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tv   Athletics Officials Testify on Concussions in Youth Sports  CSPAN  May 16, 2016 4:15am-5:53am EDT

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[inaudible] [inaudible] [inaudible] [inaudible] speemac, thank thank you we are going to move right away so we want to give everyone the opportunity to testify. i would like to introduce the witness for the second panel.
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we have mr. eugene buddy, we'll eat up the second panel he has been head football coach at dartmouth college since 2004. he has implemented non- contacted practices. i believe you are also a teammate of of the famous coach from howard university named tim murphy. he is my twin. my like to welcome doctor andrew gregory. mr. kevin -- of usa hockey, he has 20 years experience as a certified athletic trainer now serves as manager player safety at u.s. hockey. next mr. steve, he has served as executive director and no president ceo of la crosse since 1998. then mr. terry o'neill was the founder and ceo of practice like prose,'s mission is to educate high school coaches on alternative practice regimens.
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next, doctor dawn comstock who is asked associate professor colorado school of public health and a leading expert on high school surveillance. and finally doctor thomas -- >> how is the correct pronunciation. use with bioengineering at purdue university. he is the founding codirector of produced mri facility and a part of the redo trauma group. i think all witnesses for being here today and i look for to having a productive discussion. you are where the committee is holding investigative hearing and in doing so has the practice of taking testimony under oath. do you have do you have any objection to testifying under oath. see in none i advise you under the rules of the housing committee are entitled to be advised by counsel, do any of you did desire to be advised by counsel today? see no then please write and raise right hand i was aware you in.
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you will swear that the testimony are about to give is the truth, the whole truth, nothing but the truth? thank you. all witness answered in the affirmative, so you are now all under oath subject to the penalties set forth of the united states go. i will ask you to give a five-minute summary of your written statement. please pay attention to the light of front because we are on tight time. you are now recognized for five minutes. make sure your microphone is turned on and you pull it as close to you as possible. almost touching. almost touching. >> thank you mr. chairman. i like to think kelly and care for their testimonies will. it well. it underscores the importance of the committee. closer? as i mentioned i would like to thank kelly for the story. i am buddy i've been a college football coach for 35 years. i've coach and ivy lee, d sec, the pac-10, the big tank, conference usa and the yanking
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conference. during summers yanking conference. during summers i work with age groups, peewee's through high school age kids. football is a very special game. the life lessons with all the team sports, things people people learn, the friendships they make, the experience they have, i love the game of football. but i love my players more. looking at concussive head injuries through the course of time, i was five years ago made the decision that we would eliminate tackling from our practices. in season practice, preseason practice, and the guarantee i make to parents is, their son comes to dartmouth they will never tackle or be tackled by another dartmouth ballplayer for the four years. making that decision i was not 100% sure i i was doing the right thing. i worried about my players, or as i putting them at a competitive disadvantage? was was i preparing the believer games? it was not a popular decision among my staff. it went from complete ridicule to disbelief to condemnation in
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some parties. i was convinced however, i did a lot of research on it that the weight we teach tackling was not the way we tackling gains. what i looked at at length is a defensive tape and how we tackle. we try to replicate that tackling that we saw against pads and other players, and going to the live concept, tackling sleds, we developed at dartmouth the school of engineering a mobile tackling device which is been beneficial in terms of replicating a moving target. with that, we actually tackle more than anybody else in the country. each of my players annually, 800, 500 or 800 tackles per year. but never one against another human being, the timer guys tackle or ten games the only time our guys tackle or ten games per year during the course of the season. what happened is our injury reduction has been phenomenal. miss tackles which we drop track
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dropped significantly. people asked me whine quite simply, the skill of tackling, we practice more than we did when we're tackling my. it is a shame but it is a shame but in our sport the most injurious act, tackling is the one that is practice the least because of the risk of injury. so by putting our guys in a position to tackle with regularity and it was not anticipated we become much more efficient than in the sport of tackling. you hear rug be tackling, football is a different story. shoulder tackling we do preach. we do not talk about the head other than take it out of contact points. it's like writing a book, you don't just throw someone on a bike and let them start to figure it out, there is a process, training wills and so on, support from parents. support from parents. i do the same with the ballplayers. a lot of folks ask if they can do that at different levels without question. people look at the nfl and i use them as a model, they hit less than anybody in the world.
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there concussive results in practice are probably some of the best. we have gone from a football team that struggled to championship team and at 117 games the last two years. iv championship this year, we had zero defensive concussive injuries. it is all a process of how you present to your players. the buy-in has been appreciable. it it has been wonderful, recruiting standpoint. in other people use it and i speak naturally with this, perhaps cool, youth football, they'll say will how do you teach someone who is never tackle the human being. bullets paul, walk, run. start with pads and progress four. i fully believe that at any level the approach we take and a kick on a video if i could now, think i have time. we will demonstrate more accurately than they could with words how we actually practice tackling.
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>> we tackle literally every day that we practice. we people in position to execute. they practice different, the defensive line, we have broken it down to the kinds of tackling and repetition the end result is they at a very high level. >> it thank you very much. i now recognize doctor gregory for five minutes. >> chairman murphy, members of the subcommittee, my name is doctor -- i am a pediatric specialist that -- i'm with the
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american college of sports medicine and a member of usa football medical advisory committee. i am at not a you usa football employee nor do i receive compensation for being on the committee. i'm the parents of an 18-year-old daughter who is a soccer player. thank you for the invitation to testify on the behalf of usa football. in short it is the national sick body and member of the u.s. olympic committee it is an independent, nonprofit organization. we create resource and direct program establishing standards using the best available science and educating coaches, peers, and applets. our programs are endorsed by more than 40 organizations spanning medicine and sport including the american college of sports medicine, the national athletic training association. i would like to highlight three elements of how usa football addresses player safety. the first of that is education.
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we train more youth in high school coaches can buy than other organization in the u.s. education is the core of our heads up football program. we are going to highlight that. this is is delivered through online courses and imprison clinics. there are six educational components to this program which you can see listed on the sly. concussion concussion recognition response, fairness and hydration, sudden cardiac arrest, proper equipment fitting and then tackling a blocking techniques. more than 6300 youth leagues in 1100 high school hundred high school nationwide's represented about 1 million young athletes in rolled in heads up football in 2015. the second element is research. usa football football advances player safety by commissioning independent research. according to a 2014 youth football study encompassing more than 2000 players, leaks that
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participated in the heads up program showed a 76% reduction of injuries during practice, 38% of injuries during games, ready for% fewer concussions during practice and 29% decline in concussions during games. a subset of this group showed the players in the leagues had enrolled in heads up football had fewer impact during practice which made quite to more than 100 fewer impacts in the season. on the high school level, fairfax county public schools have have reported 43% decline in football league concussions since 2013 for 3000 players since implementing heads up football. a24 football. a 24% decline in overall football injuries. finally we'll highlight innovation. usa football provides practice guidelines, practice planning tools and defined levels of contact. you can see the levels of contact listed on the side including air, bag, control, which is a noncontact or
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non-taking down rule, flood which is a control drill what you are not taken to the ground but there is contact and then finally live action where you are taking down to the ground. more young football are in the fundamentals of advancing to full contact. where usa football program is in place, today's youth football is not the same as it used to be for your children or what you may have watched. will conclude with a video showing the difference that usa football has and the difference we're making. >> the pilot program for heads up football may be the first player safety coaches it completely changed everything, were looking around going why are we not all doing this.
