Breaking News
December 13, 2018 - Long-term Benefit of Steroid Injections for Knee Osteoarthritis Challenged
December 13, 2018 - Adding new channels to the brain remote control
December 13, 2018 - In the Spotlight: A different side of neuroscience
December 13, 2018 - Medical Marvels: Using immunotherapy for melanoma that spread to the brain
December 13, 2018 - Puzzles do not keep dementia away finds study
December 13, 2018 - New mouse model shows potential for rapid identification of promising muscular dystrophy therapies
December 13, 2018 - Study reveals urban and rural differences in prenatal exposure to essential and toxic elements
December 13, 2018 - New collaborative partnership in quest of novel antibiotics
December 13, 2018 - Single tau molecule holds clues to help diagnose neurodegeneration in its earliest stages
December 13, 2018 - AHA Scientific Statement: Low Risk of Side Effects for Statins
December 13, 2018 - What Is Acute Flaccid Myelitis?
December 13, 2018 - How bereaved people control their thoughts without knowing it
December 13, 2018 - Health care democratization underway, according to 2nd annual Stanford Medicine Health Trends Report | News Center
December 13, 2018 - Going Beyond a Single Color
December 13, 2018 - London-based startup launches ‘thedrug.store’ aiming to clean up CBD industry
December 13, 2018 - Loss of tight junction barrier protein results in gastric cancer development
December 13, 2018 - Novel way to efficiently deliver anti-parasitic medicines
December 13, 2018 - RKI publishes new data on disease prevention and utilization of medical services
December 13, 2018 - High-tech, flexible patches sewn into clothes could help to stay warm
December 13, 2018 - Restoring Hair Growth on Scarred Skin? Mouse Study Could Show the Way
December 13, 2018 - Probiotic use may reduce antibiotic prescriptions, researchers say
December 13, 2018 - Drug repositioning strategy identifies potential new treatments for epilepsy
December 13, 2018 - Chronic rhinitis associated with hospital readmissions for asthma and COPD patients
December 13, 2018 - Food poisoning discovery could save lives
December 13, 2018 - Cloned antibodies show potential to treat, diagnose life-threatening fungal infections
December 13, 2018 - Exercise may reduce colorectal cancer risk after weight loss
December 13, 2018 - Russian scientists create hardware-information system for brain disorders treatment
December 13, 2018 - Moderate alcohol consumption linked with lower risk of hospitalization
December 13, 2018 - Nurturing Healthy Neighborhoods | NIH News in Health
December 13, 2018 - Rise in meth and opioid use during pregnancy
December 13, 2018 - Researchers gain new insights into pediatric tumors
December 13, 2018 - FSU study finds racial disparity among adolescents receiving flu vaccine
December 13, 2018 - Study investigates attitudes toward implementation of ‘sex as a biological variable’ policy
December 13, 2018 - Drug cocktail induces cancer cell death by switching off energy supply
December 13, 2018 - Baculovirus virion completely eliminates liver-stage parasites in mouse model
December 13, 2018 - Researchers create noninvasive technology that detects when nerve cells fire
December 13, 2018 - Allen Institute for Immunology to partner with CU Anschutz to understand dynamics of human immune system
December 13, 2018 - Inability to do daily living tasks delays discharge of mental health patients
December 13, 2018 - Treating patients with hypertension induced albuminuria
December 13, 2018 - New substance could improve efficacy of established breast cancer treatments
December 13, 2018 - Scientists develop new stem cell line to study conversion of stem cells into muscle
December 13, 2018 - Re-programming the body’s energy pathway boosts kidney self-repair
December 13, 2018 - Research findings could help improve treatment of anxiety and post-traumatic stress disorders
December 13, 2018 - The Microbiome Movement announce Microbiotica as official industry partner
December 13, 2018 - New study reveals potential benefits of cEEG monitoring for infant ICU patients
December 13, 2018 - Whole-body imaging PET/MRI offers information to guide treatment options for prostate cancer
December 13, 2018 - International investigators fight against the negative campaign on benzodiazepines
December 13, 2018 - Targeting biochemical pathway may lead to new therapies for alleviating symptoms of anxiety disorders
December 13, 2018 - FDA Approves Tolsura (SUBA®-itraconazole capsules) for the Treatment of Certain Fungal Infections
December 13, 2018 - Are scientists studying the wrong kind of mice?
December 13, 2018 - Computer memory: A scientific team builds a virtual model of a key brain region
December 13, 2018 - Visual inspection alone is insufficient to diagnose skin cancer
December 13, 2018 - Paternal grandfather’s access to food associated with grandson’s mortality risk
December 13, 2018 - Our brain senses angry voices in a flash, study shows
December 13, 2018 - PM2.5 Exposure Linked to Asthma Rescue Medication Use
December 13, 2018 - Can’t exercise? A hot bath may help improve inflammation, metabolism, study suggests
December 13, 2018 - Can artificial intelligence help doctors with the human side of medicine?
December 13, 2018 - Virginia Tech and UC San Diego researchers team up to develop nonopioid drug for chronic pain
December 13, 2018 - NIH offers support for HIV care and prevention research in the southern United States
December 12, 2018 - Activating brain region could revive the urge to socialize among opioid addicts
December 12, 2018 - Relationship impairment appears to interfere with seeking mental health treatment in men
December 12, 2018 - Sleep, Don’t Cram, Before Finals for Better Grades
December 12, 2018 - Effective treatments for urticarial vasculitis
December 12, 2018 - Gun violence is a public health issue: One physician’s story
December 12, 2018 - The Science of Healthy Aging
December 12, 2018 - Yes to yoghurt and cheese: New improved Mediterranean diet
December 12, 2018 - Researchers uncover a number of previously unknown insecticide resistance mechanisms
December 12, 2018 - Regulating the immune system’s ‘regulator’
December 12, 2018 - In breaking bad news, the comfort of silence
December 12, 2018 - Study finds upward link between alcohol consumption and physical activity in college students
December 12, 2018 - FDA issues warning letter to Zhejiang Huahai Pharmaceutical involved in valsartan recall
December 12, 2018 - Weight history at ages 20 and 40 could help predict patients’ future risk of heart failure
December 12, 2018 - Presence of antiphospholipid antibodies tied to first-time MI
December 12, 2018 - DNA analysis finds that stethoscopes are teaming with bacteria
December 12, 2018 - New study could help inform research on preventing falls
December 12, 2018 - Women and men with heart attack symptoms receive different care from EMS
December 12, 2018 - Disrupted biological clock can contribute to onset of diseases, USC study shows
December 12, 2018 - New publications generate controversy over the value of reducing salt consumption in populations
December 12, 2018 - New data from TAILORx trial confirms lack of chemo benefit regardless of race or ethnicity
December 12, 2018 - Specific class of biomarkers can accurately indicate the severity of cancer
Women’s brains more vulnerable than men’s to injury from soccer heading

