NEWS Mental Health News The Evidence is Adding Up: All Head Impacts Have Consequences for Brain Health By Sarah Fielding Sarah Fielding LinkedIn Twitter Sarah Fielding is a freelance writer covering a range of topics with a focus on mental health and women's issues. Learn about our editorial process Updated on March 15, 2022 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Karen Cilli Fact checked by Karen Cilli Karen Cilli is a fact-checker for Verywell Mind. She has an extensive background in research, with 33 years of experience as a reference librarian and educator. Learn about our editorial process Share Tweet Email Print Verywell / Madelyn Goodnight Key Takeaways Multiple recent reports emphasize the link between brain injuries in sports and long-term issues. Long-term injuries can occur even if a person doesn't sustain a concussion. Policy changes in sports may help lower instances of head injury. Society has long thought of concussions and general head injuries as an expected hazard of playing sports. Yet, significant steps are not in place to lower instances of or treat them. Instead, players are typically left alone to deal with the consequences, which are often not discovered until symptoms have set in. “Even mild head injury can incur neurological damage that may have manifest effects in the intermediate and long-term,” says Dr. James Giordano, a professor of neurology and biochemistry at Georgetown University Medical Center. He explains that the initial symptoms of potential neurological damage include: DisorientationVarying levels of confusionBlurred visionMovement and balance problemsFatigueNausea Giordano says that anyone experiencing these symptoms post-injury, even if they are not struggling with consciousness, should have potential damage assessed as soon as possible. How a Head Injury Can Affect Your Mental Health Impact of Repeat Head Trauma A series of recent studies further demonstrate the impact of head trauma in sports. One preliminary study from Boston University looked at hockey players ranging from youth groups to professionals and how engaging in the sport impacts chronic traumatic encephalopathy (CTE) rates. Researchers found that each additional year of hockey-playing increased a player’s chance of developing CTE by 23%. On top of that, each year playing led to a 15% higher chance of progressing to another CTE stage. Patric K. Stanton, PhD The high prevalence of CTE in athletes, particularly professional athletes in sports where repeated impacts are routine, has led to the belief that even repeated sub-concussive impacts can contribute to cumulative damage to the brain. — Patric K. Stanton, PhD According to Dr. Joey Gee, a neurologist with Providence Mission Hospital, CTE symptoms include short-term memory loss, mood changes, disorientation, and difficulty thinking or making hard decisions. “The high prevalence of CTE in athletes, particularly professional athletes in sports where repeated impacts are routine, has led to the belief that even repeated sub-concussive impacts can contribute to cumulative damage to the brain,” adds Dr. Patric K. Stanton, a professor of cell biology and anatomy and neurology at New York Medical College. Another exploratory study from Brain Injury looked at blood samples of professional soccer players taken one and 12 hours after accidentally experiencing a head impact during a game, repeated balls to the head, and intensive exercise. Researchers found that medical professionals could possibly use the first two points as brain injury biomarkers. This demonstrates a critical point: head injury can occur without a concussion. “Repeat head injuries, including ‘minor’ head injuries, otherwise known as sub-concussive head injuries, have been found to induce microstructural impacts on the brain,” says Dr. Ilan Danan, a sports neurologist at the Center for Sports Neurology and Pain Medicine at Cedars-Sinai Kerlan-Jobe Institute. Further emphasizing this is a study around youth from Brain Communication, which looked at the brain vital signs of football players 14 years or younger in the pre and post-season. There was a link between instances of head impacts and changes in brain vital signs. Concussions Raise the Risk of Opioid Use Disorder by 65%, Study Finds Recognizing Signs of Head Trauma Once you’re aware of the symptoms and potential ramifications, the importance of recognizing head trauma becomes even more apparent. While individuals hold some responsibility for keeping track of injuries and signs of damage, it may be challenging to ascertain depending on the extent of their symptoms. “This emphasizes the need for responsible individuals, coaches, teammates, and referees to step in and act proactively to remove someone from play if there is even a risk until it can be determined how severe the injury might be,” says Stanton. James Giordano, PhD Even mild head injury can incur neurological damage that may have manifest effects in the intermediate and long-term. — James Giordano, PhD In the case of casual sports, he recommends setting rules on how to respond to injuries instead of trusting the player’s call. Danan adds that though injuries are almost a guarantee in sports, it’s critical to recognize and address them as soon as possible. Lack of Sleep May Lead to Concussion Symptoms, Study Suggests Necessary Policy Changes In line with that, policy changes can help ensure the safety of players. The Centers for Disease Control sets national guidelines at the student level, but they vary between sports. However, schools need to have policies in place to protect students. “It’s important that schools have an emergency action plan that clearly identifies and creates a process for any injury including easy access to an automated external defibrillator if needed, when to use heat acclimatization, how and when to conduct a concussion evaluation, along with a protocol for follow up medical care,” says Gee. When these policy changes occur in sports, there can be a lower risk of head injury. “We have seen exactly that, at all levels of sport,” says Danan. From reducing the amount of time athletes engage in full-contact practice, to altering the rules on kickoff returns in football. The commitment towards injury prevention can be just as effective off the field as it is on the field.” Overall, players and the people surrounding them need to monitor head injuries in sports closely. As Stanton says, “This is an evolving field where regular, more sensitive cognitive monitoring and new biomarkers are needed to strengthen our ability to predict and protect athletes from long-term damage.” What This Means For You Even if you don't play contact sports, Gee emphasizes the importance of staying aware of head injuries and always wearing a helmet. Black Athletes Recognize Fewer Concussion Symptoms Than White Counterparts, Study Finds 4 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Eunice Kennedy Shriver National Institute of Child Health and Human Development. What are the symptoms of traumatic brain injury (TBI)? Sandmo SB, Matyasova K, Filipcik P, et al. Changes in circulating microRNAs following head impacts in soccer. Brain Injury. 2022:1-12. doi:10.1080/02699052.2022.2034042 Fickling SD, Poel DN, Dorman JC, D’Arcy RCN, Munce TA. Subconcussive changes in youth football players: Objective evidence using brain vital signs and instrumented accelerometers. Brain Communications. 2022;4(2):fcab286. doi:10.1093/braincomms/fcab286 Centers for Disease Control and Prevention. CDC heads up. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? 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