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there is nothing here that fundamentally changes the game of football. there's nothing here that we're not currently teaching. were just were just teaching a 25 different ways. ultimately there is a sena return that were making the game safer. >> it's the right thing and responsible thing to do as a league administrator i cannot even imagine. heads up football has change the way we play. it it is change the way we practice, we have one consistent match of what were talking about how we are teaching our applets to play the game. from ankle biters by their through 12th grade, we have one consistent curriculum. that's part of the establishment of what we do and how we coach now it helps us to be a better community. we have seen a sound decrease in concussions, inclusion injuries, we are able to show with data what the differences. several high schools played in back to back state championships
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and have fewer injuries than about 25 high schools. that's a big deal. >> were making tackles now then we went made a few years ago just because we constantly hammer in the basics. our generation is getting taught a different way to tackle like this is the right way, do this. do it yesterday, both from the youth core level and then from the high school level. this is only making this a better game. better, safer game. >> thank you. i will now hear the testimony for five minutes. >> thank you chairman murphy, ranking member and distinguish members of the subcommittee. it is a privilege to be here today on behalf of usa hockey to discuss the issue of player safety. usa hockey takes safety as a top priority, it always has and has been a leader in safety among youth sports.
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safety starts with our leadership and goes on down to the rest of our organization, from our president jim smith, our executive director, executive director, our chief medical and safety officer, who it's from the mayo clinic in rochester, minnesota. the chairman chairman from our safety and protective equipment from saint elizabeth medical center in boston, he chairs a committee that is been around for 40 years which guides our board and making safety policies for sport. the usa hockey foundation yearly awards grants in the areas of injury prevention and research with ice hockey injuries. recently i was hired as manager of player safety, full-time position that usa hockey. which further shows a commitment to safety in our sport. finally, we have had hockey equipment and certification counsel which was urged to be formed by usa hockey in 1978. this is an independent body which studies equipment that manufactures and meets the standards of protection in ice
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hockey. when we look at prevention, we start with our rules and enforcement. we have a very strict officiating education program which involves online modules for rest at every level. classroom work and on ice clinics. at every level i officials are working, they are supervised, mentored and given feedback and shown videos of proper rule enforcement to make the game safer. we have implemented stricter penalties with emphasis on boarding, charging, checking from behind and had contact. in 2009 and 2010 a rulebook focused on the standards of a rulebook focused on the standards of play and emphasis on body checking. in 2011 our executive board rolled to make a rule change which increase the legal age of body checking in our sport from 12 and under level to the 14 and under level. this decision was based on
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scientific research, not only on player skill development but also safety and injury risk between those age groups. in 2009, usa hockey created the american development model. this model is an age-appropriate skill development and training based off of research of long-term athlete development. our coaching education program has been a gold standard in youth sports for years. in 2011 in 2011 and 2012, there became online required modules for coaches which include concussion awareness and recognition for all the age-appropriate levels. within the structure we have published a check in the right way for youth hockey which is an age-appropriate for skills to properly body check in the game of hockey. it starts with skating and is always focused on attitudes, ethics, and respect for the sports and components. it goes from skating positioning angling, stick positioning in angling, stick position coming body contact and body checking.
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heads up don't duck was a program initiated in 1995, this was followed in 2010 buyer heads up hockey program. both programs emphasis both programs emphasis is playing the game with your head up, specially when coming in contact with the words, go poster opponents, keeping your heads out of taking a body body check. do not check from behind, and a library of skills and drills to teach these tour players. we educate our members constantly through information available on our website. electronic communications through newsletters for parents, players and officials. which often have concussion awareness and education materials in them. usa hockey will start publishing and electronic newsletter specific to safety in the fall of 2016.
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currently the mayo clinic sports medicine is doing research to identify objective testing to identify those athletes with the potential concussion using blood biomarkers, sideline eegs in the king david test. the studies funded by our usa hockey foundation. finally on the treatment side, we have we have a comprehensive concussion management program available to all of our associations which is a minimum standard for any usa hockey program to follow. the biggest message and this is when in doubt, sit them out. thank you for allowing me to speak here today on this important topic of player safety and concussion. >> thank you. you are not recognized for five minutes. >> morning chairman murphy, ranking members and distinguish members of the house oversight and investigations subcommittee of the energy and commerce committee. my name is steve, name is steve, i serve as ceo of u.s. lacrosse. our nonprofit organization has proactively led and funded many sports specific prevention and research initiatives that have
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resulted in a number of interventions in the areas of rules, equipment, and education. we have all supposed to dissipate actively in the efforts of numerous collaborations focused on reducing injury risk which i have referenced in my written testimony. lacrosse is the oldest sport native to the north american continent. native american players were stocking men by jesuit missionaries in the 16 hundreds. modern rules for lacrosse were first adopted in the late 19th century but to distinctly different versions of the sport evolve for men and women. lacrosse has experienced an unprecedented surge of popularity in recent years. in part due to the formation of u.s. lacrosse is a sports first national governing body in 1998. u.s. lacrosse established a sport science and safety committee when the organization was formed. that committee is comprised of prominent medical and research professionals representing a variety of specialties as well as representatives from a number of sport organizations. we have been described as one of the proactive sports organizations in the country relative to our
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commitment to injury prevention. we are recognized for our efforts in that regard last may through the introduction of kendra hr 267. our committee prioritize and recommends interventions and leaves that of element of educational initiatives intended to reduce injury risk and directed to coaches, officials, players and their parents. my written testimony includes references to the published research and safety interventions u.s. lacrosse has led. we also have invested sneakily in the development and deployment of the sports first standardized coaching officiating curriculum. unfortunately public school, public focuses too often directed at equipment interventions which are less effective in preventing injury then assuring players are properly taught and games are properly officiated. among the biggest challenges we face is convincing youth leagues of state high school associations that require our
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standards for lacrosse specific coach and education is fundamental to a safer and more enjoyable playing experience. the prevention of lacrosse related concussion is a particular area of focus her u.s. lacrosse. we are committed considerable time and resources for research and prevention. the benefits of play and sports are well documented. while it crosses considered safe compared to other sports and activities serious injury such as concussions occur. as much as we have learned about concussion in recent years, particularly the critical importance of recognizing symptoms and removing children from play until clear by medical professional trained medical professional management. we also learned learned that no piece of protective equipment on the market today can prevent a concussion. the mechanism of injury is different from sport to sport, and in the case of lacrosse it is different in boys lacrosse and girls lacrosse. we have learned that the injury and its recovery can be very different experience for girls and boys.
