Stanford Investigates the Hits that Cause Concussions
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Jerry Brown, took effect, limiting full-contact practice for middle and high-school students to twice per week, and requiring any student who suffered a concussion to wait at least a week before returning to play.\u003c/p>\n\u003cp>The law is in part a reflection of the increasing concern over concussions, brain injuries caused by a blow to the head or a rapid acceleration and deceleration to the head which could occur during a car accident, collision during a sporting event, or other traumatic event.\u003c/p>\n\u003cp>Each year, two million people in the U.S. suffer a concussion, according to the Centers for Disease Control.\u003c/p>\n\u003cfigure id=\"attachment_74376\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_soccer-e1441307785189.jpg\">\u003cimg class=\"size-full wp-image-74376\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_soccer-e1441307785189.jpg\" alt=\"Concussions are common in contact sports such as soccer and football. Image by Blake McHugh\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_soccer-e1441307785189.jpg 800w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_soccer-e1441307785189-400x225.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">\u003cem>Concussions are common in contact sports such as soccer and football. Image by Blake McHugh\u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>“The brain hits these bony structures inside of the skull, and that causes damage to occur,” said \u003ca href=\"http://www.mtdiablomemorycenter.com/about-us/\">Eric Freitag\u003c/a>, a neuropsychologist based in Walnut Creek who administers cognitive testing to high school students who play contact sports such as football and soccer.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Common symptoms of concussions include fatigue, headache, nausea, blurriness of vision, memory loss and occasionally, loss of consciousness.\u003c/p>\n\u003cp>Although most people recover from concussions within a week to 10 days, a significant number of patients may have difficulty returning to work or school weeks or months after their head injuries.\u003c/p>\n\u003cfigure id=\"attachment_74342\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_Geoff_Manley.jpg\">\u003cimg class=\"wp-image-74342\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_Geoff_Manley.jpg\" alt=\"Dr. Geoffrey Manley looks at CT and MRI scans at the Brain and Spinal Injury Center in San Francisco. \" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-1440x810.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-960x540.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">\u003cem>Dr. Geoffrey Manley looks at CT and MRI scans at the Brain and Spinal Injury Center in San Francisco. Image by Blake McHugh\u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>“There’s a subset of these individuals, at least 15 percent, that go on to have persistent problems,” said\u003ca href=\"http://neurosurgery.ucsf.edu/index.php/about_us_faculty_manley.html\"> Dr. Geoffrey Manley\u003c/a>, Chief of Neurosurgery at San Francisco General Hospital. “These aren’t simply having your bell rung, these are life-changing events.”\u003c/p>\n\u003cp>Doctors often grade traumatic brain injuries according to whether they are considered “mild,” “moderate” or “severe.” Manley believes more precision is needed to better define, diagnose and treat these injuries, which can vary widely from patient to patient.\u003c/p>\n\u003cp>In 2010, he received funding from the National Institutes of Health to launch a pilot study that recruited 600 concussion patients from several national trauma centers, and tracked their progress for up to six months following their injuries.\u003c/p>\n\u003cp>Each of the patients had a CT scan, an imaging technique that Manley calls “the gold standard” of evaluating brain injuries.\u003c/p>\n\u003cp>Patients also had an MRI scan which detected the presence of micro-bleeds and bruising in the brain for nearly 30 percent of patients who otherwise had normal CT scans.\u003c/p>\n\u003cfigure id=\"attachment_74339\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_brain.jpg\">\u003cimg class=\"wp-image-74339\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_brain.jpg\" alt=\"An MRI scan reveals a micro-bleed in the brain of a concussion patient. Image courtesy of Blake McHugh for KQED Science\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-1440x810.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-960x540.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">\u003cem>An MRI scan with an arrow indicating a micro-bleed in the brain of a patient who suffered a concussion. Image by Blake McHugh \u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>“These patients with these abnormalities on their MRI scan took much longer to recover and did worse at three months,” Manley said.