The international panel also offered new prevention and management advice for head injuries.
An expert committee of clinicians and researchers today called for an end to most types of bodychecking, a collision tactic, in youth ice hockey, and backed other changes for preventing and treating sports-related concussions. But the international panel offered no resolution to an especially controversial question in professional sports—the extent to which repetitive head injuries cause brain disease later in life—instead saying rigorous cohort studies are needed to prove a causal relationship.
“The main message [is]: ‘Don’t cocoon,’” said John Leddy, a co-author who directs the concussion management clinic at the University at Buffalo, at a press conference yesterday. The prior advice, he said, was based on animal research and “expert opinion.” But, “ “Confounding only occurs when some variable is both a cause of disease and is associated with the exposure you’re studying,” says Adam Finkel, an environmental risk assessor at the University of Michigan School of Public Health. In the case of CTE and repeated concussions, he says, a confounding variable would have to be both toxic to the brainsomething that football players were exposed to far more than others—like a brand of locker room soap that only National Football League players use.
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