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this demands further focus and study. we have learned that increased sports specialization at younger ages is increasing the number of injury exposures of young athletes in contributing to increases of overuse injuries on developing bodies. perhaps most important lay we have learned that the vast majority of children who express a concurrent caution can recover fully if there injury is recognized quickly and the receive proper care. concussion remains a significant health concerning youth sports. it will remain a priority for youth lacrosse. accordingly, we will continue to invest in research that helps us learn more about the mechanism and frequency of the injury and both boys and girls lacrosse in order to advance educational, role, and equipment interventions both effective in reducing risk. thank you for the opportunity to share my thoughts on this important issue as well as your efforts to increase health and well-being of our nation's young
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athletes. >> thank you. mr. o'neill you're reckless for. mr. o'neil you are reckless for five minutes. >> chairman, thank you. >> the microphone on please. >> is it on? put you as close as possible. >> thank you. okay. so mr. chairman. we like to begin if we may with a soundbite, 30 seconds from doctor n mckee which follows on many comments heard earlier this morning. doctor mckay is one of our colleagues, these were her comments two months ago. >> is not about concussion, it's about limiting head injury. head injury that occurs on every single play of the game at every single level of this game we have to eliminate somehow the cumulative head had impact. to me, what our job is as american citizens is to maintain the health of these young athletes
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for the entirety of their life. if there something we can do to limit this risk it needs to be done immediately. >> thank you. >> immediately mr. chairman. the word chairman. the word we heard this morning as well that his arm meet middle name. immediately. let me begin by saying here's where we started with our chase for immediate results. the national football league, 32 teens, 2000 players as you know, practicing for five months in regular and postseason. there were 271 total concussions in the nfl this last year, 271. the question not in games but in practice. how many concussions on practice fields last season? answer, eight because they learn how to practice. those a concussions a concussions in the universe of 271 represents 3%. now the big question, what is that number in high school football do you think? what percentage of high school football head trauma occurs on the practice field?
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sixty-75%. the worst, most shameful statistic than all of football. this is the reason we are in business. this. this is the reason why a number of hall of famer's, at no appearance fee chase around the country with us, among them warren moon, tony dorsett, mike ditka, showing high school coaches on video how to practice with less contact. these men do this generously because they believe this is the future of football. so let's quantify our recommendations. we are going to show you how they practice in the pros. this is called full speed to contact practice which means they run the playful speed to get the timing, the pacing, the choreography of the play. at the last moment, the woman of imminent contact, rather than tackle, they break away from each other. it is a football
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ballet as you see it here. here's dartmouth college, you will see a pass down the middle, a safety in practice here could light up this receiver with a perfectly legal hits. it is his teammate so at the last minute he veers away from it. he will say that tackle for saturday, okay. in the nfl, cleveland browns, watch number 22 and white here. he will track this playful speed, everybody stays on their feet because only bad things on their feet because only bad things happen when you go to the ground. he tracks the ball, but at the moment he might tackle, he stops. and lets the ball carrier continue. 48 and brown, lead black here, one of the most vicious hits in football. what hits and football. what does he do? forty-eight in brown, he identifies the player to be blocked, he comes to his, six is hit and just lisa's hands on it.
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what about this defensive back in the shadow? is he going to tackle on a wednesday or thursday? no. he did everything to put himself into position etc. make the tackle. seattle seahawks, same thing. and they going to tackle a teammate in the going to tackle a teammate in the middle of the week, or save it for sunday? they save it for sunday. contrast that now with high school football. here's a high school scrimmage, quarterback has four teammates with their hands on them. i they going to hold him up, rather than taken to the ground? this this has been a good practice exercise for everybody involved. we have learned a little something from it. let's go back to the quarterback. we take them to the ground or wrap them up and hold them? we took them to the ground and broke his wrist. totally needless. at at the same high school in connecticut, a young man named cody gifford played. son of frank and kathy lee gifford. frank was a colleague of mine and abc sports, he actually made the team as a walk on. he can't believe how proud his father was. my son liam also played on the
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same high school and is a backup quarterback. frank gifford and i used to talk about this frequently. one day we said and put together the composite injuries between her two sons. concussions, the fractures, the new ligaments. how many of those occurred in games and how many practice? two in games, eight in practice. utter madness mr. chairman. so, what what we recommend to rectify the problem question we are the only organization of the five national organizations who operate in the space that is committed to immediate abolition of contact football below the age of 14, and ninth ray. we want to convert those leaks to flight. no contact until ninth grade. once in high school, no full contact in spring, summer, off-season, three hours total in preseason, 30 minutes per week
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during the season. >> we have to wrap up so we can continue on. >> how does this compare to the other major organizations operating in the space question national federation of high school and usa football which operate in concert will allow three times as much contact is we do, pop warner is much as four times as we recommend. the ncaa, six times as much as we recommend. >> thank you. during questions if there's other comments you want to make, were way over time. >> thank you. it is an honor to be asked to testify for this committee, particularly representing colorado school of public health at the university of colorado. under congresswoman and her state. i'm here today because i run the national high school sports related injuries study. have done so for 11 years. in effect i've dedicated my
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entire career to trying to improve high school athlete safety, not because i'm a policymaker clinician, but because i collect the data that is needed to drive to informed evidence-based decisions. i want i want to share just a few examples today and describe why those are so important. this first slide shows high school data just simple concussion rates over time. you can see concussion rates were stable for a few years before dramatically increasing, in fact doubling between 2,082,012. they leveled off in recent years. understanding trends over time like this is crucially important post so we can evaluate the magnitude of the problem and also so we can determine which intervention may be effective and which may not. only long-term surveillance information can provide this data. the next slide shows some of the
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information i heard earlier that we do not want to wait to try to do intervention work because we don't want to wait for the years and years to collect the data. we don't have to wait. i intentionally put just one year worth of high school data appear to show you that even with one year of surveillance we can look at patterns and trends across sports, across genders, across types of activity. this is just the tip of the iceberg. i capture up to 300 variables on every concussion that is reported to make system. i can tell you when, why, how, and to whom the concussion occurred. this. this data can drive evidence-based intervention efforts. i, and many other researchers in the united states have the drive, desire, resources, technological and methodological, and experience to be able to do this work at the youth level just as it is currently is being done at the collegiate and high school level. what we we do not have is