\u003c/p>\n\u003cp>In 2013, he received additional NIH funding to expand \u003ca href=\"http://www.brainandspinalinjury.org/research.php?id=189\">the study \u003c/a>by recruiting 3,000 concussion patients across the United States. In addition to traditional MRI scans, the research team is also using an advanced MRI imaging technique that helps visualize structural damage to white matter fiber tracts that provide long-range communication between different parts of the brain.\u003c/p>\n\u003cp>Manley and his colleagues at UC San Francisco are looking for genetic differences in dopamine, a critical neurotransmitter in the brain, which may make some people particularly susceptible to longer recovery times following concussions. The research team has also identified a blood-based protein that appears to be released from the brain following a traumatic brain injury. The research may one day yield a blood test that could help diagnose a concussion if imaging techniques aren’t readily available.\u003c/p>\n\u003cp>“This way, we can develop a more personalized approach to the treatment, because there’s no one-size-fits-all for something as complicated as a brain injury,” Manley said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>A special thanks to Dr. Alexander Leemans for the kind use of his 3D tractography brain imagery and animations. This video story was originally produced and updated by Sheraz Sadiq. \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Dr. Geoffrey Manley, Chief of Neurosurgery at San Francisco General Hospital, is exploring new ways to better diagnose and treat concussions, a brain injury suffered by two million people each year in the U.S. ","status":"publish","parent":0,"modified":1446761875,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":708},"headData":{"title":"Sidelined: Sports Concussions | KQED","description":"","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Sidelined: Sports Concussions","datePublished":"2015-11-04T14:00:56.000Z","dateModified":"2015-11-05T22:17:55.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"74336 http://science.kqed.org/quest?p=74336&post_type=videos&preview_id=74336","disqusUrl":"https://ww2.kqed.org/quest/2015/11/04/sidelined-sports-concussions-2/","disqusTitle":"Sidelined: Sports Concussions","videoEmbed":"https://youtu.be/TvMEazAEeWI","source":"Health","sourceUrl":"http://ww2.kqed.org/quest/category/health/","path":"/quest/74336/sidelined-sports-concussions-2","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s football season, but this fall there won’t be as many hard-hitting practices in California.\u003c/p>\n\u003cp>In January, a new state law, signed last year by Gov. Jerry Brown, took effect, limiting full-contact practice for middle and high-school students to twice per week, and requiring any student who suffered a concussion to wait at least a week before returning to play.\u003c/p>\n\u003cp>The law is in part a reflection of the increasing concern over concussions, brain injuries caused by a blow to the head or a rapid acceleration and deceleration to the head which could occur during a car accident, collision during a sporting event, or other traumatic event.\u003c/p>\n\u003cp>Each year, two million people in the U.S. suffer a concussion, according to the Centers for Disease Control.\u003c/p>\n\u003cfigure id=\"attachment_74376\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_soccer-e1441307785189.jpg\">\u003cimg class=\"size-full wp-image-74376\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_soccer-e1441307785189.jpg\" alt=\"Concussions are common in contact sports such as soccer and football. Image by Blake McHugh\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_soccer-e1441307785189.jpg 800w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_soccer-e1441307785189-400x225.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">\u003cem>Concussions are common in contact sports such as soccer and football. Image by Blake McHugh\u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>“The brain hits these bony structures inside of the skull, and that causes damage to occur,” said \u003ca href=\"http://www.mtdiablomemorycenter.com/about-us/\">Eric Freitag\u003c/a>, a neuropsychologist based in Walnut Creek who administers cognitive testing to high school students who play contact sports such as football and soccer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Common symptoms of concussions include fatigue, headache, nausea, blurriness of vision, memory loss and occasionally, loss of consciousness.\u003c/p>\n\u003cp>Although most people recover from concussions within a week to 10 days, a significant number of patients may have difficulty returning to work or school weeks or months after their head injuries.