozwój zasad kontaktu w sporcie oraz ulepszenia i egzekwowanie protokołów powrotu do gry31
- Badania neurofeedback i terapia tlenem hiperbarycznym są badane jako potencjalne strategie wspomagające regenerację mózgu po wstrząśnieniu mózgu48
Zaangażowanie społeczności
Społeczność odgrywa istotną rolę w zapobieganiu CTE poprzez zwiększanie świadomości, wspieranie badań i rzecznictwo.4950
Rzecznictwo i świadomość
Organizacje i fundacje pracują nad zwiększaniem świadomości na temat CTE:4951
- Dzień Świadomości CTE obchodzony corocznie 30 stycznia dla zwiększenia świadomości na temat tej rzadkiej degeneracyjnej choroby mózgu5250
- Fundacja Bena Williamsa jest zaangażowana w przyczynianie się do zapobiegania CTE poprzez badania, edukację i rzecznictwo51
- Wspólne przedłożenie budżetowe przedstawiające propozycje pilotażowego programu wsparcia dla osób żyjących z CTE oraz ich rodzin i opiekunów, a także opracowanie kampanii uświadamiającej i edukacyjnej na temat wstrząśnień mózgu i CTE49
Programy donacji
Darowizny mózgów od sportowców pomogły wesprzeć badania nad CTE:21
- Programy donacji mózgów umożliwiają badaczom lepsze zrozumienie CTE i jego związku z urazami głowy21
- Informacje uzyskane od pacjentów i ich rodzin są istotne dla opracowania skutecznych strategii zapobiegawczych6
Istotne jest, aby pamiętać, że aktywność fizyczna poprzez sport pozostaje ważną częścią zdrowego stylu życia i chroni przed wieloma długoterminowymi, przewlekłymi chorobami.53 Dlatego też celem nie jest zakończenie sportów, które mogą mieć aspekt wstrząśnieniowy, ale opracowanie nowych narzędzi do identyfikacji poziomu urazu mózgu doznanego przez sportowca i wdrożenie skutecznych strategii profilaktycznych.46
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Materiały źródłowe
- #1 Chronic traumatic encephalopathy – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/chronic-traumatic-encephalopathy/symptoms-causes/syc-20370921
There is no treatment for CTE. But CTE may be prevented because it’s associated with recurrent concussions. People who have had one concussion are more likely to have another head injury. The current recommendation to prevent CTE is to reduce mild traumatic brain injuries and to prevent additional injury after a concussion.
- #2 Counseling Athletes on the Risk of Chronic Traumatic Encephalopathyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC4137675/
Chronic traumatic encephalopathy (CTE) is a rare progressive neurological disorder that can manifest as a combination of cognitive, mood and behavioral, and neurologic symptoms. […] When counseling athletes and families about the potential association of recurrent concussions and the development of CTE, discussion of proper management of concussion is cornerstone. Unfortunately, to date, there is no equipment that can prevent concussions; however, rule changes and legislation may decrease the risk. […] Because CTE cannot be diagnosed until postmortem autopsy, identifying prevention strategies is a challenge. If CTE is assumed to result from repetitive concussions, then prevention of concussion would be imperative for prevention of CTE. […] Unfortunately, no protective equipment currently exists to prevent a concussion.
- #3 Chronic traumatic encephalopathy – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/chronic-traumatic-encephalopathy/diagnosis-treatment/drc-20370925
There is no treatment for CTE. The brain disorder is progressive, which means it continues to get worse over time. More research on treatments is needed, but the current approach is to prevent head injury. […] It’s also important to stay informed about how to detect and manage traumatic brain injury.
- #4 Chronic traumatic encephalopathyhttps://www.nhs.uk/conditions/chronic-traumatic-encephalopathy/
It’s thought the only way to lower your risk of getting CTE is to avoid repeated head injuries. […] For example, you can do this by wearing the correct protective equipment for any sports you play and making sure head injuries are treated properly.
- #5 Concussion Legacy Foundation & Boston University CTE Center introduce the first CTE Prevention Protocol – Concussion Legacy Foundationhttps://concussionfoundation.org/news/press-release/clf-bu-cte-center-introduce-first-cte-prevention-protocol/
Breakthrough study inspires a playbook with specific actions to prevent CTE. […] Prevention of Chronic Traumatic Encephalopathy (CTE) is now possible, experts say, but it will require sports to move beyond current concussion protocols. […] To help sports teams prevent CTE in current players, the Concussion Legacy Foundation (CLF) and the Boston University (BU) CTE Center have published the first CTE Prevention Protocol, which provides a simple playbook to prevent the degenerative brain disease diagnosed in nearly 1,000 athletes across more than a dozen contact sports. […] Every sport and team need a CTE Prevention Protocol based on the principles of fewer hits to the head and fewer hard hits to the head. CTE prevention is that simple. […] CTE is a preventable disease, and this new study suggests that we could lower the odds that athletes develop CTE if we reduce both the number of head impacts and the force of the impacts.
- #6 CTE Prevention Protocol; Largest Ever Study on CTE – Cornett’s Cornerhttps://cornettscorner.com/cte-prevention-protocol-largest-ever-study-on-cte/
Nowinski, PhD, CEO of the Concussion Legacy Foundation. Every sport and team need a CTE Prevention Protocol based on the principles of fewer hits to the head and fewer hard hits to the head. CTE prevention is that simple. […] CTE is a preventable disease, and this new study suggests that we could lower the odds that athletes develop CTE if we reduce both the number of head impacts and the force of the impacts, said Dr. Ann McKee, chief of neuropathology for the VA Boston Healthcare System and director of the Boston University CTE Center and UNITE Brain Bank. Based on what I have learned from patients and their families, we should do everything in our power to prevent CTE.