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the funding. injury surveillance can also demonstrate positive outcomes as well. very important. this slide shows that we actually had a big success when it comes to managing high school athlete concussions. in 2007-2008 academic year, 30% of athletes diagnosed with a concussion return to play in less than seven days which is a violation of return to play guidelines and disturbingly 8% return to play the same day they were injured, that is unacceptable. look at how things have improved. last year in 2014-2015, less than 2% return to the same day they were injured. this is a result of prevention. not equipment prevention, but education and regulation prevention. effective prevention in public health, we talk about three legs
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of a stool, equipment is one piece in terms of concussion, but educating individuals and providing good, strong policy policy based on evidence are the other two legs. i would love to come away from the efforts of this committee, incredibly important efforts, with the ability to do this work at the youth level. currently, no one can give you this type of data for children playing sports who are younger than high school age. that is a travesty. we have got to protect our children who are sports because we want them to play sports. i'm not against sports, not even against contact sports, despite my appearance i played rugby for 13 years, yes, i am only am only 4-foot 11 inches and i played rugby. i appreciate the fact that participating in sports is a very important way that children can incorporate physical activity as part of a daily,
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healthy lifestyle. we need everyone sitting at the table and our policy representatives like the distinguished members of this panel to work together to drive evidence-based, prevention practices now. now. we do not want to wait for 30 years to learn about long-term consequences of concussion. that that is secondary prevention. we need primary prevention. i already know that concussions are bad for us. i want to keep kids from being injured in the first place. thank you. >> thank you very much. now doctor you recommend for five-minute. >> thank you. i am thomas am thomas and professor of electrical computer engineering up to university. i've been a member of recent years at the ncaa task force on concussion emma member of the scientific advisory board to the ncaa care consortium. i'm about a member of the
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concussion consortium which is a multi-institutional effort to bring together researchers who have a history of publishing and doing research in the area of concussion and traumatic brain injury together to so many problems. i served with a neurotrauma group, i'm also the lead pi for the purdue college of engineering preeminent team in engineering health your brains. as our rabid sports fan of the pittsburgh steelers and expert pirates and father of four active young children this is an issue near and dear to my heart has been for a long time. as a part of the neurotrauma group i want to summarize really quickly that our goal and our proposal to the future is to achieve saver participation in you sports. our goal is to make sure more children can participate in sports more frequently. without risking injury or reduced risk of injury to something that is acceptable to us such as riding a bicycle or playing baseball or basketball. our goal is to achieve this in the education of applets,
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parents, coaches, and healthcare providers regarding risks of concussive and sub- concussive injuries. through engineering engineering based improvements in protective equipment, through modeling and appropriate preventative methodologies that allow us to monitor exposure to head injuries and the risk of pager injuries. finally techniques that have already been described to improve training of athletes. for the past seven years are pioneering study has been engineering based following the model illustrated on the slide. were a technique from basing material and structures in our everyday world could be planes, bridges, automobiles, automobiles, where you essentially do non- instructive documentation and document a material is in good health before you continue board with its use. is that material starts to exhibit some sort of's change you either repair or in the case of some materials you allow them to rest and recover. this methodology has been
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applied now is a for seven years in the study of high school girls playing soccer and poison play football. in our study though, of applying the methodology began like many other studies in this domain were real initial effort was to understand why some kids got a concussion a concussion and some didn't. what we discovered rapidly and has driven our research is that in truth, many of the children who we think are not injured are in fact showing changes in their physiology, changes in their brain that are strongly suggestive of underlying brain injury. what is critical is that not only are athletes who are supposedly healthy who do not have signs of a concussion, who are not diagnosed or examined by their athletic trainer or physician is having a concussion , will look abnormal in this manner for up to five months after the season. this means they may be spending eight - ten months of the year in an abnormal state. what we already know ahead of time that is never a good idea idea to hit your head, the question now becomes how long is
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it that these athletes are injured and what can we do to prevent that entry in the first place. our study has been going first seven years and up were able to find funding sometime in the future will continue the study, ideally later this year. i i only wish to be working from this methodology with the goal being that if we understand how input in this case mechanical input of heads being hit, whiplash from the body being hit and the head snapping to the side, four, rotate and abruptly will allow us to understand how each of those events affect the brain. then we can go back and correctly have helmets that prevent concussion. we can do about appropriate methodologies for identify when an athlete should skip a practice because clearly we want kids to miss practice and not the games and that's with the kids want. we'll we'll also then be able to evaluate whether or not we are recovery has been truly complete. can we actually document that an athlete who has been pulled and ready to put a is healthy
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enough, that it makes sense for them to go back into play. so, with that we really feel as a pretty group and as myself as a researcher that most of these changes can be made to no cost of the enjoyment of the game. they're very likely to the freedom or comfort to engage in these activities without any substantial consequences beyond those associated with other non-collision sports such as basil, bicycling, whatever. we really feel that the science is far enough along that these changes should be made now rather than delay any more time especially since 30,000,000 kids kids every year are exposed to potential injury. there's no reason not to act. >> thank you dr.. i do want to recognize i will start up with questions and let members know that we are trying to continue this, there'll be one vote at some point. we will try to continue to hold that boat. i do want to recognize in our audience we have nick lowery,
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nick the kick, you played for the patriots, jets, and cheese, it's good to have you here today. also sean and redskins and patriots and seahawks both replay pro bowl, thank you for your interest in concussions. and former colleague phil, the dock is here as well. we appreciate you coming back. i want to say do not make the georgia tech team but i understand that you drove the mask mascot car. it's nice to know your skill sets. now recognize myself or five minutes. this goes to doctor gregory, mr, from the perspective youth sport organization, what are the greatest needs in terms of research related to concussion and player safety? any comments on this? >> for clarification, the greatest needs.
