Letter to Editor (Feb 2011)
Second Chance for AROB
This is in response to Brett Walderbach’s Feb 8, 2011 letter “Second Chances OK, but there is a limit.” Mr.Walderbach attempts to outline Adam Robinson’s “multiple chances to prove his commitment to his coach and his teammates, and summarizes that he didn’t value those chances”. Mr. Walderbach presents his opinion as though he had inside information and was privy to the sequence of events that unfolded during the 2010 football season. I did not see Mr. Walderbach along that journey. What was taking place behind the Game Day scenes that would lead to suspension for academic indigestion and then again for the Insight Bowl.?
The average college football player will sustain a breathtaking 950 to 1,110 sub concussive blows per season – hits that are enough to do cumulative damage to brain tissue, but not enough to cause immediate symptoms. This is what is called a “dose response”, or in other words after a certain number of hits, the damage starts to show.
Studies have been conducted to determine the force of the hit by placing accelerometers in the helmets of player’s. The unit of measure used was the “g-force”. The liftoff of the Saturn V moon rocket exposed its crew to a maximum of four g’s. A roller coaster can exceed 6 g’s. College football players collide with each other with an impact of nearly 23 g’s – which is the average hit.
It’s not necessary to be hit in the head to have concussive damage. When the head snaps back and forth, the brain sloshes with it – hitting the skull. Part of the dilemma is that a player whose brain has been jolted on a sub concussive level is more likely to stay on the field and return there week after week. When the brain is shaken too hard, nerve fibers are torn and a protein called tau is released. The brain does try to clean up the mess and if given enough time it could. If there is no recuperation time and the hits keep coming, the protein accumulates and becomes like a sludge in the brain. The damage is impossible to see without a postmortem exam.
40% of players who experience a concussion are back on the field before their brains have fully healed. Sometimes two mild injuries can do more damage than one severe one. Players who return to the field before they have fully recovered may even suffer what is known as Second Impact Syndrome (SIS). In this case, another blow to the head leads to fatal brain bleed.
Individuals who suffer head trauma will be fine if they don’t do anything. But the moment they try to do something like read a book they will get a headache. Functioning neuro-imaging experiments show that more of the brain is used to accomplish easy tasks in the days after a concussion. Like an ankle sprain, the best cure is rest. Mental exertion – like the daily grind- can prolong the symptoms of a concussion.
A concussion is the invisible injury that affects the memory and neurological function of the brain. The brain is more than a joint or a limb. It is the seat of the self. The cognitive functioning is the sum of all thinking, planning, and problem solving within the brain. Brain injury has the potential to alter cognitive skills such that these “automatic” processes no longer work as efficiently as they once did.
Adam was awesome on the field as he spun, juked and struggled for a second and third effort, dragging defenders with him – doing what he loves most. As the accumulation of the hits and the concussions took control of his body and mind, effecting his academics, his problem solving skills, his performance on the field, his ability to cope with the demands on his time, and his health – he began to flounder. The second chance that Adam really needed was guidance and direction. He was told he was fine – his brain was healed - but he wasn’t. He didn’t understand what was going on – why some symptoms continued when he should have been back to a pre-concussed state.
The first thing we need to do is become smarter about the damage from the cumulative hits and the concussions. Understanding the danger also means learning to recognize the post-injury symptoms. Had there been a collective effort in several different areas to monitor him medically, academically, and psychologically, they would have been able to determine that Adam needed help not because he didn’t value his team - not because he didn’t value his chances - but because he was suffering mentally.
Sally Robinson
Des Moines, Iowa


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