- #7 Concussion Legacy Foundation & Boston University CTE Center introduce the first CTE Prevention Protocol – Concussion Legacy Foundationhttps://concussionfoundation.org/news/press-release/clf-bu-cte-center-introduce-first-cte-prevention-protocol/
The CTE Prevention Protocol shows that for offensive linemen, reducing head impacts in practice by half during high school and college would be expected to reduce the odds of developing CTE by 50%. If the hardest 10% of impacts were prevented through safer drills and rule changes, CTE risk would decrease by another 50%.
- #8 Chronic Traumatic Encephalopathy (CTE): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17686-chronic-traumatic-encephalopathy-cte
Reducing the number of head impacts you experience is ultimately the best way to reduce the risk of CTE. […] There are simple measures that can reduce the chance of having a concussion, where blows to the head can cause notable symptoms: […] Wear the appropriate safety gear when playing contact sports like American football or ice hockey. Helmets and other forms of safety gear can reduce the risk of having a concussion. […] If you take a hit but dont lose consciousness, its easy to brush it off and say youre fine. However, you dont have to pass out to have a concussion, and taking another hit after being concussed can be dangerous. […] People who enjoy cycling, rollerblading, skateboarding and similar sports should always wear a helmet. They can make an enormous difference in preventing concussions.
- #9 Chronic Traumatic Encephalopathy (CTE): Symptoms & Treatmenthttps://my.clevelandclinic.org/health/diseases/17686-chronic-traumatic-encephalopathy-cte
Wearing your seatbelt can reduce the chances of having a concussion or limit the severity if you still have one. […] Avoiding significant, repeated blows to the head is key, especially by using safety gear and safe practices while participating in contact sports or activities with a greater risk of head injury.
- #10 How can Chronic Traumatic Encephalopathy (CTE) be prevented?https://www.mymed.com/diseases-conditions/chronic-traumatic-encephalopathy-cte/how-can-chronic-traumatic-encephalopathy-cte-be-prevented
For a disease to be preventable in some way, shape or form, a definitive means to detect and diagnose a condition is generally necessary. A clear understanding of the causes and risk factors (including those which may be modifiable or non-modifiable) also impact the potential ways and means a medical condition can be prevented. […] For the time being, CTE is mostly associated with repetitive head / brain injury and multiple sub-concussive impact events. As such, the primary area of prevention relates to avoidance of activity that is considered high risk for head injury. This is something that any person can keep in mind when it comes to preventing unnecessary risk for head injury. […] Thus, contact sports are high on the list of probable risk activities where head injuries frequently occur, as is military service. Until such time as research is able to prove other definite risk factors, contact sportsmen and those enrolled in military service remain high-risk populations where prevention is currently most applicable.
- #11 How can Chronic Traumatic Encephalopathy (CTE) be prevented?https://www.mymed.com/diseases-conditions/chronic-traumatic-encephalopathy-cte/how-can-chronic-traumatic-encephalopathy-cte-be-prevented
For now, contact sportsmen, for instance, may be able to look at ways their sport can be made safer so as to try and reduce the number of sub-concussive impact events (or more serious injuries) that can occur, many of which take place during practice sessions. […] Some contact sports, like American football, hockey, soccer and rugby have already adopted rule changes within the game structure to help make them safer for players. […] Continuous medical care can have a helping hand in this regard, whereby players are sufficiently checked and evaluated for any signs of incurred or even residual damage from impact events (such as with the use of imaging studies). […] Sportsmen with longer careers may be more at risk of eventual CTE development, accruing more damage to the brain than those with shorter careers and less impact exposure.
- #12 Chronic Traumatic Encephalopathy (CTE): Causes and Morehttps://www.health.com/cte-8676483
Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease caused by repeated traumatic brain injuries. […] That’s why CTE prevention is so important. […] While there is no cure for CTE, the condition is highly preventable. You can prevent CTE by reducing traumatic brain injuries and concussions. If you do experience a head injury on accident, treating the injury quickly and effectively can also help prevent CTE. […] Experts also believe implementing more safety policies within sports can lower the risk of CTE, especially in athletes. Recommendations include: Use helmets, Teach safe tackling techniques, Penalize reckless hits, Encourage athletes to report any symptoms of CTE they may have, Have increased access to trained team physicians, Return to play only when cleared to do so. […] That said, you can help prevent CTE by being selective with the sports you engage in, the positions you play, and how aggressively you compete.
- #13 Chronic Traumatic Encephalopathy (CTE)https://www.webmd.com/brain/what-is-chronic-traumatic-encephalopathy-cte
Kids and higher-level athletes should take some steps to lower their chances of getting a concussion: […] Wear the right equipment. […] Make sure all gear is worn properly. […] Check the playing field, and tell the coach about any uneven areas and holes. […] Don’t use unnecessary aggression during the game. […] Learn and use the proper technique for your sport. […] Wear a seatbelt. […] Don’t play while you’re hurt. […] Theres work for the coach here, too. They should limit the number and length of contact practices. Many states now have laws on the books about that.
