[HN Gopher] Rugby: Head impact study shows cognitive decline aft...
       ___________________________________________________________________
        
       Rugby: Head impact study shows cognitive decline after just one
       season
        
       Author : iechoz6H
       Score  : 229 points
       Date   : 2021-08-31 10:04 UTC (12 hours ago)
        
 (HTM) web link (www.bbc.co.uk)
 (TXT) w3m dump (www.bbc.co.uk)
        
       | pixelbreaker wrote:
       | I played rugby at school and I'm f-f-f-fine.
        
       | elijaht wrote:
       | I played rugby and actively follow it and football but it's
       | harder and harder to grapple with the long term consequences of
       | these sports as more information about damage especially from
       | sub-concussion level impacts comes out. It's hard to imagine but
       | I think the NFL will have a serious reckoning over the next 10-20
       | years unless they can fix this somehow
        
         | chrisseaton wrote:
         | Can they change the rules to any reasonable degree to mitigate
         | the risk? Other codes, like Association, are far lower contact
         | than the Rugby or American rules.
        
           | acjohnson55 wrote:
           | You could hypothetically go to something like touch rugby.
           | But I don't know how you'd recreate some of the more unique
           | features of rugby union, like contested scrums, rucks, and
           | mauls. The game would probably look more like touch rugby
           | league.
        
           | alichapman wrote:
           | I'm not confident that any rule changes will have a
           | meaningful impact. It's thought that it isn't just collisions
           | to the head that cause a problem, but all tackles. This is
           | because your brain gets damaged when it moves around in your
           | skull, and this will happen every time your velocity suddenly
           | changes e.g. when being tackled to the ground. This is also
           | the reason that headguards/scrumcaps aren't effective in
           | cutting down on head injuries.
           | 
           | What can be done to protect the players is limiting the
           | number of contact training sessions they can attend, and also
           | limiting the number of games a season each player is allowed
           | to play.
           | 
           | Another option could be to seriously limit the number of
           | substitutes each team is allowed to make, as this will mean
           | the players will have to be fitter and therefore not as big,
           | and hopefully this will reduce the impact each tackle will
           | have. However Rugby League is also having to deal with head
           | injuries and that game requires a lot more fitness than Rugby
           | Union.
        
             | FredPret wrote:
             | Or, OR: we put players in control of robots, and have the
             | robots smash each other to bits!
        
             | mr_sturd wrote:
             | I expect that, like League, Union will lose the contested
             | scrum at some point. That will at least lead to a decrease
             | in the asymmetry in weight between forward and back. A step
             | in the right direction, and nothing really lost in the game
             | since scrums aren't _really_ contested any more.
        
               | notahacker wrote:
               | I'm not so sure that'll be a good thing for safety
               | (collapsed scrums aside).
               | 
               | It'll eliminate a role for stocky, relatively slow moving
               | 18 stone players specialising in scrum technique, and
               | create more roles for fast, athletic 17 stone players
               | specialised in blasting opponents out the way. It'll also
               | mean the ball's in play for longer, resulting in more
               | impacts overall.
        
               | alichapman wrote:
               | I agree. I also can't imagine that World Rugby would
               | consider removing one of the two elements of the game
               | that differentiate it from Rugby League (the other one
               | being contested rucks).
               | 
               | As a League fan I'd love it - I don't care what it's
               | called I'd just like more people to play and watch Rugby
               | League.
        
               | smcl wrote:
               | Yep. They've been tinkering with the scrum ever since I
               | was a kid, but to me it feels like they result in a
               | collapse, a penalty[0] or one side being totally
               | steamrolled 90% of the time. I wish I had stats at hand
               | to back this up, but I feel like even though they're
               | technically "contested" they're rarely actually
               | _contested_.
               | 
               | If it's not enjoyable for spectators, doesn't really do
               | much for the game _and_ is dangerous then I can see why
               | it could get phased out in the long run.
               | 
               | [0] = or multiple collapses then a penalty
        
               | dmurray wrote:
               | I don't think this is accurate. The majority of scrums at
               | every level lead either to possession for the team with
               | the put-in, or a penalty in their favour. If the weaker
               | team has the put-in, they can pretty much roll the ball
               | straight back to the number 8 and get it away (possibly
               | not in the rules but completely never policed).
               | 
               | It's exciting when either side gets a shove on and that
               | there's at least the possibility to win one against the
               | head, but I agree the game wouldn't lose that much for
               | anyone but the purists and the front row specialists if
               | we just moved to uncontested scrums.
        