Women’s brains more vulnerable than men’s to injury from soccer heading

image_pdfDownload PDFimage_print

Women’s brains are much more vulnerable than men’s to injury from repeated soccer heading, according to a new study by researchers at Albert Einstein College of Medicine, part of Montefiore. The study found that regions of damaged brain tissue were five times more extensive in female soccer players than in males, suggesting that sex-specific guidelines may be warranted for preventing soccer-related head injuries. The results were published online today in Radiology.

“Researchers and clinicians have long noticed that women fare worse following head injury than men, but some have said that’s only because women are more willing to report symptoms,” says study leader Michael L. Lipton, M.D., Ph.D., professor of radiology and of psychiatry and behavioral sciences at Einstein and medical director of MRI Services at Montefiore. “Based on our study, which measured objective changes in brain tissue rather than self-reported symptoms, women do seem more likely than men to suffer brain trauma from heading soccer balls.”

About 30 million women and girls play soccer worldwide, according to the International Federation of Association Football, known as FIFA, the international governing body of soccer.

Measuring Brain Changes
In the study, Dr. Lipton and his colleagues performed diffusion tensor imaging (DTI), a form of MRI, on 49 male and 49 female amateur soccer players enrolled in the Einstein Soccer Study. Both groups ranged in age from 18-50 with a median age of 26, and both groups reported a similar number of headings over the previous year (an average of 487 headings for the men and 469 for the women).

DTI detects subtle brain damage by measuring the direction of the diffusion of water in white matter (the deep brain tissue that coordinates communication between brain regions). The more uniform the diffusion of water- measured on a zero-to-one scale called fractional anisotropy (FA)-;the better the microstructural integrity of the tissue. Finding a low-FA brain region indicates structural damage to the brain.

Assessment of FA in players’ brains showed that the volume of damaged white matter in women soccer players was five times greater than for male players. The women had eight brain regions where greater levels of heading were associated with lower FA compared with only three regions in men, the study found.

“Our study is larger and more evenly balanced between the sexes than any prior imaging study of sex and brain injury,” says lead author Todd G. Rubin, M.S., an M.D.-Ph.D. student in the Translational Neuroimaging Laboratory at Einstein. “The findings add to the growing body of evidence that men and women express distinct biological responses to brain trauma.”

Can Players Reduce Risks?
Just why women might be more sensitive to head injury than men isn’t known. Researchers speculate that differences in neck strength, sex hormones or genetics could play a role. The changes in FA were subclinical, meaning they didn’t produce overt clinical findings such as altered thinking ability. But those FA changes are still cause for concern.

“In various brain injuries, including chronic traumatic encephalopathy [a degenerative brain disease found in athletes, military veterans, and others with a history of repetitive brain trauma], subclinical pathology develops before we can detect brain damage that affects function,” says Dr. Lipton. “So before serious dysfunction occurs, it’s wise to identify risk factors for cumulative brain injury-;such as heading if you’re female-;so that people can act to prevent further damage and maximize recovery.”

For more than a decade, Dr. Lipton has studied the effects of mild brain injury and the cumulative effects of repetitive subconcussive injury on the brains of amateur athletes and combat veterans. He previously found that frequent soccer ball heading is a common and under-recognized cause of concussion symptoms and that worse cognitive function in soccer players stems mainly from frequent ball heading rather than from unintentional head impacts due to collisions.

Should soccer players stop heading? “We have carried out several studies showing that most players seem to tolerate some level of heading,” says Dr. Lipton. “Rather than ban heading altogether-;which probably isn’t realistic-;we’d like to get a better handle on how many headers will get players into trouble. What is important about this study is that men and women may need to be looked at differently.”

Soccer organizations may ultimately want to adopt preventive measures like Pitch Smart, a program sponsored by USA Baseball and Major League Baseball that recommends pitch counts and rest periods for players of different ages, Dr. Lipton suggests. “Limits on pitch counts have dramatically reduced the incidence of upper extremity repetitive stress injuries,” he says. “Limiting the number of headers allowed in soccer might have similar benefits in preventing head injuries. But we can’t recommend specific numbers at this point. Fully understanding the risk of heading will take a lot more work.”​

Source:

http://www.einstein.yu.edu

Tagged with:

About author

Related Articles