\u003c/p>\n\u003cfigure id=\"attachment_74342\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_Geoff_Manley.jpg\">\u003cimg class=\"wp-image-74342\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_Geoff_Manley.jpg\" alt=\"Dr. Geoffrey Manley looks at CT and MRI scans at the Brain and Spinal Injury Center in San Francisco. \" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-1440x810.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_Geoff_Manley-960x540.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">\u003cem>Dr. Geoffrey Manley looks at CT and MRI scans at the Brain and Spinal Injury Center in San Francisco. Image by Blake McHugh\u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>“There’s a subset of these individuals, at least 15 percent, that go on to have persistent problems,” said\u003ca href=\"http://neurosurgery.ucsf.edu/index.php/about_us_faculty_manley.html\"> Dr. Geoffrey Manley\u003c/a>, Chief of Neurosurgery at San Francisco General Hospital. “These aren’t simply having your bell rung, these are life-changing events.”\u003c/p>\n\u003cp>Doctors often grade traumatic brain injuries according to whether they are considered “mild,” “moderate” or “severe.” Manley believes more precision is needed to better define, diagnose and treat these injuries, which can vary widely from patient to patient.\u003c/p>\n\u003cp>In 2010, he received funding from the National Institutes of Health to launch a pilot study that recruited 600 concussion patients from several national trauma centers, and tracked their progress for up to six months following their injuries.\u003c/p>\n\u003cp>Each of the patients had a CT scan, an imaging technique that Manley calls “the gold standard” of evaluating brain injuries.\u003c/p>\n\u003cp>Patients also had an MRI scan which detected the presence of micro-bleeds and bruising in the brain for nearly 30 percent of patients who otherwise had normal CT scans.\u003c/p>\n\u003cfigure id=\"attachment_74339\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_brain.jpg\">\u003cimg class=\"wp-image-74339\" src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2015/09/Concussions_brain.jpg\" alt=\"An MRI scan reveals a micro-bleed in the brain of a concussion patient. Image courtesy of Blake McHugh for KQED Science\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-1440x810.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/39/2015/09/Concussions_brain-960x540.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">\u003cem>An MRI scan with an arrow indicating a micro-bleed in the brain of a patient who suffered a concussion. Image by Blake McHugh \u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>“These patients with these abnormalities on their MRI scan took much longer to recover and did worse at three months,” Manley said.\u003c/p>\n\u003cp>In 2013, he received additional NIH funding to expand \u003ca href=\"http://www.brainandspinalinjury.org/research.php?id=189\">the study \u003c/a>by recruiting 3,000 concussion patients across the United States. In addition to traditional MRI scans, the research team is also using an advanced MRI imaging technique that helps visualize structural damage to white matter fiber tracts that provide long-range communication between different parts of the brain.\u003c/p>\n\u003cp>Manley and his colleagues at UC San Francisco are looking for genetic differences in dopamine, a critical neurotransmitter in the brain, which may make some people particularly susceptible to longer recovery times following concussions. The research team has also identified a blood-based protein that appears to be released from the brain following a traumatic brain injury. The research may one day yield a blood test that could help diagnose a concussion if imaging techniques aren’t readily available.\u003c/p>\n\u003cp>“This way, we can develop a more personalized approach to the treatment, because there’s no one-size-fits-all for something as complicated as a brain injury,” Manley said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>A special thanks to Dr. Alexander Leemans for the kind use of his 3D tractography brain imagery and animations. This video story was originally produced and updated by Sheraz Sadiq. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/74336/sidelined-sports-concussions-2","authors":["6176"],"categories":["quest_4","quest_12","quest_3422","quest_3233"],"tags":["quest_3527","quest_3578","quest_3593","quest_3351","quest_2349","quest_2893","quest_2988"],"featImg":"quest_81286","label":"source_quest_74336"},"quest_48443":{"type":"posts","id":"quest_48443","meta":{"index":"posts_1591205157","site":"quest","id":"48443","score":null,"sort":[1357342079000]},"guestAuthors":[],"slug":"stanford-investigates-the-hits-that-cause-concussions","title":"Stanford Investigates the Hits that Cause Concussions","publishDate":1357342079,"format":"audio","headTitle":"QUEST | KQED Science","labelTerm":{},"content":"\u003cp>It's no secret that concussions are endemic in American football at every level, \u003ca href=\"http://www.npr.org/2012/10/23/163499526/pop-warner-suspends-coaches-after-concussions\">from pewees to the pros\u003c/a>, but little is known about the hits that cause them. Stanford University is searching for answers by meticulously gathering data on every impact their football players sustain. The study is only in it's second year, but they've already made some interesting discoveries. \u003c/p>\n\u003cp>David Camarillo is a bio-engineer at Stanford and a lead researcher on the project. He says “injury research is a tough thing to do because you usually see it only after it happens.” To see brain trauma in real time, Camarillo and his team have outfitted the football team with mouth guards that measure the physics of every hit. At practices, they use ultra-high-definition, slow-motion cameras to observe those collisions more closely and look for ways to prevent them.\u003c/p>\n\u003cfigure id=\"attachment_48449\" class=\"wp-caption alignleft\" style=\"max-width: 365px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2013/01/Mouth-Guards-White.jpg\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2013/01/Mouth-Guards-White.jpg\" alt=\"Mouth Guards with sensors\" title=\"Mouth Guards with sensors\" width=\"365\" height=\"278\" class=\"size-full wp-image-48449\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mouth Guards with sensors\u003c/figcaption>\u003c/figure>\n\u003cp>The first startling discovery of the research is how little is known about the “injury mechanism” for concussions, that is, exactly how they are caused. People have long associated “getting your bell rung” with a hard hit, or a series of repeated impacts, but little data has been gathered on the nature of those hits. How hard does a hit need to be to cause a concussion outright? How many small, low-impact hits before a player begins to exhibit concussion symptoms?\u003c/p>\n\u003cp>The definition of a concussion is a fairly simple one: the damage caused when the brain smashes against the inside of the skull. They can come from one hard impact, or repeated low-speed hits. In the short term they cause things like dizziness and loss of memory; in the long-term they can cause severe neurodegeneration. But the diagnosis process for concussions is complex. Symptoms vary widely from player to player and can be easily lied about. \u003c/p>\n\u003cp>Scott Anderson is the head athletic trainer at Stanford and he's helping to develop the mouth guard prototypes. He says right now there's no good way to analyze and diagnose concussions. With an injury like a sprained ankle or broken rib, a physician can use an MRI or an X-ray to look at the problem. With a concussion there's no way to peer inside the brain and see what's going on. “We can send you for a CT scan to look at your brain,” he says, “but your brain doesn't show us anything.” Instead, physicians have to rely on players to describe symptoms, and players can be highly unreliable. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a recent survey by Sporting News, more than half the players polled said they would hide symptoms to keep playing, and for good reason. A concussion can cost you your starting spot or, \u003ca href=\"http://news.yahoo.com/mcelroy-concussion-sanchez-start-jets-165809771--nfl.html\">in the case of Greg McElroy of the Jets, your moment to shine\u003c/a> . \u003c/p>\n\u003cp>Alex Smith of the 49ers learned the job-threatening implications of a concussion the hard way. When a concussion sidelined him earlier this season, the replacement quarterback Colin Kaepernick played well and took over his starting role. \u003ca href=\"http://bleacherreport.com/articles/1468395-colin-kaepernick-why-the-future-is-now-for-49ers-quarterback\">Now Kaepernick is flourishing while Smith watches from the bench. \u003c/a>\u003c/p>\n\u003cp>With the mouth guards there's no hiding or lying about hits. The team wears the mouth guards at all games and practices so that researchers can generate a comprehensive database of every impact they sustain. The sensors measure linear and angular acceleration—how fast the head is moving in one direction and rotating. The sensors may sound high tech, but actually, you might have some in your pocket right now. They are the same ones used in the iPhone 5.\u003c/p>\n\u003cp>Camarillo says the mouth guards have already captured some startlingly hard hits, like the one that ended the season for a wide receiver. That collision registered an acceleration of 150 Gs, that's 150 times the acceleration gravity. “Pretty serious business,” he says, “a standard boxing punch is probably between 10-20 Gs.