               | smcl wrote:
               | Like I said I don't have the data, so maybe take 90% with
               | a grain of salt :-) But some 6 Nations games in recent
               | years have been pretty frustrating wrt scrum, and I don't
               | see it getting any more interesting or safe
        
           | zerkten wrote:
           | There is not a singular risk. In rugby some risks come from
           | intentional foul play or accidents (high tackles, disguised
           | hits on static players players at rucks and mauls, scrum
           | collapses, etc.) Others come from the constant, somewhat
           | controlled impacts that exist in normal play. These can
           | expose the tackler to the impact versus the individual being
           | tackled.
           | 
           | Any discussion on this topic needs to recognise how the game
           | of rugby union has changed. It rapidly went from amateur to
           | professional, but took some time for the current level of
           | power and fitness to develop. You had powerhouses like Lomu
           | in the 90s, but from the early-2000s you have legions of Ma'a
           | Nonu level players. Safety protocols seem to be pushed down
           | to the junior game more readily than the adult professional
           | game. Much influence has come from rugby league which
           | arguably has popularised particular styles of play that
           | hadn't been used in union.
           | 
           | There is much more that could be written about the historical
           | changes, but it has made a big difference to safety while
           | culturally making it harder to implement changes. Big tackles
           | become what many viewers want to see in the game and this
           | perpetuates both a style of tackling and bulking up that
           | didn't exist before. Line speed is monitored closely and
           | everything to improve this results bigger players moving more
           | quickly which anecdotally results in more serious impacts.
           | Authorities know it, but reducing it makes the game less
           | exciting for TV audiences and there is less money to go
           | around. It's a vicious cycle.
           | 
           | There are clear and obvious changes which can be tested in
           | the game, but pushing these through takes a very long time. A
           | concern some have expressed is around impact/tactical
           | substitutions (https://www.theroar.com.au/2021/08/14/grossly-
           | negligent-lion...). Adding a bunch of fresh players in soccer
           | later in the game is common. The thinking carried over to
           | rugby. It was attractive because you had chubbies like me at
           | the front of the scrum who could perform higher over 40
           | minutes than the full 80 minutes. When you are adding huge
           | Nonu-types into a game with tiring players then problems can
           | occur. I can't imagine that changes will happen here rapidly.
           | 
           | The junior game becomes an easy place to push changes. The
           | argument is made that children are being protected, but then
           | the changes don't bubble up. Encouraging low tackling under a
           | certain age is good, but tactics need to come along with
           | these rules. Head-on tackles can go higher head-on because
           | you are trying to hold the player up or in place versus
           | taking them down and possibly allowing them a few feet past
           | you to touch the ball down for a try. It's all interlinked.
           | 
           | In summary: yes, but it's up to the leaders to drive changes
           | top down at all levels and accept that they may lose some
           | revenue.
           | 
           | (I played rugby all through school from 1992 to 1999 in
           | Ireland and have followed local global play since. For all
           | the sides of Nonu see
           | https://www.youtube.com/watch?v=EoVpAjSN6Nc and then
           | https://www.youtube.com/watch?v=DdEKqoOdhM0 - but, many other
           | could be substituted in his place.)
        
             | notahacker wrote:
             | > Head-on tackles can go higher head-on because you are
             | trying to hold the player up or in place versus taking them
             | down and possibly allowing them a few feet past you to
             | touch the ball down for a try
             | 
             | That's the crux of the problem. Low tackles are very
             | efficient at bringing a player down to earth (especially if
             | you're as skinny as I was in the kids' game) but they won't
             | reverse his momentum if he's trying to get a yard beyond
             | you (especially not if he's got the physique and low body
             | position of a professional) or prevent him from offloading.
             | So a rule change to enforce it and ban chest high tackles
             | makes it very easy for a well drilled professional team to
             | slowly move their way upfield with a relentless Warrenball-
             | style series of impacts. Not necessarily safer overall, as
             | well as duller to watch because they're so unlikely to lose
             | the ball or even a yard in the tackle, which also
             | discourages riskier creative plays. Probably you need more
             | of a contest at the ruck to balance things out and give the
             | other side a way of winning the ball back, but most of the
             | rucking rules are there for safety reasons...
        