- #14 Cte (Chronic Traumatic Encephalopathy) – What You Need to Knowhttps://www.drugs.com/cg/cte-chronic-traumatic-encephalopathy.html
CTE develops slowly, over time. You may be able to lower your risk by preventing head injuries: […] Wear protective sports equipment that fits properly. Helmets help decrease your risk for a serious brain injury. Talk to your provider about ways you can decrease your risk for a concussion if you play sports. […] Rest after a head injury. If you do have a head injury, give your brain time to rest and heal. Do not try to play sports again too quickly. Your provider can tell you when it is okay to return to sports. […] Wear your seatbelt. A seatbelt helps to decrease your risk for a head injury if you are in a car accident.
- #15 Counseling Athletes on the Risk of Chronic Traumatic Encephalopathyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC4137675/
Rule changes in multiple sports have effectively made sports safer. […] Legislation can provide a uniform standard for concussion management and safety, particularly for youth sports. […] A key component to preventing long-term consequences is appropriate medical care from the injury onset. […] Athletes with symptoms that persist beyond 10 days should be evaluated and managed in a multidisciplinary setting by providers with experience in sports-related concussions. […] The goal is to make the era of players showing their physical and mental toughness by ignoring concussions and playing while symptomatic a relic of the past. […] It is currently unclear whether this may also have increased their risk of developing CTE and whether the current recommendations to rest until symptom resolution may decrease this risk.
- #16 Brain Injury PreventionâHow to Prevent CTE | Gomez Trial Attorneyshttps://www.thegomezfirm.com/blog/brain-injury-prevention-how-to-prevent-cte/
To date, all CTE-diagnosed people have had two things in common. First, while they were alive, they were all involved in organized sports. Second, each endured repetitive head traumas. These findings suggest that discontinuing participation in organized sports is the obvious answer to preventing the disease. However, that is not likely to happen. […] The article, Chronic Traumatic Encephalopathy (CTE): Prevention, offers simple solutions for athletes to help them avoid CTE. Some suggestions include: […] Physicians acknowledge that proper care after a concussion may reduce the chances of developing CTE. The CDC emphasizes the importance of proper care. […] The AMA has been providing guidance and recommendations ever since their member, Dr. Omalu, first diagnosed the condition. […] The Mayo Clinic CTE page acknowledges that the chances of sustaining a concussion injury increase after the first concussion. The organization reports that prevention should include efforts to reduce mild traumatic brain injuries and prevent any subsequent head injuries.
- #17 Chronic Traumatic Encephalopathy (CTE) – Neurologic Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/neurologic-disorders/delirium-and-dementia/chronic-traumatic-encephalopathy-cte
Preventive measures are the most important intervention. Because chronic traumatic encephalopathy typically results from repeated head injury, people who have had a concussion are advised to rest and to gradually return to sports activity. Those who have had several concussions should be advised of the risks of continued play.
- #18 Chronic Traumatic Encephalopathy (CTE) – SportsMDhttps://www.sportsmd.com/concussions-head-injuries/chronic-traumatic-encephalopathy-cte-2/
Last, it is the parents and the coaches responsibility to ensure that no athletes return to sport until they are completely symptom free of all signs and symptoms of concussion at rest and with full activity. Returning an athlete too early to sport after a concussion may also place the athlete at risk for second impact syndrome (life threatening brain injury).
- #19 Chronic Traumatic Encephalopathy (CTE) – SportsMDhttps://www.sportsmd.com/concussions-head-injuries/chronic-traumatic-encephalopathy-cte-2/
Because the cause of CTE is known, the prevention of CTE needs to focus on the proper diagnosis and management of athletes who have sustained concussions along with adhering to guidelines before returning to play. Unfortunately even with the advances lately in the management of concussion, they may not be enough. […] According to a recent statement by Dr. Robert Stern, co-director of CSTE, new evidence shows that 85% of concussions require about three weeks of recovery. This is a longer time period than anything currently in the literature for return to play guidelines. […] Current guidelines recommend a graduated increase in the level of activity of the athlete progressing from the initial stage of light exercise towards full contact activity once the athlete is completely symptom-free at rest. The athlete progresses through each stage as long as the athlete remains symptom-free during each stage. If symptoms return, then the athlete needs to stop for the day. This progression may be completed in as little as 5 days or may take as long as the athlete requires.
- #20https://link.springer.com/article/10.1007/s44337-025-00206-y
Rule modifications in sports have been identified as a crucial strategy for concussion prevention. For instance, changes in tackling rules in football and body-checking regulations in hockey have been proposed to reduce head impacts. Implementing strict safety protocols, including mandatory medical evaluations before returning to play, is essential for safeguarding athletes. […] Sports organisations play a pivotal role in shaping policies that promote safety. The National Football League (NFL) and other governing bodies have initiated programs to enhance concussion management and reporting compliance, demonstrating a commitment to athlete safety. These organisations can influence rule changes and promote educational initiatives, thereby fostering a safer sporting environment. […] Ongoing research into concussion prevention strategies is vital. Studies focusing on biomechanics and the development of new injury metrics are enhancing our understanding of concussion risks, giving opportunities for effective assessing of risks to CTE.
- #21 What is CTE? Understanding chronic traumatic encephalopathy – Harvard Healthhttps://www.health.harvard.edu/mind-and-mood/what-is-cte-understanding-chronic-traumatic-encephalopathy
To help prevent CTE in people who play contact sports, researchers are investigating the types of head impacts that have the highest risk. […] One study found that CTE is linked more closely to the force of blows to the head than to the number of concussions a person has experienced. The study suggests that CTE risk could be lowered by changing the force of head impacts in practices and games. […] There also have been efforts in sports, particularly in football, to decrease the number of concussions by creating stricter penalties for blows to the head. […] Improvements are being made to protective helmets for athletes engaged in contact sports, to help minimize the impact of a blow to the head. […] Brain donations from athletes have helped support research into CTE.
