The Neurological Impact of High-Contact Sports on the Human Brain

Richard Montalvo
Cognitive NeuroEconomics @ UCSD
4 min readMar 22, 2024

Introduction:

High-contact sports have long been celebrated for their exhilarating gameplay and athletic prowess. However, beyond the excitement lies a realm of potential neurological consequences that athletes may face. From concussions to chronic traumatic encephalopathy (CTE), the risks associated with these sports raise significant concerns regarding the long-term health of athletes. This article dives into the neurological impact of high-contact sports on the human brain, exploring the research and studies that shed light on this critical issue.

Concussions and Brain Trauma:

One of the primary concerns in high-contact sports is the occurrence of concussions, which are mild traumatic brain injuries resulting from a blow to the head. According to a study conducted by Giza and Hovda (2001), concussions can lead to a range of symptoms, including headaches, dizziness, and cognitive impairment. These symptoms can persist long after the initial injury, impacting athletes’ quality of life and cognitive functioning.

Moreover, repeated concussions have been linked to more severe consequences, such as CTE. CTE is a neurodegenerative disease characterized by the accumulation of tau protein in the brain, leading to cognitive decline, mood disorders, and behavioral changes. A landmark study by McKee et al. (2009) found evidence of CTE in the brains of deceased athletes who had participated in high-contact sports, such as football and boxing, highlighting the long-term consequences of repetitive head trauma.

Source: Concussion in Sports

Impact on Cognitive Function:

The neurological impact of high-contact sports extends beyond physical injuries to affect cognitive function. Research by McAllister et al. (2014) revealed that athletes with a history of concussions exhibited deficits in memory, attention, and executive function compared to non-concussed athletes. These cognitive impairments can have profound implications for athletes’ academic and professional endeavors, as well as their overall well-being.

Furthermore, the effects of head trauma may manifest years after retirement from sports. A longitudinal study by Solomon et al. (2016) followed former professional football players and found an increased risk of cognitive impairment and dementia later in life, particularly among those with a history of repeated concussions. This underscores the importance of long-term monitoring and support for retired athletes to mitigate the cognitive consequences of their athletic careers.

A normal brain (left) and one with advanced CTE (right). Source: Boston University Center for the Study of Traumatic Encephalopathy

Preventive Measures and Future Directions:

In light of the growing awareness of the neurological risks associated with high-contact sports, there has been a concerted effort to implement preventive measures and improve player safety. Rule changes, such as stricter protocols for concussion evaluation and management, aim to minimize the frequency and severity of head injuries during gameplay.

Moreover, advances in technology have enabled researchers to develop innovative tools for diagnosing and monitoring brain health in athletes. Techniques such as neuroimaging and biomarker analysis hold promise for early detection of brain trauma and personalized treatment strategies.

Source: Dr. John Lloyd

Conclusion:

High-contact sports exert a profound impact on the neurological health of athletes, with implications for cognitive function and long-term well-being. As our understanding of brain trauma continues to evolve, it is imperative to prioritize player safety and implement evidence-based interventions to mitigate the risks associated with these sports. By integrating interdisciplinary approaches from cognitive science, sports medicine, and neuroscience, we can strive to protect the brains of athletes and ensure a healthier future for sports participation.

References:

- Giza, C. C., & Hovda, D. A. (2001). The neurometabolic cascade of concussion. Journal of Athletic Training, 36(3), 228–235.

- McKee, A. C., Cantu, R. C., Nowinski, C. J., Hedley-Whyte, E. T., Gavett, B. E., Budson, A. E., … & Stern, R. A. (2009). Chronic traumatic encephalopathy in athletes: Progressive tauopathy after repetitive head injury. Journal of Neuropathology & Experimental Neurology, 68(7), 709–735.

- McAllister, T. W., Ford, J. C., Flashman, L. A., Maerlender, A., Greenwald, R. M., Beckwith, J. G., … & Mihalik, J. P. (2014). Effect of head impacts on diffusivity measures in a cohort of collegiate contact sport athletes. Neurology, 82(1), 63–69.

- Solomon, G. S., Kuhn, A. W., Zuckerman, S. L., Casson, I. R., & Viano, D. C. (2016). The effect of retired professional American football players’ self-reported concussion history on cognitive function. The American Journal of Sports Medicine, 44(6), 1462–1472.

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