QB's Head Injury Spurs Scrutiny of NFL Concussion Protocol

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QB's Head Injury Spurs Scrutiny of NFL Concussion Protocol
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A high-profile NFL injury has put the spotlight back on football's persistent concussions, which are linked to head trauma and a variety of long-lasting symptoms, and can be worsened by rushing back to physical activity.

Sept. 30, 2022 -- A high-profile NFL injury has put the spotlight back on football's persistent concussions, which are linked to head trauma and a variety of long-lasting symptoms, and can be worsened by rushing back to physical activity.

The Dolphins said that Tagovailoa had movement in all of his extremities and had been discharged Thursday night from University of Cincinnati Medical Center. "When you've seen one concussion, you've seen one concussion . . . there's just such wide variability," said Jennifer Wethe, the lead neuropsychologist for the Mayo Clinic Arizona Concussion Program, adding that it's a common problem beyond professional sports."Most of us at some point in our life probably will have a concussion . . .

"He was afraid that this was concussion number X and he was done for his career," Fink said. Under the school's concussion protocol, Fink said the player was held out of the game and will be reevaluated Friday within 24 hours after the apparent injury. "Concussions are a cause of novel mental health disorders like anxiety, depression, self-harm and suicidal ideation," said Nowinski.

But Nowinski noted potential"gaps" in the NFL's protocol: A doctor can send a player back into a game, for instance, if he concludes that signs of an apparent concussion - like a player stumbling to stand after a blow to the head - are caused by something besides a head injury. Concussion care has rapidly evolved in recent years, as experts learn more about the brain, Wethe noted. For instance, she said the maxim"rest is best" was a cornerstone of concussion therapy for years, with patients urged to cloister in dark rooms for days until their symptoms resolved.

"Concussions are devastating and as a nation we must do more to protect people with brain injury - that starts with our pro sports leagues," Pascrell wrote on Twitter.Heading into Thursday night's game, Nowinski had called for the Dolphins to bench their quarterback, arguing the team was hiding a concussion that Tagovailoa suffered just days earlier and was rushing him back to competition, elevating the risk of a more serious brain injury.

"First, he grabbed his helmet after his head hit the ground. Then he stood up and had [to] . . . step backwards because he was off balance. Then he shook his head side-to-side in a classic shaking off the cobwebs motion, which I do not know another reason why you do that unless you're having a visual disturbance after concussion. Then he fell. Then when he stood up, he was gonna fall again if . . . his teammates didn't hold him up," Nowinski said.

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