- #22 CTE: Preventing Concussions in Youth Hockey – Propel Physiotherapyhttps://propelphysiotherapy.com/neurological/concussion/cte-chronic-traumatic-encephalopathy/
After years of research and publicity around high-profile case of chronic traumatic encephalopathy (CTE), we are learning more about the impacts of repeated head injuries, especially as it relates to contact sports. […] The current recommendation to prevent CTE is to reduce mild traumatic brain injuries and to prevent additional injury after a concussion. CTE can be prevented by avoiding blows to the head, particularly repeated blows to the head from contact sports. […] Recently, there has been a call to increase the age at which bodychecking is permitted in youth hockey. […] A recent position statement published by Dr. Kristian Goulet at the University of Ottawa, found that eliminating bodychecking could decrease rates of concussion in Canada from 20 â 90 percent in all age groups. This review advocates for delaying contact in hockey until a minimum age of 15, based on their review of the medical literature. […] Policy changes like these will be instrumental in preventing post-concussion syndrome and chronic traumatic encephalopathy in amateur athletes in the future.
- #23 Chronic Traumatic Encephalopathy (CTE) – SportsMDhttps://www.sportsmd.com/concussions-head-injuries/chronic-traumatic-encephalopathy-cte-2/
Dr. Robert Stern offers his own recommendations specifically for the sport of football including reducing full-contact practices, changing the way players line up on the field, and using new helmets to reduce the force of the impact on the football players brains. […] The best recommendations for the prevention of CTE is to ensure that athletes who sustain concussions be seen by sports medicine professionals who have experience in treating concussions. Because the research on concussions has changed significantly over the past several years, primary care physicians who do not specialize in sports medicine might not be aware of how to correctly diagnose a concussion using the latest guidelines, utilize the new diagnostic tools, and how to apply current treatment protocols. […] Parents need to also be educated as to the signs and symptoms of concussion and be diligent to learning the current treatment protocols also. Parents may be in the best situation to detect subtle changes in their childs behavior that others may not notice.
- #24 Chronic Traumatic Encephalopathy (CTE) – SportsMDhttps://www.sportsmd.com/concussions-head-injuries/chronic-traumatic-encephalopathy-cte-2/
More research needs to be conducted to ensure that the current neurological tests that are being used in the field are accurate and correspond correctly to the state of the brain. If concussed athletes brains still suffer the effects of being concussed without corresponding outward signs or symptoms, then better neurocognitive tests need to be created to accurately reflect the status of the brain. […] While the researchers continue to study the effects of concussions on athletes brains, lawmakers have moved to take the issue into their own hands by creating laws that would better protect young athletes. Bills have been introduced across this country in a number of states (i.e., California, New York, Massachusetts) to protect athletes who have been concussed by not allowing these athletes to return to play on the same day of the injury, requiring medical approval before concussed athletes are allowed to return to their sport, and by introducing training and education for coaches, athletic administrators, parents, and athletes as to the dangers of concussions.
- #25 Chronic Traumatic Encephalopathy (CTE): Symptoms and Treatmenthttps://brainfoundation.org.au/disorders/chronic-traumatic-encephalopathy/
Chronic traumatic encephalopathy (CTE) is a type of dementia associated with repeated head injuries or concussions. […] In the meantime, many researchers and advocates are pushing for increased awareness about the risks of concussion head injuries to help prevent CTE. […] Researchers are trying to identify biomarkers (substances in the body that can be measured to indicate the presence or progression of a disease) that could help diagnose CTE in living individuals. […] Understanding the risk factors for developing CTE is crucial for prevention. Current research is focused on determining how the number, severity, and frequency of head injuries are related to the risk of developing CTE. […] Researchers instead focus on preventive measures, such as finding ways to reduce head injuries. In contact sports this might involve educating coaches, players and parents about the risks, ensuring that field medics know the signs of concussion, and penalising players for dangerous moves.
- #26https://link.springer.com/article/10.1007/s44337-025-00206-y
Preventive strategies for neurotrauma in sports, particularly concerning concussions and Chronic Traumatic Encephalopathy (CTE), are multifaceted and require a comprehensive approach involving education, protective equipment, rule changes, policy influence, and ongoing research. […] Education is vital for athletes, coaches, and parents to recognise the signs and symptoms of concussions. Programs have shown effectiveness in improving knowledge and attitudes towards concussion management among youth and high school coaches, leading to increased implementation of prevention strategies. Tailored education initiatives can significantly reduce the incidence of sport-related concussions by fostering a culture of awareness and proactive management. […] Protective equipment, such as helmets and padding, is critical in mitigating the risk of neurotrauma. While helmets are effective in preventing severe head injuries, their ability to prevent concussions remains debated. Nonetheless, helmet technology and design advancements are promising, with ongoing research aimed at enhancing their protective capabilities.
- #27 Chronic Traumatic Encephalopathy (CTE) Awareness Day 2024 – Disability Horizons Shop Disability Living Aids and Accessorieshttps://shop.disabilityhorizons.com/chronic-traumatic-encephalopathy-cte-awareness-day-2024/
Concussion protocols are such things as recommending that no athlete should return to play or practice on the same day of a concussion. […] Monitoring of head injuries is another crucial aspect of CTE prevention. An athletes parents and coaches need to watch for concussion symptoms after each game or practice. […] Proper technique and behaviour, limitations on contact practices, and contact restrictions by age group all have the potential to prevent head injury. […] Athletes, parents, coaches, officials, and the media should be educated about the risks of repeated head injuries and the importance of safety measures.