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>> yes. >> so my first response would be to agree with don that we have a databases in college and high school we don't have them in youth sports. so establishing a database for youth sports injury is imperative. >> i would act of those statements that we do need to have a database of injuries that are occurring in our youth sports that we can make these decisions. it is hard, hard, we don't want to wait for the future. we need to start gathering this information right now. >> i would agree. each of us in sports is trying to do our best to fund research to a non- profit. but we need greater resources to drive the resource into the youth play area. >> along the lines of research to encourage coaches, as their way to help coaches and teams also keep track of their own database? do coaches keep track of their
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data to see what happens for their own coaching style comparison question. >> i would say and doctor comstock will have a word here, but the challenge with that is the quality of the data that is collected. unless unless it is collected well and consistently, which coaches generally speaking do not want to do, then we are concerned about having flawed data. >> mr. comstock, do you have a comment on that. >> i agree, we are concerned about the quality of the data and that is directly correlated to was reporting the data. at the high school and collegiate level we rely upon athletic trainers to report this data to us. however, i, i and others have been investigating ways in which we could modify our surveillance system to enable a parent or a coach who is trained appropriately and appropriately motivated to be able to report,
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perhaps not 300 variables per injury but at least enough variables that we could drive forward a lot of these discussion. >> coach stevens, you did record and look for specific dated. >> in general overseas. >> and that's helpful to give the feedback along those lines. >> it is. use you or you stack up to the teams in the league. >> so let me ask, how significant is the issue of athletes not reporting concussions? they themselves have symptoms but are not giving that input information. >> i can tell you that on all levels that is an issue. the problem is knowing what the symptoms of concussion are, if if you report to someone, that person knowing what the symptoms of concussion are. i do think that what don showed with that data that concussion rates are going back down as a result of education, of coaches, athletes, players of what the signs and symptoms of concussion are. having said that, i'd don't think we can stop there. we have to to continue the efforts for everybody. >> anyone else want to?
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>> that same graph that showed the doubling of concussion rates between 2008 - 2012, high school athletes do not high school athletes did not suddenly become twice as fast, strong, vicious. the years preceding that, there concussions occurring that just went undiagnosed and unrecognized. the increase the increase in the concussion rates truly reflect the great deal of education that has been done by individuals on this panel as well as group as cdc and national association -- to make sure that when -- so it may not of been prior to that increase it means when they were reported. >> yes or. and the parents and families. the parents of these
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young athletes it's important to educate them as well. >> do you see this as an ongoing problem in regard to injuries, that this is working are we still have ways to go? >> i think the fact that that curve has seem to have peaked and leveled off i think it is an indication coupled with the less light i showed that showed how much better we are doing at managing concussions. i think both of those speak highly to the success that we have had today to in educating parents, coaches, athletes, policymakers about concussion. we still have further to go particularly in the younger groups. >> thank you. i will yield now to for five minutes. >> thank you so much mr. chairman. i want to take a look at some of the sciences out there. by the way, it was really an excellent panel with everyone giving a great perspective. your work examines high school football players as well as high school soccer players, can you tell us from your research about the head impact from head impact sports and how it impacts head injuries? >> so what we have observed is that when the athletes take large amounts of blows per week
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whether it be a ten gr above, 10g is a reference, if, if you just stand up and drop down to your chair you'll generate ten times the force of gravity on your head. when players are taking numbers of 60 --70 blows per week in football for example, those male athletes tend to show alterations in the brain physiology that are suggestive of either damage to neurons or at least some sort of impairment in the way information passes from your brain and ultimately result in you being able to respond to a question or answer a task or achieve a target on a game or particular activity. >> ..
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>> we are in fact benefiting our athletes. >> we had a forum committee in march and at that forum there were researches that suggested we don't have enough science to act on issues and they said we should wait until there is more research. what is your response to this? >> i don't believe that. >> and that is because you actually have scientific research? >> we are working with several other institutions ohio state university, michigan state, university of the nebraska shows published work there are changes in the brain. >> if you would not mind getting
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that to this committee that would be helpful in our investigation. thank you. i want to ask you a couple questions, dr. comstock, about gender differences in cushion and head trauma. girl's soccer has the highest rate of reported concussion. are girls more likely than boys to get concussion? >> that is a million dollar question if you will. we reported in 2007 in gender compareable sports, so both sports play and same equipment and sports, girls have higher concussion rates than boys. what we don't know at this point, people are working on the question, is it a bio problem?
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or is a social-cultural issue because we don't have a test for concussion and we rely on reports and young female athletes may be likely to report it more. >> do we need more data? >> we have the data showing the consistent change. >> what to we need to prove it? >> we need more detailed research to determine if there are differences or social and culture. >> this is the intent of our study. they can understand the brains changing and we can understand if it takes less. >> you are girls and boys? >> yes, girls and boys. >> dr. comstock, i want to ask one more question. you say there is no surveillance for under high school ages. do you think this is something that should be instituted so that people like you can get
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that data to see exactly what is going on? >> yes, i would love to give it to you and can give you the name of ten other researchers. >> who should set it up? >> my work hasn't been federal funded. the ncaa funds their own system. i think it should be a federal effort but i don't care if it is joint but somehow someone has to do it. >> thank you very much. thank you for coming. >> just to remind member, votes are called and we will continue to roll through. dr. burgess you are recognized for five minutes. >> thank you, chairman. i thank the panel for being here. coach stevens, your testimony was revelation and it seemed so obvious when i read through it and once you understand this is a repeatative injury. that must have been a hard
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decision to make -- repetitive -- when i was growing up it was practice, practice, practice. >> when i announced this to my coach staff they thought i was kidding. but i took enough time to make sure we got the appropriate response. >> and five years into this you feel you have made a -- >> it made a difference in the way we practice safety. the front line guys practice through the course of the season, defensively i had two players miss and one had a high ankle sprain and the other had a lacerated kidney and he missed five games. that was it. so the regularity and the players. i tell them the rules of the guy are get the guy on the ground, not injure. you can teach that skill set.
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there is a risk playing the game but we can minimize the risk. >> let me ask you this but when you go back and look at your record prior to instituting this program and in the year since is there a marked difference? >> we were 0-10, 2-8 and 8-2 and 9-1 the last season. >> so you became a remarkable coach in that time. >> appreciate that. >> repetative injury so we will reduce the risk by stopping that practice. i don't know i was aware of that. i don't know how i would have been aware of it. mr. o'neill, i wanted to ask you because when i started reading your testimony and practice like
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the pros i thought that would be dangerous because those are the guys that really -- the dreadful stories of people trying to hurt each other in a game. but you had the observation of watching the practice and it was almost like a ballet. >> yes, sir, it is. as we pointed out with the video, the players execute every aspect of the play in rehearsal for sunday until the moment of imminent contact and then they break away and pat each other on the back. in the high school level, the proof of the efficacy of this is in the state of wisconsin, they put the standards in two years ago for the 2014 system and the university of wisconsin medical school did a study and showed they count the concussion by
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half by adhering to our standards. that is a breath-taking reduction. the quality of wisconsin football has never been better. the players are fresh and ready to play. it is the high school model of. >> has there been widespread acceptance of that in the high school level? >> coach teevans and i went to the university of wisconsin clinic in madison and because of the revictions and the coaches need to know how to practice with less contact we had enormous attendance, more than 125 coaches and the greatest follow-up we have had in 30 clinics around the country. more than half of the coaches asked for our videos so they could show them to the staff and players and teach their players in the 30 minutes, just 30 minute of contact per week in
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practice, how to practice like pros or the dartmouth victory. >> i cannot help but observe emmitt smith won dancing with the stars a few years ago and based on that concept. were there pro-players using dance and ballet moves to improve their performance? >> they were. this approach dates back to bill walsh with the 49ers in the 1980s and been refined by his disciples along the way to a point where so many college players look forward to entering the pros in order to avoid the carnage of 90 minutes full on contact during the week and practice the way the dallas cowboys have for years. >> thank you. i yield back. >> thong -- thank you.