           | mprovost wrote:
           | The rules of American football were changed in response to
           | the 1905 season when 19 college players died. Instead of
           | banning the sport completely, they started allowing forward
           | passes. Which completely changed the game and made it safer.
        
           | andyjenn wrote:
           | There are almost constant rule changes around the tackle
           | laws, the breakdown and de-powering the scrum to reduce the
           | amount of potential head trauma, but the professional era
           | it's like an arms race. Even padding and head-gear, players
           | seem to hit with even more force. And, like the article says,
           | a lot of the concussions happen during the training sessions
           | which is way more than the average amateur player would
           | experience. It's still relatively soon to see the longer-term
           | effects; the early batch of professionals from the mid/late
           | 90s will soon be entering their 60s and I expect there will
           | be more research papers..
        
           | jabl wrote:
           | IIRC there are results around brain damage in association
           | football as well, mostly due to players heading the ball.
           | 
           | Guess nobody has dared suggest prohibiting head playing in
           | association football. Would be interesting to see how the
           | game would change if such a rule would be enacted.
        
             | chrisseaton wrote:
             | > Guess nobody has dared suggest prohibiting head playing
             | in association football.
             | 
             | https://www.theguardian.com/football/2021/jul/28/major-
             | headi...
        
             | tzs wrote:
             | I can see three ways to get rid of heading.
             | 
             | 1. Just ban it, with the same penalties as using your
             | hands. I used to think that this was the way to go, but I
             | rarely watched soccer. I still don't understand soccer but
             | over the last week I've watched a fair bit [1] and see now
             | that simply removing headers without replacing them would
             | alter the game too much.
             | 
             | 2. Have the players wear something like a tennis racquet
             | but with a longer handle attached to their back with the
             | head of it extending above the player's head. Players can
             | hit the ball with this instead of the head. Hitting with
             | their head is treated like using their hands as in #1.
             | 
             | This is one of those things that would probably be seen as
             | fine if and only if it has been done that way for a long
             | time. Otherwise, it is too ridiculous to seriously propose.
             | 
             | 3. Players can deflect the ball with the part of their arm
             | between the elbow and the wrist, but only if the elbow is
             | above the ears. "Above" is defined relative to the player's
             | orientation, not relative to the ground.
             | 
             | This seems like it could be a close enough replacement for
             | heading to not alter things too much.
             | 
             | [1] I have a "free" (it is really a rental with $0/month
             | rent) streaming box from my ISP that includes a free
             | Peacock Premium subscription. The ISP noticed I rarely use
             | it and asked me to return it if I'm not going to use it
             | more. Everything I'm interested in on it I can get on my
             | Fire TV or on my smart TV, including Peacock. But I'm not
             | sure if the free Peacock Premium would continue, so instead
             | I'm trying to use the "free" box more. One way I've done
             | that is when I'm relaxing on the couch and not otherwise
             | using the TV I've streamed replays and highlights from
             | soccer, both to keep up usage on the box and to see if by
             | watching enough soccer I'll eventually start to see that it
             | only looks largely random and there really is a lot of
             | skill and strategy and tactics involved.
        
               | jabl wrote:
               | I have a another proposal:
               | 
               | 4. Using head is prohibited, just like hands. Instead
               | allow using the shoulders, maybe down to the elbow. From
               | elbow downwards towards the hand still prohibited.
        
               | nicolas_t wrote:
               | I love that second suggestion :)
               | 
               | It's always interesting how games evolve and the fact
               | that any rule of any game could seem ridiculous if it
               | hadn't been that way for a long time.
        
             | kitd wrote:
             | There are guidelines around heading at junior level:
             | 
             | https://www.bbc.co.uk/news/uk-scotland-51614088
             | 
             | But it's one thing to not practise it, and another to
             | actually ban it. I can see the latter in <5 years at all
             | levels if the current research is followed up correctly.
        
