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41 Med. & L. 523 (2022)
Chronic Traumatic Encephalopathy and Sport - Implications for Future Generations

handle is hein.journals/mlv41 and id is 537 raw text is: Med Law (2022) 41:4:523-540 Medicine and Law World Association for Medical Law CHRONIC TRAUMATIC ENCEPHALOPATHY AND SPORT - IMPLICATIONS FOR FUTURE GENERATIONS Dennis J Cordato PhD FRACP,2,3,4, Theodore Ross Cordatos, Colin J Mahoney MB, PhD, MRCPI, FRACP1',2',3, George Pitsis MB, BS, Dip Paeds, M Sp Med, FACSEP6, Roy G Beran MBBS, MD, FRACP2',3,4,'7,8 Orcid ID Dennis J Cordato: 0000-0001-8447-6644 Orcid ID Colin Mahoney: 0000-0002-5878-3859 Orcid ID Roy G Beran: 0000-0002-5884-0606 Abstract: Chronic traumatic encephalopathy (CTE) achieved prominence following the 2015 film, 'Concussion', depicting the struggle of a forensic pathologist with American Football. Sporting organisations recognise potential implications of concussions. CTE poses risk for dementia and was found in brain autopsies of contact sports players experiencing mental health issues and suicide. Contact sport can cause elevated biochemical markers of brain damage, including neurofilament light, tau, S-100B, neurone specific enolase and circulating microRNAs. 'Heading' in football, provokes risk of dementia exemplified by the England 1966 World Cup winning team having 6 of 22 (27%) players, thus far, developing dementia, compared to 7.1% UK population prevalence. Sporting bodies are changing rules but are they reflecting scientific evidence? In Australian soccer, heading is banned for primary school children during training but not during games. Does this provide adequate protection? Professional 'no play rules', following concussion, vary across sporting codes. 1 Department of Neurophysiology, Liverpool Hospital, Sydney, Australia. Dennis.Cordato@ health.nsw.gov.au 2 Ingham Institute for Applied Medical Research, Campbell St Liverpool, Sydney, Australia 3 South Western Sydney Clinical School, University of NSW, Liverpool, Sydney, Australia 4 Western Sydney University, Sydney, Australia 5 Faculty of Arts, University of NSW, Randwick, Sydney, Australia 6 Sports Medicine Institute, Miranda, Sydney, Australia 7 Griffith University, Southport, Queensland, Australia 8 Sechenov, Moscow First State University, Moscow, Russia 523

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