The Guardian (USA)

Football and rugby facing flood of claims over head injuries warning

- Jamie Doward

A leading expert on concussion and sport has warned that profession­al football and rugby will face huge litigation claims in the future if the games’ authoritie­s do not take urgent action to combat brain injuries.

Dr Willie Stewart, consultant neuropatho­logist at the Queen Elizabeth University hospital, Glasgow, led the Field study research, which revealed last year that footballer­s were three-and-a-half times more likely to die of neurodegen­erative disease than age-matched members of the general population.

Stewart said there was clear evidence of the links between playing the two sports, brain injury and chronic traumatic encephalop­athy (CTE), a degenerati­ve brain condition first identified in American footballer­s.

“We’ve got the evidence of high levels of dementia now in sport, and … from pathology studies, which says that part of this dementia pathology in these individual­s is CTE, which is a pathology only encountere­d in those with brain injury.”

However, Bill Sweeney, chief executive of the Rugby Football Union , told the Guardian yesterday that American football, whose national league, the NFL, paid out millions of dollars in compensati­on after CTE was discovered in the brains of players, was different from rugby union “in the context of brain injuries”.

He said: “There is no scientific proof of the causal link between concussion and CTE, that is not a proven thing. There are difference­s between American football and rugby union.”

Sweeney’s tone is markedly more sceptical about the links with CTE than even the sport’s internatio­nal governing body has been in the past.

In 2013, the then Internatio­nal Rugby Board’s chief medical officer Martin Raftery said: “CTE is a form of dementia, and there are studies about boxers and American football players who have suffered repetitive head injuries, so we recognise that there might be a potential link.”

Stewart noted that American footballer­s play only “about 14 or 16 matches” a season. “They now do not do any contact training during the season and they have modified the game considerab­ly to try to reduce risk. The players who are playing are only on for a few minutes at a time. There’s a pool of dozens of them, if not more, so when the players are on the park it’s high impact but there’s not much of it going on. If you look at football they play dozens of games a season, training every day, the number of headers in football is going up not down, as people try to suggest.”

As for rugby, Stewart said studies had shown that the force and number

of head impacts in a profession­al rugby and American football match were “pretty” similar.

“But profession­al rugby players are training through the week, contact training still, playing 30 matches a season ... and the season almost never ends now. Potentiall­y, profession­al rugby is stacking up even more problems than any sport we have seen.”

 ?? Photograph: Tom Jenkins/The Guardian ?? Former England rugby player Steve Thompson, who has revealed that he has early-onset dementia, is tackled during a six nations game against Wales.
Photograph: Tom Jenkins/The Guardian Former England rugby player Steve Thompson, who has revealed that he has early-onset dementia, is tackled during a six nations game against Wales.

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