             | tomjohnneill wrote:
             | Paywalled, but:
             | https://theathletic.com/2755968/2021/08/09/cox-is-heading-
             | ab...
             | 
             | The main suggestion is that heading could be banned outside
             | the 2 penalty boxes.
        
           | FredPret wrote:
           | Ultimately it's a game of large, athletic people smashing
           | into one another. Short of playing touch rugby and
           | eliminating scrums, it'll never be safe.
           | 
           | But then it's not rugby anymore
        
       | ihaveajob wrote:
       | My experience with high school rugby was that head impacts were
       | exceedingly rare. Lots of bruises, though. The showers after a
       | game were loud, with kids screaming their pain away.
       | 
       | I stopped in college because I didn't have time (or will) for the
       | gym, and it suddenly wasn't fun to play against people several
       | years older than you. I imagine American football would be much
       | worse in terms because of the external protection provided by the
       | padding and helmets. It hurts more to hit skin to skin, so you
       | don't do it so much, and when you do, it's carefully. But in
       | older age, and professional settings, I imagine things are
       | different.
        
         | zeku wrote:
         | My HS rugby(USA) someone got a concussion pretty much every
         | single game.
         | 
         | I decided to quit the sport after HS despite how fun it is,
         | it's not worth my future.
        
         | xadhominemx wrote:
         | Severe head impacts are rare but I used to play rugby and felt
         | like my head was jostled hard several times a day, and I would
         | often finish practice or a match with scrapes and bruises on my
         | head.
        
       | jackschultz wrote:
       | I'm in the US and had sort of a reckoning against out football a
       | few years ago after a medical incident of mine. I used to be a
       | big watcher of the NFL, mostly because my team was really good,
       | but suddenly I had trouble watching week after week guys getting
       | drilled in the head and being carted off to have their career
       | ends. These league average numbers [1] are horrible to think
       | about, with how little tie running backs play when they're able
       | to make money (screw the NCAA) and they get hit every play.
       | 
       | One of the arguments on a change that could help is a big
       | transition back to old school leather helmets, or no helmets.
       | There's been much talk about safety of rugby compared to
       | football, especially from armchair thinkers [2]. Some of the
       | answers in that Quora thread are agreeing with the result of this
       | article, where rugby isn't exactly that much safer regardless of
       | lack of helmet or tackling style. Heck even soccer is having to
       | come to terms with headers causing head injuries later in life
       | [3].
       | 
       | With more "lower" impact sports like rugby (not that much lower,
       | but has been considered lower) and soccer coming out with so much
       | head injury reports, I wonder how long we'll be stuck with
       | popularity of the NFL. Brett Favre, a quarterback from the south,
       | came out and said to not have kids play tackle until they're 14.
       | But when they turn 14? It's not like that risk goes away.
       | 
       | I'm lucky for myself that I like watching baseball and basketball
       | the most so I don't have to think deal with watching head
       | injuries that last lifetimes for the players. Or maybe that's why
       | I like watching those two team sports the most.
       | 
       | [1] https://www.statista.com/statistics/240102/average-player-
       | ca...
       | 
       | [2] https://www.quora.com/Would-the-NFL-or-football-in-
       | general-b...
       | 
       | [3] https://www.npr.org/sections/health-
       | shots/2017/02/01/5128481...
       | 
       | [4] https://www.npr.org/2021/08/17/1028547803/brett-favre-
       | kids-f...
        
         | alistairSH wrote:
         | _Brett Favre, a quarterback from the south, came out and said
         | to not have kids play tackle until they 're 14. But when they
         | turn 14? It's not like that risk goes away._
         | 
         | IIRC, his statement was based on CTE studies on the brains of
         | ex-high school (but not ex-college/NFL) players. Of the sample,
         | those with signs of CTE had played youth football as well as
         | high school ball. Only one CTE sample did not play youth ball
         | (and the rest of the high-school-only samples did not have
         | CTE).
         | 
         | Gist of it being that playing youth ball through high school
         | puts you at a significantly higher risk of CTE than high school
         | only. But, you are correct that any time spent playing has
         | risks.
        