- #28 (PDF) Causes and Prevention of Chronic Traumatic Encephalopathy (CTE) in American Footballhttps://www.academia.edu/40230563/Causes_and_Prevention_of_Chronic_Traumatic_Encephalopathy_CTE_in_American_Football
While these collision and concussions are observable to the general populations, the football fans, the medical community, and the NFL have taken excessively long to come up with a feasible solution to this problem, which greatly contributes to CTE among the players. […] With respect to the players and coach education, it is critical for the government in collaboration with the NFL and the public to initiate training of the players and the coaches on the possible health adversities associated with collisions and specific mental health deterioration that emanates from CTE. […] The rule-based approach to solving the concussion suffered by the NFL and which culminates into CTE would encompass changing the rules of the game in a manner that reduces the number of concussions without affecting the overall play experience.
- #29 Chronic traumatic encephalopathy – Wikipediahttps://en.wikipedia.org/wiki/Chronic_traumatic_encephalopathy
The use of helmets and mouth guards has been put forward as a possible preventative measure; though neither has significant research to support its use, both have been shown to reduce direct head trauma. […] Although there is no significant research to support the use of helmets to reduce the risk of concussions, there is evidence to support that helmet use reduces impact forces. […] Because repeated impacts are thought to increase the likelihood of CTE development, a growing area of practice is improved recognition and treatment for concussions and other head trauma; removal from sport participation during recovery from these traumatic injuries is essential. […] Efforts are being made to change the rules of contact sports to reduce the frequency and severity of blows to the head. […] Because of the concern that boxing may cause CTE, there is a movement among medical professionals to ban the sport.
- #30 Chronic Traumatic Encephalopathy (CTE) Awareness Day 2024 – Disability Horizons Shop Disability Living Aids and Accessorieshttps://shop.disabilityhorizons.com/chronic-traumatic-encephalopathy-cte-awareness-day-2024/
Preventing CTE involves several strategies, including the use of protective gear, adherence to safety rules, implementation of concussion protocols, and careful monitoring of head injuries. […] Protective gear, such as helmets and padding, can help reduce the risk of severe traumatic brain injuries (TBI) by decreasing the acceleration of the head upon impact. […] However, its important to note that protective gear like helmets, mouthguards, and concussion headbands are not entirely effective in preventing concussions. […] Therefore, while protective gear is essential, it should be used in conjunction with other preventive measures. […] Adherence to safety rules is crucial in preventing CTE. These rules are designed to reduce the number of hits to the head and the strength of hits, which can significantly lower the odds of developing CTE.
- #31 Chronic Traumatic Encephalopathy: Update on Current Clinical Diagnosis and Managementhttps://www.mdpi.com/2227-9059/9/4/415
Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease exhibiting a distinct pattern of neuropathological changes associated with repetitive head trauma leading to increased risk of long-term memory and cognition issues. […] Prevention of TBI remains the only method of prevention. Within the contact sports, which are common facilitators of repetitive mild TBI (rmTBI), preventative measures include contact rule changes and protective equipment, with an acknowledgement that no protective equipment can prevent a concussion. Immediate removal from play with strict supervised return to play guidelines and proper medical management remains a crucial element in prevention of second impact syndrome and other sequalae. […] Considering a lack of treatment options, the best treatment method for CTE remains prevention. Therefore, continued research on the efficacy of protective equipment, development of enhanced protective equipment, continued enforcement and further development of sport contact roles, and improvements and enforcement of return to play protocols is needed.
- #32 Could Neck Injury Be the Culprit in Post-Concussion Symptoms and the Development of Chronic Traumatic Encephalopathy? –https://caringmedical.com/prolotherapy-news/neck-injury-culprit-post-concussion-symptoms-development-chronic-traumatic-encephalopathy/
In this article and open letter to the medical community, we will discuss prevention of Chronic Traumatic Encephalopathy by way of cervical instability. […] If you can make a connection to cervical instability, healing and prevention can begin. […] While much of the focus on concussion prevention and treatment has been targeted towards the brain tissue proper, what has largely been forgotten are the injuries sustained in the neck at the same time as the initial and subsequent impacts (person with multiple concussions). […] The technology now exists to document the cervical instability (excessive motion compared to normal) through motion imaging such as Digital motion X-ray as well as visualize and measure cerebral spinal fluid flow dynamics in patients with upright, flexion extension (motion) Cine cervical MRI. […] It is my hope that more research on concussions and its aftermath, will focus on these neck injuries and the treatments that resolve them. By doing this, we may just stop CTE from developing.
- #33 Chronic traumatic encephalopathy: The unknown disease | NeurologÃa (English Edition)https://www.elsevier.es/es-revista-neurologia-english-edition–495-articulo-chronic-traumatic-encephalopathy-the-unknown-S2173580816301171
Chronic traumatic encephalopathy is a neurodegenerative disease produced by accumulated minor traumatic brain injuries; no definitive premortem diagnosis and no treatments are available for chronic traumatic encephalopathy. […] The mainstay of managing this disease is prevention and early detection of its first symptoms. […] Most preventive strategies focus on avoiding prolonged exposure to contact sports and detecting those individuals most at risk of developing CTE. […] To this end, genetic tests which detect the presence of the ApoE 4 allele are crucial. […] The use of suitable neuropsychological tests helps clinicians detect those individuals with early symptoms, guiding patient management and the decision to resume play.
