Heading a soccer ball causes instant changes to the brain
October 23, 2016
Science Daily/University of Stirling
Researchers have explored the true impact of heading a soccer ball, identifying small but significant changes in brain function immediately after routine heading practice.
The study from Scotland's University for Sporting Excellence published in EBioMedicine is the first to detect direct changes in the brain after players are exposed to everyday head impacts, as opposed to clinical brain injuries like concussion.
A group of soccer ball players headed a ball 20 times, fired from a machine designed to simulate the pace and power of a corner kick. Before and after the heading sessions, scientists tested players' brain function and memory.
Increased inhibition in the brain was detected after just a single session of heading. Memory test performance was also reduced by between 41 and 67 per cent, with effects normalising within 24 hours.
Whether the changes to the brain remain temporary after repeated exposure to a soccer ball and the long-term consequences of heading on brain health, are yet to be investigated.
Played by more than 250 million people worldwide, the 'beautiful game' often involves intentional and repeated bursts of heading a ball. In recent years the possible link between brain injury in sport and increased risk of dementia has focussed attention on whether soccer ball heading might lead to long term consequences for brain health.
Cognitive neuroscientist Dr Magdalena Ietswaart from Psychology at the University of Stirling, said: "In light of growing concern about the effects of contact sport on brain health, we wanted to see if our brain reacts instantly to heading a soccer ball. Using a drill most amateur and professional teams would be familiar with, we found there was infact increased inhibition in the brain immediately after heading and that performance on memory tests was reduced significantly.
"Although the changes were temporary, we believe they are significant to brain health, particularly if they happen over and over again as they do in soccer ball heading. With large numbers of people around the world participating in this sport, it is important that they are aware of what is happening inside the brain and the lasting effect this may have."
Dr Angus Hunter, Reader in Exercise Physiology in the Faculty of Health Sciences and Sport, added: "For the first time, sporting bodies and members of the public can see clear evidence of the risks associated with repetitive impact caused by heading a soccer ball.
"We hope these findings will open up new approaches for detecting, monitoring and preventing cumulative brain injuries in sport. We need to safeguard the long term health of soccer ball players at all levels, as well as individuals involved in other contact sports."
Dr Ietswaart and Dr Hunter were supported in the research by Stirling neuropsychologist Professor Lindsay Wilson and PhD student Tom Di Virgilio, consulting with leading Glasgow University Medical School Neuropathologist Dr Willie Stewart and a wider multi-disciplinary team.
In the study, scientists measured levels of brain function using a basic neuroscience technique called Transcranial Magnetic Stimulation (TMS). The findings from this study, funded by the NIHR Brain Injury Healthcare Technology Cooperative (HTC) are the first to show the TMS technique can be used to detect changes to brain function after small, routine impacts.
https://www.sciencedaily.com/releases/2016/10/161023154804.htm
Frequent 'heading' in soccer can lead to brain injury and cognitive impairment
November 29, 2011
Science Daily/Albert Einstein College of Medicine
Using advanced imaging techniques and cognitive tests, researchers have shown that repeatedly heading a soccer ball increases the risk for brain injury.
The researchers used diffusion tensor imaging (DTI), an advanced MRI-based imaging technique, on 38 amateur soccer players (average age: 30.8 years) who had all played the sport since childhood. They were asked to recall the number of times they headed the ball during the past year. (Heading is when players deliberately hit or field the soccer ball with their head.) Researchers ranked the players based on heading frequency and then compared the brain images of the most frequent headers with those of the remaining players. They found that frequent headers showed brain injury similar to that seen in patients with concussion, also known as mild traumatic brain injury (TBI).
The findings are especially concerning given that soccer is the world's most popular sport with popularity growing in the U.S., especially among children. Of the 18 million Americans who play soccer, 78 percent are under the age of eighteen. Soccer balls are known to travel at speeds as high as 34 miles per hour during recreational play, and more than twice that during professional play.
"These two studies present compelling evidence that brain injury and cognitive impairment can result from heading a soccer ball with high frequency," Dr. Lipton said. "These are findings that should be taken into consideration in planning future research to develop approaches to protect soccer players."