\u003c/p>\n\u003cp>That's just acceleration in one direction. The player's head was also spinning at 2000 degrees per second—which means his head would have rotated five and a half times in one second if it weren't anchored to the neck. While it has long been suspected that this kind of angular acceleration plays a role in concussions, Camarillo says no one has gathered data on it. What's more disturbing is that angular acceleration has been completely ignored when it comes to football safety measures. \u003c/p>\n\u003cp>The standard industry lab test for helmets is basically a plunger that smashes a helmet down onto a hard surface. The test hasn't changed much since it was first developed back in 1973 by NOCSAE, The National Operating Committee on Standards for Athletic Equipment. The test doesn't account for angular acceleration at all. “The device,” Camarillo says, “doesn't have any kind of neck.”\u003c/p>\n\u003cp>A number of research groups are conducting similar studies by putting sensors in the helmets but athletic trainer Anderson argues that the mouth guards give more accurate results. He says the initial data has already revealed something new. Some hits they used to consider as just one are actually two successive collisions. The player has an initial impact during a tackle but the brain receives trauma again when the head collides with the ground. Anderson says the double hit is generating more concussion impacts than a single hit.\u003c/p>\n\u003cfigure id=\"attachment_48448\" class=\"wp-caption alignright\" style=\"max-width: 220px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2013/01/Hewitt.jpg\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2013/01/Hewitt.jpg\" alt=\"Senior fullback Ryan Hewitt \" title=\"Senior fullback Ryan Hewitt \" width=\"220\" height=\"335\" class=\"size-full wp-image-48448\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Senior fullback Ryan Hewitt \u003c/figcaption>\u003c/figure>\n\u003cp>For the freshmen players, Camarillo and his fellow researchers will be able to gather five years of data. He doesn't expect players at Stanford to have long-term damages if they just play at the collegiate level. But if brain problems begin to show up years down the road, the research team will have accurate records of the impacts they received playing college football. \u003c/p>\n\u003cp>The success of this study relies on a collaborative effort with a number of different departments at Stanford. Anderson says it's an unprecedented time of cooperation between the sports department, various research groups, and the players. Senior Fullback Ryan Hewitt says he's happy to be part of the study, even though he and his fellow players are “sort of the guinea pigs.” “I figure we might as well use someone,” he says, “and why not use us.” Hewitt hopes the data will help researchers figure out a little more about why concussions happen and eventually develop ways to prevent them.\u003c/p>\n\u003cp>Camarillo says it's going to take a long time to get any answers to those questions. Even with a big pool of data, he thinks it will be five to ten years before they can even begin to crack what causes concussions.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>* The US Senate has organized \u003ca href=\"http://www.iom.edu/Activities/Children/YouthSportsConcussions.aspx\">a committee to conduct an in-depth study on sports-related concussions\u003c/a>. They will be having their first meeting on Monday, January 7th.\u003c/p>\n\n","blocks":[],"excerpt":"It's no secret that concussions are endemic in American football at every level, from peewees to the pros, but little is known about the hits that cause them. Stanford University is searching for answers.","status":"publish","parent":0,"modified":1450490581,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":1165},"headData":{"title":"Stanford Investigates the Hits that Cause Concussions | KQED","description":"It's no secret that concussions are endemic in American football at every level, from peewees to the pros, but little is known about the hits that cause them. Stanford University is searching for answers.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Stanford Investigates the Hits that Cause Concussions","datePublished":"2013-01-04T23:27:59.000Z","dateModified":"2015-12-19T02:03:01.