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ms. schakowsky. >> i want to thank the moms here. mr. o'neil, you showed the video of dr. ann mckey answering my questions at that round table. i want to focus on cte because i think little focus has been on the subconcussion brain injur s injuries. it is about limiting every head injury that occurs on every level. i followed up with that question to jeff miller of the nfl, the chief person for health and safety, and said what do you think? is tte linked to football and he said yes, certainly. little did i know this was an explosion that happened outside
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that room and even has started some conversation about what is the future of football. is there a future for the kind of football that we play? there has been a lot of talk about concussion but i wanted to ask more about cte. so what does the research indicate about the effect that routine hits sustained by high school football players and younger have on brain function even though they don't rise to the level of concussion? what about cte? >> so at this point the linkage is not sure coming from our end. on ann's end, you can see individuals who have larger number of hits over their career have more deficits.
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there is good evidence there is a link between the total exposure and brain stress that is accumulated from getting hit day after day, year after year. within our own athletes, what we can at least identify is athletes spend 5-8 months a year in the state of chronic infl inflamma inflammattion and cells can't renew and you cannot get nutrients. if this is true, we are putting our athletes at risk for the types of biochemical processes that will lead to cte. >> is there any test for cte before an autopsy? >> there are several imaging
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methodologies that identify markers within the body but nothing has been confirmed. >> my understanding is the kind of sub-concussion events have to do with the brain inside the skull and virtually nothing to do with helmets. >> a helmet can absorb energy and it would be easy to improve designs but the companies are not interested. their goal is to meet the standards and the standards set forth are to prevent skull fracture and death on the field and they are very effective but do nothing to prevent concussion. energy absorbtion would reduce the amount of energy that reaches the brain and that reduces the pull, stretch and compression on the cell tissue and you will see a reduction in the consequences of the sub-concussion hits and the reduction in the observation of concussion and see a reduction in long-term situations like cte
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>> dr. comstock, you don't think kids under what age should be playing tackle football? >> i never made any recommendation. >> oh, i thought you said something. >> i am aware of other researches who have given exact cut points. >> did someone say that on the panel? >> our organization is the 1-5 operating in the space that believe grade school boys and girls should play flag football exclusi exclusively and contact football should start in ninth grade with a transitional phase in 7th and 8th boys in shorts and t-sures who intend to play learn how to tackle and block using the state-of-the-art tackling called seahawks tackling pioneered by the coaches of the seattle seahawks.
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mr. soto is a leading tour and made a number of videos for us. >> there has been a good deal of pushback after jeff miller made his comment jerry jones, the owner of the dallas cowboys, you know he absolutely disregarded that. there has been mocking of that and this idea of the connection between manliness and football i think is really concerning. i want to just ask, let's see, i had a couple other questions. dr. gregory, i am -- you know, if once all of the -- let me ask you before my time runs out, the usa football guidelines limit full contact practice to four times a week. i know this represents more
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contact practices than occur at higher levels such as the college level and even in the nfl. so, you know, given all of this evidence about repeated hits to the head, why haven't usa football taken steps to further limit full-contact practice for young children? >> the question is a good one in that we recognize that tackling causes injuries. if you look at data that we do have in youth football -- >> my time is up. so why haven't you? >> what we have instituted is ways of trying to decrease the number of hits there are. the concern is -- >> what about four times a week? >> if you take it away completely you have to learn the skill. at the youth level we don't have the resources the high school and college levels have to teach the skill. that is what we trying to do; learn how to tackle appropriately over time. that is the goal; to do it well
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and protect your head. >> at this time, i will recognize myself for five minutes to ask questions. mr. o'neil, thank you for the work you do and appreciate the information you do today. you advocate children under 14 shouldn't be tackled and it should be limited to high school athletes. how do we make sure young athletes learn proper tackling techniques so they don't resort to the dangerous head down or whatever the case may be? if they don't get the practice when the contact is not as hard as it will be later is there a concern of them internalizing the techniques? >> if staff could allow me to cure up a 17 second video click. rocky soto, which is number 24.
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coach soto knows -- he is the guru of tackling. him and pete carol devised this system in seattle that has become the standard in two years. introduced two years ago in the spring, they put out three videos and coach tours with us. it is not that. it is -- as i say, number 23? tackling in shorts. just to answer your question, mr. hudson, is what we recommend in 7th and 8th grade is rather than hitting each other these boys need to learn in shorts and t-shirts an introduction to weight training, they need strengthening of their necks which i think all of the scientist here agree that is important, they need to wear the pads, and be ready with this gradual run-up to ninth grade to
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be prepared without the many co collisions in involved. it is the cumulative injuries that cause problems. boys at five years old playing contact football in our minds is quite surprising. any luck? >> we will look at the video after. >> i will be happy to show it to you, mr. hudson. >> thank you. are there examples where young kids have not had young contact until they reach high school age and have been successful? >> thank you for asking. tom brady, eli manning, payton manning. >> i have heard of those folks. >> archie manning has waxed eloquently in the "washington
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post" just a few years ago, i think his phrase was, god, what a grade game flag football is. my son, a quarterback at tufts universities, wouldn't be playing college football if he had not played flag instead of contact. it cod him about reading defenses, making decision and good throws, all of the teamwork and character buildings. those who suggest those qualities can only be developed in contact football haven't heard my younger son and his teammates recounting their victories in flag football four and five years ago, the highlight of their athletic careers, they are football-fans for a lifetime, they wore the nfl jersey in playing flag, came out of it healthy with the experience that made them the way they are. >> coach teevans, do you have
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any opinions on this? >> if you decry people of the opportunity they will catch up. one of nine kids and we all played in high school and that was it and had successful careers. there is a litany of people who have gone on. if they are going to play at a young age, educate them proper lay, start slowly and deprive them as much contact as possible. >> dr. gregory, do you have anything you want to share? >> i think if you take the contact away the education piece on how to tackle is imperative and that is the challenge in youth sports without the resources. and the football administers the largest flag football league in the country. we are proponents of flag football. i think it is important we promote flag football as well.