As there appears to be a safe range for heading frequency, additional research can help refine this number, which can then be used to establish heading guidelines. As in other sports, the frequency of potentially harmful actions in practice and games could be monitored and restricted based on confirmed unsafe exposure thresholds.
"In the past, pitchers in Little League Baseball sustained shoulder injuries at a rate that was alarming," Dr. Lipton noted. "But ongoing research has helped shape various approaches, including limits on the amount of pitching a child performs, which have substantially reduced the incidence of these injuries."
"Brain injury due to heading in children, if we confirm that it occurs, may not show up on our radar because the impairment will not be immediate and can easily be attributed to other causes like ADHD or learning disabilities," continued Dr. Lipton. "We, including the agencies that supervise and encourage soccer play, need to do the further research to precisely define the impact of excessive heading on children and adults in order to develop parameters within which soccer play will be safe over the long term."
http://www.sciencedaily.com/releases/2011/11/111129092420.htm
Veterans' brain injury examined
- January 9, 2014
Science Daily/Albert Einstein College of Medicine of Yeshiva University
Roadside bombs and other blasts have made head injury the “signature wound” of the Iraq and Afghanistan conflicts. Now, researchers are investigating the effect of repeated combat-related blast exposures on the brains of veterans with the goal of improving diagnostics and treatment.
Now, researchers at Albert Einstein College of Medicine of Yeshiva University, in cooperation with Resurrecting Lives Foundation, are investigating the effect of repeated combat-related blast exposures on the brains of veterans with the goal of improving diagnostics and treatment.
Mild traumatic brain injury can cause problems with cognition, concentration, memory and emotional control as well as post-traumatic stress disorder (PTSD). Einstein scientists are using advanced MRI technology and psychological tests to investigate the structural and biological impact of repeated head injury on the brain and to assess how these injuries affect cognitive function.
"Right now, doctors diagnose concussion purely on the basis of someone's symptoms," said Michael Lipton, M.D., Ph.D., associate director of Einstein's Gruss Magnetic Resonance Research Center. "We hope that our research will lead to a more scientifically valid diagnostic technique -- one that uses imaging to not only detect the underlying brain injury but reveal its severity. Such a technique could also objectively evaluate therapies aimed at healing the brain injuries responsible for concussions." Dr. Lipton is also associate professor of radiology, of psychiatry and behavioral sciences and of neuroscience at Einstein and medical director of MRI services at Montefiore Medical Center, the University Hospital for Einstein.
The Einstein researchers are studying 20 veterans from Ohio and Michigan who were deployed in Iraq and Afghanistan and have exhibited symptoms of repeated concussion. Twenty of the veterans' siblings or cousins without concussion are acting as controls. The researchers are using an advanced MRI-based imaging technique called diffusion tensor imaging (DTI) to identify injured brain areas.
DTI "sees" the movement of water molecules within and along axons, the nerve fibers that constitute the brain's white matter. This imaging technique allows researchers to measure the uniformity of water movement (called fractional anisotropy, or FA) throughout the brain. Abnormally low FA within white matter indicates axon damage and has previously been associated with cognitive impairment in patients with traumatic brain injury. (The researchers also use DTI in an ongoing study of amateur soccer players to assess possible brain injury from repeatedly heading soccer balls.)
The final group of veterans is scheduled to visit Einstein for testing in February 2014. Preliminary results should be available later this year.
Resurrecting Lives Foundation recruited the veterans and their family members and facilitates their visits to Einstein. The Foundation is also funding the research itself. The foundation's mission is to assist in the recovery and reintegration of veterans with Traumatic Brain Injury (TBI) from Operation Iraqi Freedom and Operation Enduring Freedom.
"At Resurrecting Lives Foundation, we honor our fallen heroes by caring for their brothers and sisters who return," said Chrisanne Gordon, M.D., founder and chairwoman of the foundation. "The research Dr. Lipton and his team are conducting will help us fulfill this mission."
http://www.sciencedaily.com/releases/2014/01/140109124941.htm