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"48443 http://science.kqed.org/quest/?post_type=audio_reports&p=48443","disqusUrl":"https://ww2.kqed.org/quest/2013/01/04/stanford-investigates-the-hits-that-cause-concussions/","disqusTitle":"Stanford Investigates the Hits that Cause Concussions","source":"Health","sourceUrl":"https://ww2.kqed.org/quest/category/health/","audioUrl":"http://www.kqed.org/.stream/anon/radio/quest/2013/01/20130107science.mp3","path":"/quest/48443/stanford-investigates-the-hits-that-cause-concussions","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's no secret that concussions are endemic in American football at every level, \u003ca href=\"http://www.npr.org/2012/10/23/163499526/pop-warner-suspends-coaches-after-concussions\">from pewees to the pros\u003c/a>, but little is known about the hits that cause them. Stanford University is searching for answers by meticulously gathering data on every impact their football players sustain. The study is only in it's second year, but they've already made some interesting discoveries. \u003c/p>\n\u003cp>David Camarillo is a bio-engineer at Stanford and a lead researcher on the project. He says “injury research is a tough thing to do because you usually see it only after it happens.” To see brain trauma in real time, Camarillo and his team have outfitted the football team with mouth guards that measure the physics of every hit. At practices, they use ultra-high-definition, slow-motion cameras to observe those collisions more closely and look for ways to prevent them.\u003c/p>\n\u003cfigure id=\"attachment_48449\" class=\"wp-caption alignleft\" style=\"max-width: 365px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2013/01/Mouth-Guards-White.jpg\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2013/01/Mouth-Guards-White.jpg\" alt=\"Mouth Guards with sensors\" title=\"Mouth Guards with sensors\" width=\"365\" height=\"278\" class=\"size-full wp-image-48449\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mouth Guards with sensors\u003c/figcaption>\u003c/figure>\n\u003cp>The first startling discovery of the research is how little is known about the “injury mechanism” for concussions, that is, exactly how they are caused. People have long associated “getting your bell rung” with a hard hit, or a series of repeated impacts, but little data has been gathered on the nature of those hits. How hard does a hit need to be to cause a concussion outright? How many small, low-impact hits before a player begins to exhibit concussion symptoms?\u003c/p>\n\u003cp>The definition of a concussion is a fairly simple one: the damage caused when the brain smashes against the inside of the skull. They can come from one hard impact, or repeated low-speed hits. In the short term they cause things like dizziness and loss of memory; in the long-term they can cause severe neurodegeneration. But the diagnosis process for concussions is complex. Symptoms vary widely from player to player and can be easily lied about. \u003c/p>\n\u003cp>Scott Anderson is the head athletic trainer at Stanford and he's helping to develop the mouth guard prototypes. He says right now there's no good way to analyze and diagnose concussions. With an injury like a sprained ankle or broken rib, a physician can use an MRI or an X-ray to look at the problem. With a concussion there's no way to peer inside the brain and see what's going on. “We can send you for a CT scan to look at your brain,” he says, “but your brain doesn't show us anything.” Instead, physicians have to rely on players to describe symptoms, and players can be highly unreliable. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a recent survey by Sporting News, more than half the players polled said they would hide symptoms to keep playing, and for good reason. A concussion can cost you your starting spot or, \u003ca href=\"http://news.yahoo.com/mcelroy-concussion-sanchez-start-jets-165809771--nfl.html\">in the case of Greg McElroy of the Jets, your moment to shine\u003c/a> . \u003c/p>\n\u003cp>Alex Smith of the 49ers learned the job-threatening implications of a concussion the hard way. When a concussion sidelined him earlier this season, the replacement quarterback Colin Kaepernick played well and took over his starting role. \u003ca href=\"http://bleacherreport.com/articles/1468395-colin-kaepernick-why-the-future-is-now-for-49ers-quarterback\">Now Kaepernick is flourishing while Smith watches from the bench. \u003c/a>\u003c/p>\n\u003cp>With the mouth guards there's no hiding or lying about hits. The team wears the mouth guards at all games and practices so that researchers can generate a comprehensive database of every impact they sustain. The sensors measure linear and angular acceleration—how fast the head is moving in one direction and rotating. The sensors may sound high tech, but actually, you might have some in your pocket right now. They are the same ones used in the iPhone 5.\u003c/p>\n\u003cp>Camarillo says the mouth guards have already captured some startlingly hard hits, like the one that ended the season for a wide receiver. That collision registered an acceleration of 150 Gs, that's 150 times the acceleration gravity. “Pretty serious business,” he says, “a standard boxing punch is probably between 10-20 Gs.