Subtle Brain Injury

National Football League Commissioner Roger Goodell last week sent letters to the governors of 44 states imploring them to pass laws, like the one in Washington state, that protect young student athletes who suffer concussions. http://www.google.com/hostednews/ap/article/ALeqM5hvOCfeO2dM98z2jlCj7eqv0lDfUwD9FSM7OO2

Goodell’s letter, according to the Associated Press, was expected to be mentioned by Dr. Richard Ellenborgen during a concussion forum that Congressman John Conyers, D-Mich., is holding today, Monday, in Manhattan.

The NFL put its head in the sand for many years in terms of acknowledging the long-term impact of brain injury. Now, the league and Goodell are actively promoting the institution of proper guidelines for those who suffer concussions while playing sports.

“The NFL has taken a much more aggressive approach in recent years in identifying and treating concussions among our own players,” Goodell wrote in his letter. “We have implemented an awareness campaign to make certain that everyone in the league, including players and coaches, is better equipped to identify concussion symptoms. Our primary rule is: The medical staffs determine when a player is ready to return, not the coach nor the player himself.”

http://www.nfl.com/news/story?id=09000d5d81847223&template=with-video-with-comments&confirm=true

The NFL is urging the 44 states without student-brain injury guides to use the Lystedt Law in Washington as their model. That legislation is named after Zackery Lystedt, a high school player who went back into a game in 2008 after sustaineing a concussion, and then had to be hospitalized and nearly died.   

Dr. Ellenborgen was Lystedt’s surgeon. The NFL’s Head, Neck and Spine Committee is chaired by Dr. Ellenborgen and Dr. Hunt Batjer, who testified at today’s hearing.

 “The Center for Disease Control estimates that there may be as many as 3.8 million sports and recreation-related concussions in the United States each year,” Goodell wrote in his letter. “These injuries are sustained by both boys and girls in numerous contact sports.”

He continued, “Given our experience at the professional level, we believe a similar approach is appropriate when dealing with concussions in all youth sports. That is why the NFL and its clubs urge you to support legislation that would better protect your state’s young athletes by mandating a more formal and aggressive approach to treatment of concussions.”

The Lystedt law’s has three major components: Athletes, parents and coaches must be educated about the dangers of concussions each year; if a young athlete is suspected of having a concussion, he/she must be removed from a game or practice and not be permitted to return to play; and a licensed health care professional must clear the young athlete to return to play in the subsequent days or weeks.

“We would urge that similar legislation be adopted in your state,” Goodell wrote. “We believe that sports and political leaders can help raise awareness of these dangerous injuries and better ensure that they are treated in the proper and most effective way. Young athletes, as well as parents, coaches and school officials in your state, will thank you for taking a stand on this important issue.”