       | dr-detroit wrote:
       | Pro cyclists sometimes die from crashes where do you draw the
       | line in sport safety?
        
         | unethical_ban wrote:
         | Somewhere between "this is a threat to every participant in the
         | sport and most of them actively deny the threat while
         | recruiting children to play" and "it happens upon occasion".
        
         | unclekev wrote:
         | > Pro cyclists sometimes die from crashes
         | 
         | The difference here being the cyclists are not purposely
         | driving their bikes into cars/objects vs being rugby being an
         | actual 'contact sport'
        
           | thinkharderdev wrote:
           | I'm not so sure about that. Obviously pro cyclists aren't
           | purposely crashing but the nature of the sport is to put
           | yourself in extremely dangerous situations on a regular
           | basis. Descending at 60+ mph on narrow, wet roads. Sprints
           | where they are riding in excess of 35ph in VERY close
           | quarters with other riders, etc. Not to mention the long term
           | health consequences of maintaining an extremely low body fat
           | percentage for long periods of time.
           | 
           | The parent is being downvoted for a "what about X?" response
           | but I think it is actually a legitimate question to ask.
           | Almost every elite sport carries with it serious health and
           | safety risks.
           | 
           | But to counter their concern I would argue that elite sports
           | almost always carry health risks, may amateur sports do not
           | and are broadly beneficial. Contact sports such as American
           | Football, Rugby, etc however are in a different class where
           | the amateur athletes are also putting themselves at
           | significant risk.
        
         | jtbayly wrote:
         | Great question. It's not easy to answer where to draw the line
         | with risks.
         | 
         | One difference is that a bicycle accident is an accident,
         | whereas contact sports it is part of the game to hit each
         | other. So it's less a question of whether a rare event might
         | happen to you, and more a question of what is this common event
         | doing to me?
        
       | marttt wrote:
       | Reminds me of John Urschel, MIT mathematician who quit his NFL
       | career because he was afraid of possible brain damage. Looks like
       | he finished his PhD in 2021 [0]. Congrats!
       | 
       | Apparently, Urschel had suffered a concussion a few years before
       | his decision [1, 2]. There was also an interesting, semi-related
       | HN thread about football and brain trauma earlier [3].
       | 
       | 0: https://math.mit.edu/~urschel/
       | 
       | 1: https://archive.is/RG9tg
       | 
       | 2: https://news.mit.edu/2019/student-john-urschel-math-
       | football...
       | 
       | 4: https://news.ycombinator.com/item?id=16291827
        
         | reedf1 wrote:
         | He has written a book as well! Now if he can play an instrument
         | and embroider he'd be my choice for the human general talent
         | gauntlet.
        
         | gumby wrote:
         | He put in the time to qualify for a league pension, then quit
         | then quit the NFL. Somehow this overlapped with his time as a
         | masters student (source, iirc, alumni section of technology
         | review).
        
         | antasvara wrote:
         | He's got a solid book [1] with some insight into his decisions.
         | He's an interesting guy- definitely worth a read.
         | 
         | [1] https://www.penguinrandomhouse.com/books/557242/mind-and-
         | mat...
        
       | notjustanymike wrote:
       | Watching or playing?
        
         | nayuki wrote:
         | You can get head impact from watching?
        
       | [deleted]
        
       | ren_engineer wrote:
       | Football and Rugby get a lot of attention but soccer also has
       | major issues with heading the ball for low impact and major head
       | injuries when people accidentally hit heads. In America girl's
       | soccer is actually a close 2nd place finisher to boys football
       | when it comes to diagnosed concussions
        
       | unethical_ban wrote:
       | I played rugby for a few seasons, and I had several concussions.
       | I never blacked out, but I temporarily lost my ability to speak
       | (several minutes), as well as got emotional. I cried though I
       | wasn't upset, then I would get enraged even though I wasn't mad
       | at anything (except maybe getting a concussion).
       | 
       | I'm in my 30s now, and I can't remember things like I used to. I
       | can be thinking of something, and it "just disappears". I feel
       | like my mind behaves like a 65 year old, not a 30-something. I
       | used to have a lot more focus, more dedication to certain things,
       | and it's harder now.
       | 
       | I don't know what combination of growing older, drinking, or
       | concussions have caused my issues. And it's hard to say I regret
       | playing, because it was fun and a part of who I am. However,
       | concussions are not a joke, and I wish more players had the sense
       | to step away from the game after getting a small number, rather
       | than thinking "it's normal" and playing for 20-30 years.
        