- #34 Chronic post-traumatic encephalopathy in boxing Prevention and follow-up: review article – MedCrave onlinehttps://medcraveonline.com/JNSK/chronic-post-traumatic-encephalopathy-in-boxing-prevention-and-follow-up-review-article.html
Chronic post-traumatic encephalopathy is a neurodegenerative disease resulting from the accumulation of numerous craniocerebral traumas, for which there is no definitive pre-mortem diagnosis or specific treatment. […] The key to managing this disease is prevention and early detection of its first symptoms. […] The bulk of preventive strategies are aimed at avoiding prolonged exposure to contact sports, as well as detecting those individuals who have an individualized susceptibility to presenting CPE. […] For this, genetic detection tests that allow determining the presence of the apoE4 allele are of special importance. […] Given that there are no specific therapeutic targets, the most plausible strategy currently lies in prevention, avoiding prolonged exposure and determining the most susceptible individuals (genetic study to detect the -apoE4 allele). […] In boxing, very close monitoring of the participants must be carried out in order to identify early clinical manifestations in athletes who have received many blows to the skull, as well as those who began the practice of boxing at a very early age.
- #35 The benefits of rehabilitation exercise in improving chronic traumatic encephalopathy: recent advances and future perspectives | Molecular Medicine | Full Texthttps://molmed.biomedcentral.com/articles/10.1186/s10020-023-00728-0
Traumatic encephalopathy syndrome (TES) is used to describe the clinical manifestations of chronic traumatic encephalopathy (CTE). However, effective treatment and prevention strategies are lacking. Increasing evidence has shown that rehabilitation training could prevent cognitive decline, enhance brain plasticity, and effectively improve neurological function in neurodegenerative diseases. Therefore, the mechanisms involved in the effects of rehabilitation exercise therapy on the prognosis of CTE are worth exploring. The aim of this article is to review the pathogenesis of CTE and provide a potential clinical intervention strategy for CTE. […] Rehabilitation exercise can improve cognitive function, clinical symptoms such as depression and anxiety, and can also protect the nervous system by inducing the production of brain-derived neurotrophic factor (BDNF), insulin-like growth factor I and vascular endothelial growth factor (VEGF), which has a beneficial effect on brain plasticity.
- #36 The benefits of rehabilitation exercise in improving chronic traumatic encephalopathy: recent advances and future perspectives | Molecular Medicine | Full Texthttps://molmed.biomedcentral.com/articles/10.1186/s10020-023-00728-0
Rehabilitation exercise may also be effective for it. […] Rehabilitation exercises can reduce abnormal proteins (P-tau and A), therefore rehabilitation exercises may be used as a potential clinical intervention strategy for the treatment of CTE. […] Rehabilitation exercise is conducive to avoiding vascular endothelial dysfunction and reducing vascular oxidative damage. To sum up, rehabilitation exercise may induce angiogenesis, and VEGF may improve microcirculation disorders and nerve function, which may be a potential therapeutic target for improving microcirculation disorders in CTE patients. […] Rehabilitation exercise may improve endocrine diseases related to CTE. […] The effect of rehabilitation exercise on neuropsychiatric symptoms is positive, and close in magnitude to that of traditional drug treatment.
- #37 The benefits of rehabilitation exercise in improving chronic traumatic encephalopathy: recent advances and future perspectives | Molecular Medicine | Full Texthttps://molmed.biomedcentral.com/articles/10.1186/s10020-023-00728-0
Therefore, it is recommended that TES patients start rehabilitation exercise as soon as possible. […] At present, there are still few clinical studies and basic studies on rehabilitation exercise to improve CTE, and many patients with CTE are athletes and soldiers, compared with other patients such as civilians who have suffered from long-term head violence, they have performed long-term regular exercise before CTE, which will have an impact on the prognosis of CTE is unknown, so the specific molecular mechanism of rehabilitation exercise to improve CTE still needs to be explored and verified.
- #38 Chronic Traumatic Encephalopathy: Causes, Effects, And Prevention | BetterHelphttps://www.betterhelp.com/advice/trauma/chronic-traumatic-encephalopathy-causes-effects-and-prevention/
Another measure that might help is improving cognitive reserve, meaning the complexity and flexibility of neuronal networks. […] Some studies have found evidence that this process might also slow the progression of CTE. Enriching activities like the following may contribute to cognitive reserve: Reading, Learning new skills, Participating in creative hobbies, Getting regular exercise (without head collisions), Socializing and meeting new people.
- #39 Study Reveals CTE in Players Linked to Repetitive Head Impactshttps://www.smithlawcenter.com/blog/study-repetitive-head-impact-chronic-traumatic-encephalopathy
A new study has determined with conclusive evidence that repetitive head impacts cause the degenerative brain disease Chronic Traumatic Encephalopathy (CTE). […] Based on their findings, the authors of the study are calling on parents, sports leagues, and government officials to begin implementing CTE prevention efforts. […] A CLF press release states that the authors of the study were particularly concerned that young athletes and children were being exposed to preventable cases of CTE. Such unnecessary exposure to CTE may be due to global sports groups not relaying important information to coaches and parents. […] Dr. Adam Finkel, another co-author of the study, said, This analysis shows it is time to include repetitive head impacts and CTE among child protection efforts like exposure to lead, mercury, smoking, and sunburns. […] The new evidence regarding repetitive head impacts and CTE will go a long way toward raising awareness. It will also help in implementing protective measures for vulnerable populations.