\u003c/p>\n\u003cp>That's just acceleration in one direction. The player's head was also spinning at 2000 degrees per second—which means his head would have rotated five and a half times in one second if it weren't anchored to the neck. While it has long been suspected that this kind of angular acceleration plays a role in concussions, Camarillo says no one has gathered data on it. What's more disturbing is that angular acceleration has been completely ignored when it comes to football safety measures. \u003c/p>\n\u003cp>The standard industry lab test for helmets is basically a plunger that smashes a helmet down onto a hard surface. The test hasn't changed much since it was first developed back in 1973 by NOCSAE, The National Operating Committee on Standards for Athletic Equipment. The test doesn't account for angular acceleration at all. “The device,” Camarillo says, “doesn't have any kind of neck.”\u003c/p>\n\u003cp>A number of research groups are conducting similar studies by putting sensors in the helmets but athletic trainer Anderson argues that the mouth guards give more accurate results. He says the initial data has already revealed something new. Some hits they used to consider as just one are actually two successive collisions. The player has an initial impact during a tackle but the brain receives trauma again when the head collides with the ground. Anderson says the double hit is generating more concussion impacts than a single hit.\u003c/p>\n\u003cfigure id=\"attachment_48448\" class=\"wp-caption alignright\" style=\"max-width: 220px\">\u003ca href=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2013/01/Hewitt.jpg\">\u003cimg src=\"http://ww2.kqed.org/quest/wp-content/uploads/sites/39/2013/01/Hewitt.jpg\" alt=\"Senior fullback Ryan Hewitt \" title=\"Senior fullback Ryan Hewitt \" width=\"220\" height=\"335\" class=\"size-full wp-image-48448\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Senior fullback Ryan Hewitt \u003c/figcaption>\u003c/figure>\n\u003cp>For the freshmen players, Camarillo and his fellow researchers will be able to gather five years of data. He doesn't expect players at Stanford to have long-term damages if they just play at the collegiate level. But if brain problems begin to show up years down the road, the research team will have accurate records of the impacts they received playing college football. \u003c/p>\n\u003cp>The success of this study relies on a collaborative effort with a number of different departments at Stanford. Anderson says it's an unprecedented time of cooperation between the sports department, various research groups, and the players. Senior Fullback Ryan Hewitt says he's happy to be part of the study, even though he and his fellow players are “sort of the guinea pigs.” “I figure we might as well use someone,” he says, “and why not use us.” Hewitt hopes the data will help researchers figure out a little more about why concussions happen and eventually develop ways to prevent them.\u003c/p>\n\u003cp>Camarillo says it's going to take a long time to get any answers to those questions. Even with a big pool of data, he thinks it will be five to ten years before they can even begin to crack what causes concussions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>* The US Senate has organized \u003ca href=\"http://www.iom.edu/Activities/Children/YouthSportsConcussions.aspx\">a committee to conduct an in-depth study on sports-related concussions\u003c/a>. They will be having their first meeting on Monday, January 7th.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/quest/48443/stanford-investigates-the-hits-that-cause-concussions","authors":["253"],"categories":["quest_12","quest_17"],"tags":["quest_252","quest_3527","quest_3578","quest_13201","quest_11194","quest_13203","quest_2771"],"featImg":"quest_48464","label":"source_quest_48443"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png","officialWebsiteLink":"https://www.npr.org/podcasts/510313/how-i-built-this","airtime":"SUN 7:30pm-8pm","meta":{"site":"news","source":"npr"},"link":"/radio/program/how-i-built-this","subscribe":{"npr":"https://rpb3r.app.goo.gl/3zxy","apple":"https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2","tuneIn":"https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/","rss":"https://feeds.npr.org/510313/podcast.xml"}},"inside-europe":{"id":"inside-europe","title":"Inside Europe","info":"Inside Europe, a one-hour weekly news magazine hosted by Helen Seeney and Keith Walker, explores the topical issues shaping the continent. 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Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. 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