Author Interviews, Brain Injury, Exercise - Fitness / 21.06.2025
CTE Risk and Diagnostic Challenges in Contact Sports
MedicalResearch.com Interview with:
[caption id="attachment_69111" align="alignleft" width="200"]
Jenny T. Makhoul[/caption]
Jenny T. Makhoul, MBS
Department of Medical Education
Geisinger Commonwealth School of Medicine
Scranton, PA 18509
MedicalResearch.com: What is the background for this study?
Response: Chronic Traumatic Encephalopathy (CTE) is a progressive neurodegenerative disorder caused by repeated head trauma, particularly in contact sports such as American football, boxing, and soccer. It was first described in 1928 as “punch drunk syndrome” and later formally named as CTE by Dr. Bennet Omalu in 2002. It is characterized by cognitive decline, mood disturbances, and motor dysfunction.
Recent findings show that even teenage athletes can develop CTE, this is a growing public health issue. Despite increasing awareness, CTE remains diagnosable only post-mortem, and no effective treatments exist. Our focused review explores the sport-specific clinical presentations, neurobiological mechanisms, diagnostic challenges, and the use of rodent models to deepen our understanding and support future prevention development.
Jenny T. Makhoul[/caption]
Jenny T. Makhoul, MBS
Department of Medical Education
Geisinger Commonwealth School of Medicine
Scranton, PA 18509
MedicalResearch.com: What is the background for this study?
Response: Chronic Traumatic Encephalopathy (CTE) is a progressive neurodegenerative disorder caused by repeated head trauma, particularly in contact sports such as American football, boxing, and soccer. It was first described in 1928 as “punch drunk syndrome” and later formally named as CTE by Dr. Bennet Omalu in 2002. It is characterized by cognitive decline, mood disturbances, and motor dysfunction.
Recent findings show that even teenage athletes can develop CTE, this is a growing public health issue. Despite increasing awareness, CTE remains diagnosable only post-mortem, and no effective treatments exist. Our focused review explores the sport-specific clinical presentations, neurobiological mechanisms, diagnostic challenges, and the use of rodent models to deepen our understanding and support future prevention development.
Dr. Stern[/caption]
Robert A. Stern, Ph.D.
Professor of Neurology, Neurosurgery, and Anatomy & Neurobiology
Director of Clinical Research, BU CTE Center
Senior Investigator, BU Alzheimer’s Disease Research Center
Boston University School of Medicine
MedicalResearch.com: What is the background for this study?
Response: The link between playing American football at the professional level and later-life brain disorders like chronic traumatic encephalopathy – or CTE -- and ALS has received increasing attention over the past 15 years. Previous research has shown that former NFL players are more likely to die from CTE and amyotrophic lateral sclerosis (ALS) and more likely to report cognitive impairment, behavioral changes, and dementia during life. Despite previous research focusing on the later-life effects of playing American football at the professional level, the long-term effects of college football participation remain largely unknown.
We had two goals for this new investigation. The first was to conduct a survey of the current overall health status, including cognitive and other neurological disorders, of older former college American football players compared with men in the general population. The second goal was to examine the mortality rate and causes of death in a cohort of older former college football players. The target population for this study was all 447 former Notre Dame football players who were listed as seniors on the varsity rosters during the 1964-1980 seasons. This was the era of legendary coaches Ara Parseghian and Dan Devine. I should add that this study was fully independent of the University of Notre Dame.
Dr. Kelley[/caption]
Mireille E. Kelley Ph.D.
Staff Consultant for Engineering Systems Inc.
MedicalResearch.com: What is the background for this study?
Response: Youth and high school football players can sustain hundreds of head impacts in a season and while most of these impacts do not result in any signs or symptoms of concussion, there is concern that these repetitive subconcussive impacts may have a negative effect on the brain.
The results of this study are part of an NIH-funded study to understand the effects of subconcussive head impact exposure on imaging data collected at pre- and post-season time points. The present study leveraged the longitudinal data that was collected in the parent study to understand how head impact exposure changes among athletes from season to season and how that relates to changes measured from imaging.