- #40 Understanding Chronic Traumatic Encephalopathy (CTE) – CORA Physical Therapyhttps://www.coraphysicaltherapy.com/understanding-cte/
Chronic traumatic encephalopathy (CTE) comes into play. CTE is brain damage that occurs because of continued or chronic head traumas. CTE can have significant impacts on an individualâs quality of life, but the good news is there are preventative measures that can be taken. […] Early intervention is key to preventing significant brain damage. With correct and quick interventions, we are more likely to be able to prevent long term symptoms. This will help protect brain and body function to reduce the overall impact of the injury. […] The positive aspect when it comes to CTE is there are measures we can take to prevent it in the first place. […] Some of the current preventative measures for CTE are: Limiting kids heading the ball in soccer. Youth and high school soccer have put regulations on leagues where you cannot head the ball until you are over 10 years old. More education has been put into place for coaches as well to educate them on proper form with heading to limit concussions. Heads up football classes. This is a program that was created for youth football that educates on components such as concussion awareness, heat preparation/hydration, sudden cardiac arrest, equipment fitting, and heads up tackling to improve player safety. NFL funding research for CTE. The NFL is contributing around 10 million dollars a year to research CTE.
- #41 CTE Awareness Day – The Brain Injury Alliance of New Jerseyhttps://www.bianj.org/cte/
Brain injury is difficult to predict or avoid, however prevention is key to reducing the risk. […] Always wear protective gear, use proper technique, and practice good sportsmanship […] All athletes should be supervised at all times by a professional who is trained to screen for signs and symptoms of concussion […] Follow concussion protocol and listen to the advice of your concussion management team […] Stay up to date with the latest information about concussion diagnosis and management […] Seek medical advice immediately if a concussion or brain injury is suspected.
- #42 5-Things-to-Know-About-Veterans-and-CTE | WWPhttps://newsroom.woundedwarriorproject.org/5-Things-to-Know-About-Veterans-and-CTE
To minimize veterans risk of developing CTE, it is critical to avoid repeated head trauma. […] But it is also necessary to raise awareness in the warrior community about the link between head injuries and CTE and ensure access to appropriate rehabilitation and care.
- #43 Blast Injury Research Coordinating Office (BIRCO) – International State-of-the-Science Meeting – Does Repeated Blast-Related Trauma Contribute to the Development of Chronic Traumatic Encephalopathy (CTE)?https://blastinjuryresearch.health.mil/index.cfm/sos/does_repeated_blast-related_trauma_contribute_to_CTE
Findings and recommendations from this meeting guide future scientific research and the development of prevention, assessment, and treatment strategies for the military and sports communities. […] Discuss strategies for prevention, mitigation, early diagnosis, and treatment of blast-induced neurodegeneration. […] What are the strategies that can be used to prevent, mitigate, or treat neurodegeneration following repeated blast exposure?
- #44https://www.bu.edu/cte/
Boston Universitys Chronic Traumatic Encephalopathy (CTE) Center conducts high-impact, innovative research on chronic traumatic encephalopathy and other long-term consequences of repetitive brain trauma in athletes, military personnel, first responders, victims of physical violence, and others affected by head trauma. […] The mission of the CTE Center is to conduct state-of-the-art research on CTE, including its neuropathology and pathogenesis, clinical presentation, genetics and other risk factors, biomarkers, methods of detection during life, and methods of prevention and treatment.
- #45 Content – Chronic Traumatic Encephalopathy (CTE) – Topic guides at Dementia Australia Library Servicehttps://dementia-org.libguides.com/CTE
Chronic traumatic encephalopathy (CTE) is a brain condition associated with repeated blows to the head. It is also associated with the development of dementia. Potential signs of CTE are problems with thinking and memory, personality changes, and behavioral changes including aggression and depression. People may not experience potential signs of CTE until years or decades after brain injuries occur. […] Australian CTE Biobank – CTE Prevention, Care and CureOur mission is to understand CTE, a younger-onset dementia, with the aim of creating precision medicine approaches, transformative research, and community translation programs that will benefit individuals and their families.
- #46 CTE Hope – Research. Prevention. Support. Education.https://ctehope.com/
Learn about the problem, before it becomes a real problem. […] Through research and development, we are searching for ways to identify CTE potential in concussed and sub-concussed brains. It is our aim to protect and defend against the long-term, ill-effects of multiple traumatic brain injuries many of which occur often in organized sports, as well as every day life. […] CTE Hope is a 501(c)(3) Nonprofit dedicated to utilizing biomarker protein data to identify a concussive event. Our aim at CTE Hope is not to end sports that may have a concussive aspect, but to develop new tools to identify the level of brain injury sustained by the athlete. […] Although we focus on youth collision sports, it is important to remember that any concussive event including falls, and near falls, can produce CTE. We are researching CTE and plan to come out with a comprehensive testing device to alert institutions before the onset of CTE and its deleterious effects.
- #47 Resources for Families | CTE Centerhttps://www.bu.edu/cte/resources/resources-for-families/
The CTE Prevention Protocol, created in collaboration with the Concussion Legacy Foundation, is an evidence-based set of recommendations for preventing CTE in contact sports. […] The CTE Prevention Protocol, created in collaboration with the Concussion Legacy Foundation, is an evidence-based set of recommendations for preventing CTE in contact sports.