         | noname_jabroni wrote:
         | This is very close to my experience. I played rugby for 10
         | years and had multiple concussions (2 that knocked me out).
         | 
         | After one concussion I went through a period where I would get
         | emotional and angry, especially when drinking (i.e. have 2
         | beers, black out, and then black-in crying).
         | 
         | I quit drinking about 2 years ago (I'm in my early 30s) and the
         | mental clarity has been incredible. I had a tendency to drink
         | heavily when I drank (about weekly) and so if you're struggling
         | with memory issues I'd suggest giving sobriety a chance for a
         | month or two to see if it makes a difference.
        
       | make3 wrote:
       | I don't know why it's not more of a mainstream opinion to try to
       | make these sports as unpopular as possible or to straight up make
       | them illegal to play in how ever many official settings as you
       | can manage, including highschools at the very least.
       | 
       | It's very fucking bad, everyone knows this. I don't know how long
       | it will take for people to get it.
        
       | nayuki wrote:
       | > players saw a decline in blood flow to the brain and cognitive
       | function - the ability to ... perform mental gymnastics.
       | 
       | Avoiding mental gymnastics can't be a bad thing, right?
        
       | nostromo wrote:
       | _Professional_ rugby. This isn 't going to be a typical outcome
       | for you or me.
       | 
       | I play rec league rugby and find that it's a great way to stay in
       | shape and meet new people. More people would be healthy if we
       | encouraged people to continue to play sports throughout life,
       | including contact sports.
        
         | Permit wrote:
         | > This isn't going to be a typical outcome for you or me.
         | 
         | Can you elaborate? What makes you say that with such
         | confidence? Is amateur rugby non-contact?
         | 
         | Edit: Digging into it a little bit there does appear to be some
         | anecdotal evidence of CTE among amateur rugby players:
         | https://www.theguardian.com/sport/2020/dec/13/rugby-dementia...
         | 
         | > "I've seen quite a number of rugby players in the last five
         | to 10 years with CTE pathology in the brain, and none of them
         | has been professional - they all come from the amateur era."
         | 
         | I don't think we can say definitively that CTE will be an issue
         | for amateur rugby players but I think that's only because of a
         | lack of studies not because any study has suggested amateur
         | players don't suffer from CTE.
        
       | catchmilk wrote:
       | It's interesting to see that this issue is rather controversial
       | within the Rugby/NFL world, whereas other sports it's almost a
       | given?
       | 
       | Boxing, for example, has pretty damaging long-term side-effects
       | with notable legends dying prematurely. But nobody is really
       | making Hollywood movies about it (like Concussions starring Will
       | Smith). I wonder whether Rugby/NFL is just headed towards the
       | direction of these sort of consequences becoming accepted as
       | being 'part of the sport'.
        
         | sp332 wrote:
         | I think no one made a movie about it because we already know.
         | The Will Smith movie was all about people resisting and denying
         | the idea in football.
        
         | Igelau wrote:
         | _Requiem for a Heavyweight (1962)_ takes a pretty good look at
         | that. It has a neat POV segment at the beginning that shows a
         | fight with Cassius Clay through the eyes of the main character.
         | 
         | https://www.imdb.com/title/tt0056406/
         | 
         | And well... there's also Rocky V...
        
         | wil421 wrote:
         | Years go UFC advocates would state it was much safer than
         | boxing because you'd get knocked out easier and wouldn't go
         | round after round getting repeatedly knocked in the head. Not
         | sure if the argument was valid but time will tell.
        
           | nradov wrote:
           | UFC/MMA fights often involve a lot of grappling and kicks to
           | the lower body, which aren't allowed in boxing. All else
           | being equal a boxing match tends to contain a lot more head
           | strikes. But obviously neither sport is particularly "safe".
        