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>> thank you. mr. o'neil, your organization is trying to change the culture of high school football by advocating limited contact akin to the professional level. only one state has adopted your standards and in light of the successful outcomes in that states have others expressed interest? >> that is a good question. we need more participation from the state governing bodies around the country. the word is traveling. when a state governing body gets behind it, the contact -- the support grows. the coach of the seahawks, coach stevens, and others hit four cities in two days and we had enormous participation because
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the cif, which governs athletics in california, made it mandatory. we saw 1200 coaches in two days. we are going to alabama in july and same thing is occurring there. our clinic, has been made mandat mandatory for every coach in the state. so we will greet a ballroom of coaches in alabama. >> any opposition you received? >> absolutely. i grabbed coach stevens to places where there were 450 coaches at a convention and at your session 20 showed up and the other 430 were standing out in the hallway saying they didn't want to hear it. it is not like we are having raging success. it is mixed around the country and will be until the state governings bodies give us a hearing and mandate all of the
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stakeholders and coaches come in and see what we have on video. when they do, we never fail to convert. >> thank you. at this time, i recognize mr. pallone. >> thank you. earlier this year the ivy league received attention for removing contact practices during the regular season and strict rules about the spring and pre-season. mr. teeven, you put these in place at dartmouth many years ago. what your the initial response and why did you do this? >> we had too many guys going down. the mike webster story and concussion was surfacing and it instruct me we can do this in a better way. watching research on tackling,
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we started to do it, it wasn't well received. it is still not well received by an awful lot of people. i made a recommendation at the ivy level and all of the coaches that played against dartmouth know how we played and how effectively we tackle and the vote was unanimous and it was progressive in mindset to say this is the direction we should travel. >> how have the rate of head injuries changed since you implemented the no-contact policy? >> five years ago it was 15-20 during the course of the year. this past season we had two. two pre-existing situations. both young men that can no longer participate. our defense was nationally ranked and had zero concussions. spring practice, we have had zero and that is somewhat concussion season in college football. >> in your opinion of full contact practice necessary to
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insure success on game day? >> no, i don't know so. you can replicate tackling on bags. you can do it at any level. i have a three year old grandson and he gets it. again, crawl, walk, run mindset introduces skill sets that are helpful down the road not but don't need to be practice. >> do you think engaging in full contact four to six times a week increases the risk? >> without question. the more you hit the more likely injury occurs.
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>> mr. o'neill, we see many different rule changes being implemented across the state and league and there has been some criticism these rule changes upset the integrity of the game. what do you think about pop warner eliminating kick offs and returns? will that prevent brain injuries? >> good question, mr. pel pallo. this is my reaction to them saying grade school boys are not capable of playing the game the way it is designed. they are making our argument and that is these boys should be converted to flag football until 14-15. we advocate no basic changes in the game. we say there will not be further rule changes that will make the game less dangerous. the game is the game.
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we don't advocate major changes but we say strongly boys in grade school are not nearly prepared to play it the way adults play it and therefore boys and girls ought to be playing flag football until boys make a transition, if they chose, to play contact in ninth grade. >> just so i understand, you don't think any other changes would better protect the kids other than if they continue with the present -- >> it will not be football if we strip away the kick return, the purnt return, the three point stance. we are opposed to all of those proposal. likewise, heads up tackling, which is an attempt to somehow sanitize the very difficult, it can't be done. tackling is tackling.
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it should be done at the three levels of football where the game should be played. if boys can't tackle the way the technique was designed, they shouldn't be playing contact football. they should be playing flag until they are ready to play. >> thank you, gentlemen. this time i will recognize my colleague from virginia. >> thank you, mr. chairman. i apologize i took my jacket off, ran over to vote, and got wet so i took off my jacket. mr. o'neil, my boys are eight and ten. my ten year old tried tackle football. when my eight year old was seven he played flag. it is not available to him. have you done studies on how many kids because they are not ready to do tackle drop out of the support?
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>> we haven't but it is a very good point. football loses candidates for the fact we throw them in unprepared at any age. there is a sound byte of john madden, former colleague and coach and broadcaster, he tells a story where his son coached ninth grade football at a school in california for 15 years and john said if you took a boy who didn't play contact youth football and match him up against a boy who did play contact football how long would it take the boy who didn't play to catch up with the skills of the boy who did and joe madden, his son, said to him one week. one week it would take him to catch up to what supposedly had been learned by a youth contact player those eight years he took all of the hit trauma from age 5-13.
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>> i appreciate that. i will have to move on. dr. comstock, i was intrigued about your testimony of young women having more concussion than young men. do you have enough data to say that is true through all age groups? middle school, high school and college? >> it has been consistent with my data. across slightly different populations and the high school and college age group, in the middle school and younger age group, we only have very small studies of one league or school district, based on those it appears it is also so in younger age groups but no national surveillance data to answer that. >> appreciate that. sorry we have some limited time. mr. stenenson, u.s. lacrosse invested in the deployment of
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the coach standards in officiating education. is the conclusion based on the changes in the injury rates since deploying the curriculum? >> in part. but it is more based on the fundamental belief that if you cannot teach a support correctly, the outcomes will not be what you want. and part of the challenge like youth sports, lacrosse and ice hockeyy we are seeing privitization of the sport. >> i appreciate that. you mentioned one of the biggest challenges is getting youth leagues and state high school associations to buy into your standards. why do you think this is a
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challenge? if you could be quick, i would appreciate it. >> culture and tradition. >> i have to tell you the good news is my 16-year-old daughter had a concussion this year and they pulled her out for about two weeks and, you know, she got it playing lacrosse. i only have a minute left. is there something you haven't had an opportunity to touch on? >> no >> would you agree the more week train folk to do the checks and hits right. >> we have a lot of that built into the program. >> do you have the same buy in difficults that were indicated earlier? >> to a degree.
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not all hockey leagues are governed by usa hockey and we don't have influence there. so there is no uniformity among the leads. >> and there is a lot of pri privitization. my child is playing lacrosse at a private institution. i came back because this is an important hearing and appreciate your testimony and we will continue to work on this. >> this time i recognize mr. tonko for five minutes. >> thank you, mr. chair. i appreciate all of your witnesses being here and having this panel of expert witnesses is a good opportunity to have dialogue on how we can further enhance the safety of youth sports. i would like to ask rules about changes for contacts especially kids.