- #48 NFL admits CTE; Concussion Prevention For Utah Youth is Back | Utah Public Radiohttps://www.upr.org/news/2016-04-04/nfl-admits-cte-concussion-prevention-for-utah-youth-is-back
The National Football League is admitting a connection between football and chronic traumatic encephalopathy, or CTE. And now the question of protecting young athletes from concussions is once again a main topic of discussion. […] Adam Breiner, doctor of family medicine at the NueroEdge Brain Performance Center in Fairfield Connecticut, says parents and coaches should be aware of their childs symptoms when they receive a concussion. […] Well, rest is the first thing. Thats kind of the standard of care, and what people say is to just to rest. So, its not doing any in-depth cognitive exercises, not watching TV, not going to school, staying off the phone, and keeping in a calm environment. […] If someone is recovering from a concussion, Dr. Breiner suggests taking the victim to a neurologist to receive Hyperbaric Oxygen Therapy, which helps the body and brain get the oxygen it needs to reduce inflammation from a concussion. Breiner also says the cognitive training Neurofeedback can help stabilize the brain after a concussion.
- #49 Content – Chronic Traumatic Encephalopathy (CTE) – Topic guides at Dementia Australia Library Servicehttps://dementia-org.libguides.com/CTE
Chronic Traumatic Encephalopathy (CTE) dementia by Dementia AustraliaPublication Date: 2022 Information about Chronic traumatic encephalopathy (CTE) dementia, a condition affecting brain function due to repeated head injuries over time. It describes symptoms, treatment and management options, and tips to support someone with the condition. […] Our joint pre-budget submission outlines two proposals to: – Pilot a national program of support for people living with CTE, their families and carers. – Develop a community awareness and education campaign about concussion and CTE and to prevent CTE […] Chronic traumatic encephalopathy (CTE) has been identified at post-mortem in Australian football codes players. Detailed and objective clinical and radiological characterization of patients at-risk of sporting and non-sporting repetitive concussive and subconcussive traumatic brain injury (RC/SCI) is important to our understanding of traumatic encephalopathy syndrome (TES) and CTE. This paper presents the initial findings of the symptomatology, neurocognitive, and pathophysiological changes in CTE (SNAP-CTE) study.
- #50 ð§ Chronic Traumatic Encephalopathy (CTE) Awareness Day – January 30, 2025 ð§ Today, on CTE Awareness Day, the National Centre for Persons with Disabilities (NCPD) stands together with the global community to raise awareness about Chronic Traumatic Encephahttps://www.facebook.com/NCPDTrinidad/posts/-chronic-traumatic-encephalopathy-cte-awareness-day-january-30-2025-today-on-cte/1024821153014667/
Chronic Traumatic Encephalopathy (CTE) Awareness Day – January 30, 2025 […] Today, on CTE Awareness Day, the National Centre for Persons with Disabilities (NCPD) stands together with the global community to raise awareness about Chronic Traumatic Encephalopathy (CTE), a progressive neurodegenerative disease caused by repeated brain trauma. […] Awareness and education about CTE are essential for prevention and early intervention. […] NCPD advocates for improved safety protocols, early recognition, and support for those affected by this condition. Awareness is the first step toward prevention, better management, and a brighter future for those at risk.
- #51 Chronic Traumatic Encephalopathy (CTE) – The Ben Williams Foundationhttps://benwilliamsfoundation.org/prevention-and-education/chronic-traumatic-encephalopathy-cte/
Chronic Traumatic Encephalopathy (CTE) is a degenerative brain disease that primarily affects athletes in contact sports and other individuals who have a history of repetitive brain trauma. CTE mostly stems from repeated concussions, and it is difficult to diagnose while a person is still alive. Because of this, any diagnosis is based on a variety of symptoms that have been associated with the disease. […] The Ben Williams Foundation is committed to contributing to the prevention of CTE through research, education, and advocacy. Join Ben and his foundation in their efforts to reduce or eliminate CTE in sports at an early age and protecting the lives of those involved.
- #52 CTE Awareness Day 2024: Symptoms to prevention, all you want to know about this rare brain disorder | Health – Hindustan Timeshttps://www.hindustantimes.com/lifestyle/health/cte-awareness-day-2024-symptoms-to-prevention-all-you-want-to-know-about-this-rare-brain-disorder-101706511865993.html
CTE (Chronic Traumatic Encephalopathy) Awareness Day is observed every year on January 30 to spread awareness around this rare degenerative brain disease that develops after repeated head injuries, commonly reported in football, boxing and hockey players and sometimes in domestic violence victims. […] Protective head gears while playing sports can help to a great extent. […] While complete prevention may be challenging, measures can be taken to reduce the risk of CTE. Proper helmet use, rule changes in sports, and improved awareness about the consequences of head injuries are crucial steps toward minimising the impact of repetitive trauma. […] Dr Vipul Gupta encourages support for ongoing research initiatives aimed at understanding CTE better. Advances in imaging technologies and biomarker research offer hope for earlier detection and improved management of this debilitating condition.
- #53 Do repetitive head injuries really cause the degenerative brain disease CTE? New research questions the linkhttps://theconversation.com/do-repetitive-head-injuries-really-cause-the-degenerative-brain-disease-cte-new-research-questions-the-link-239089
Concerns about the long-term impacts of concussion and head injury have become prominent in recent years, particularly among participants and stakeholders of contact and collision sports. […] Sports that have risks of head injury continue to make changes to protect athletes from harm through new measures for prevention, better identification of concussion and better management when they do occur. […] It is important that research into CTE also considers a range of potential contributory factors, such as those above for dementia, and not just focus on one factor (such as repetitive head impacts in contact sports). […] More rigorous studies, with agreed definitions and measurements, are needed to explore a wide range of risk and protective factors. […] The public should also recognise that for the everyday athlete, the risks of concussion are not the same as those of a professional athlete. […] Keeping physically active through sport remains an important part of a healthy lifestyle and is protective against many long-term, chronic diseases.