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dr. gregory, you are here as a member of the medical advisory committee, what schakowsky tell us about the guideline changes usa sports has made for young athletes? >> there are practice guidelines in place to limit contact which happens as part of the heads up program showing decrease of injury and that is limiting contact to 30 minutes per practice, no more than four practices a week, and no more than two hours of total length of practice. decreasing the number of potential hits which has been shown to occur by limiting the amount of time. >> thank you. it is my understanding that usa football doesn't operate its own teams? >> that is correct. we can only make suggestions to the leagues underneath us. the same problem that all youth sports have. we want these leagues to follow a recommendation but we cannot enforce them.
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>> in other words, it is just a recommendation there is no way to implement the guidelines. >> there is no way to enforce it. we have to get buy in by showing them it works and get buy in from the youth coaches. >> and have you been monitoring the rate of injuries? particularly head injuries since implementing these changes? >> so in the three areas we showed with the dataless youth football study, the fairfax county here and in south bend, indiana, the educational component and the practice limitations, all injuries went down in practice and games. >> do you know anything more than other than dropping -- >> i gave the numbers but i can give them again. >> just as long as the committee has them.
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and we heard from coach teevens with his success at dartmouth and mr. o'neill with the practice like pros with addition changes to reduce contact particularly for young players. the whole ivy league eliminated contact practices and the nfl only allows 14 practices over the season. what do reducing the number of hits and longer reps between the do for these people? >> the more time you can give them off the less time they have to get impaired and hurt in the future. >> and given what the size has said, why hasn't usa football
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considered stricter rules to reduce or eliminate contact for young players? >> i will tell you what has been demonstrated by the dartmouth and then high school level is it is fairly knew and i would say it is very compelling and the challenge is can we replicate this at the youth level without the resources they have at the college and youth level. we can make recommendations but we cannot enforce it. we have to have the resource do is back it up. >> pop quarter announced it will eliminate kick offs and kick returns and reduce practice time. do you think these measures will be effective at reducing head injuries for kids? >> they are a good start.
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we will say that. >> the main issue, to tie back to one comment, eliminating a few hits a game isn't going have a huge affect. i would be more excited about the reduction in contact practice time. >> those wouldn't be the first additional changes you would encourage. dr. gregory, is usa football considering similar measures as those introduced by pop warner? >> so one of the thing that is clear is this is an evolving game and this is up for consideration. rule implementations will be looked at and studied to see if it has the same impact. committee democrats sent a letter to the executive director of usa football about how the organization is insuring the
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safety of the young football players in addressing the risks posed by concussion and sub-concussion hits. we have asked for a response by may 25th. dr. gregory, can you confirm a response will be provided by that date? >> i can confirm. >> i yield back. >> at this point, we will recognize ms. clarke. >> thank you, mr. chairman. i think the witnesses for appearing before us. i would like to talk about the change in culture. we have to address sports culture and the attitude of toughness. kids have watched idols deliver the hardest hits on the field and get the most fights on the ice. as we make changes to play and practice, we need to ensure that permiates the culture of sports. my first question is do you believe players are convinced of
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the importance of reporting concussions? >> i think they are getting there and it is important for the coaching staff to make it aware it is okay for players and get rid of the old tough guy mindset. >> and do you believe that the coaches and the medical staff at the high levels of play take concussions seriously? >> i think they do. i think the coaching profession is conservative and a lot of guys that played less than five years ago started coaching five years ago or greater, they grew up in a time where you didn't self report and a lot of people teach what they were taught as players. that is part of the culture that needs to change. >> do you think we have been successful in spreading that message? >> not as successful as we need to be and the broader the better
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and limiting injury is what we are all about. >> mr. o'neill, same question. how can we won vince players and coaches to report concussions and treat them seriously? >> ms. clarke, it is great question. when we do clinics around the country we hoe showeded 19 cases of suspected second impact syndrome and we tell the stories in detail with video of the players involved and tell the stories of catastrophic injuries in an effort to scare straight through the coaches these young boys who need this information. i show my son's concussion as an example. i show how he lied about his symptoms, did everything to stay on the field, and only when confronted with an impact test that showed he had failed the
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cognitive test only did he then admit he was suffering from a concussion. it is a huge problem in high school football. we think it is a subject which we need to be direct with players. we tell the stories to the coaches, give them the video, and encourage the coaches to tell the players the story of what catastrophic injury can be in their lives if they don't self-report and self diagnose. >> many kids try to model behavior after the athletes they revere. we need to make sure the athletes at the highest level of play, college and pro, are sending the right message of taking brain injury seriously. what can the college and professional athletes and league do in carrying that message forward? >> i think it is the coaches that drive that message. unless we change the way we coach the game we will not have a game to coach. we have a virtural player
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tackleal device now. tep stez -- steps like that. coaching the coaches is critical to getting the message across. >> ms. clarke, what is effective for us is when we take the hall of fameers around the country and warren moon says he had the first concussion at seven on a practice field and tells his personal story about hiding symptoms and coming to a recognition later in his career how foolish that was. we take anthony munez around who tell the story of playing for a coach in cincinnati who wanted to hit and hit and hit every day including the day before games on a surveillance transparency act -- saturday. then we had a new coach and that coach took our approach which is
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virtually no contact during the week and he said we won both ways but i sure felt a lot better, and my teammates did too, in the second approach. >> any of you have comments on what you think the fans should be requiring of this sport? >> i think fans should be aware of it. we have someone's child playing the game and understanding the rules of the game don't dictate taking people out of the game but it is just get them on the ground. it is understanding long-term people can be in jeopardy if we don't change the way we approach the game. >> the other thing is the the espn hits of the week segment doesn't have good hits. that is what is being shown as a highlight. that is not the goal. we have to change that. >> we have the change the culture and that requires everyone that is participating
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and revers this game. >> i ask consent the report called concussion and youth and improving the science and changing the culture be introduced to the record. without objection, entered in the record. and i want to do another promotion of the briefing congressman butterfield and i are hosting on may 24th. you have ten business days to submit questions to the record and ask the witnesses to respond promptly to those questions. with that, the subcommittee is adjourned.
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[n ainaudible conversations]
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>> congress is back today and it's a busy week ahead for the house. members return monday to consider several bills including one to prevent tax fraud and identity theft. then on tuesday debate begins on the $610 billion defense
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authorization bill which currently has more than 300 amendments attached to it. also is military construction and v.a. programs, and emergency spending to combat the zika virus. you can watch the house live here on c-span. the senate meets today at 2:00 p.m. eastern for general speeches followed by debate on the nomination of paula xinis to be u.s. district judge in maryland with a confirmation vote at 5:30. later we will see work on military construction and funding for zika virus research. you can follow the senate live on c-span 2. >> in the coming week the house takes up the $610 billion defense authorization bill. the bill that sets penguin programs and program -- pentagon and pentagon programs. we are joinled by john donnelly. what are some of the highlights in the bill that we will see


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