           | diehunde wrote:
           | There were similar arguments in boxing regarding the use of
           | headgear[1].
           | 
           | [1] https://www.wired.com/2016/08/olympic-boxers-arent-
           | wearing-h...
        
             | pessimizer wrote:
             | And in cigarette smoking regarding the use of filters.
        
           | dyingkneepad wrote:
           | The early Vale Tudo/MMA/UFC legends are just now starting to
           | get at the age they can show the symptoms. I guess the next
           | decade will be interesting in terms of showing the results.
           | 
           | You already have people like Wanderlei Silva openly talking
           | about their symptoms, and it's clearly this guy has got
           | something (he admits so!). On the other hand, the type of
           | crazy stuff Wand did is not what people do these days. Wand
           | believed being knocked out would make you more resistant to
           | knockouts! If you have a few spare years to learn Portuguese
           | I highly recommend watching the many interviews he has on
           | Youtube where he talks about this.
        
           | Igelau wrote:
           | > you'd get knocked out easier
           | 
           | A knockout in MMA includes a much wider category of ways to
           | lose, e.g. tapping out from an arm-bar and conceding to your
           | opponent counts as a knockout.
           | 
           | Also, boxing has the big gloves that let you all but punch
           | someone's head off, and "below the belt" is set _way_ too
           | high, effectively eliminating body punches from the sport.
        
           | blunte wrote:
           | What did they say about being kicked in the head multiple
           | times?
           | 
           | Being hit by a car is not so bad as being hit by a bus. You
           | still want neither.
        
             | mastazi wrote:
             | The difference between boxing and MMA is not just punches
             | vs kicks.
             | 
             | For example, the two rulesets are different with regards to
             | how a fight ends. In MMA there is no count if you get
             | knocked down, you either show that you can defend yourself
             | immediately after being dropped, or the referee will end
             | the fight declaring a TKO. In boxing this doesn't normally
             | happen, after a knock down the referee starts counting so
             | you have a few seconds to "recover", and often you have to
             | be knocked down more than once before the referee declares
             | a TKO.
             | 
             | There is also a difference with regards to punches
             | specifically, due to 4oz gloves being used in MMA (they
             | allow grappling but they have less padding than the gloves
             | used in boxing). Is it more damaging being punched once
             | with little padding, or a few times with more padding? I've
             | seen arguments one way or the other and since I'm not a
             | doctor I don't know which ones are correct.
             | 
             | Anecdotally, Olympic boxing removed head protection gear a
             | few years ago because they conducted a study where they
             | observed that not wearing headgear, counter intuitively,
             | resulted in fewer injuries[1].
             | 
             | I know nothing about medical topics but I'm curious and
             | would like to read more studies about brain damage in
             | combat sports.
             | 
             | [1] https://www.wired.com/2016/08/olympic-boxers-arent-
             | wearing-h...
        
             | spywaregorilla wrote:
             | I suspect being kicked in the head once is going to do a
             | lot more damage than being punched 20 times personally.
        
               | yonaguska wrote:
               | It's also a lot less likely that you'll get kicked in the
               | head though. Successfully getting a head kick off on
               | someone is _hard_ , especially when they are allowed to
               | tackle and grapple.
               | 
               | Doubly so since you can't do various strikes against
               | someone's head once they have three points of contact
               | with the ground. No knees or kicks to the head when down
               | like the early UFC days.
        
               | pessimizer wrote:
               | I think the ratio of kicks to the head in the mean MMA
               | bout and punches to the head in the mean boxing match is
               | a _lot_ more than 1:20; probably closer to 1:500.
        
               | mastazi wrote:
               | My intuition is that many less powerful strikes are worse
               | for your health than one very powerful one. But I'm not a
               | doctor and that's just a wild guess. I would like to see
               | some studies about this.
        
         | SideburnsOfDoom wrote:
         | Yes, the perceived risk profiles regarding head injury are
         | different between the two sports of "grab the ball and run" and
         | "punch him in the head".
        
         | antasvara wrote:
         | My theory is that boxing's effects are clear and obvious,
         | whereas football and rugby have portrayed themselves as more
         | safe in the past. The NFL spent years keeping CTE research down
         | to prevent people seeing their concussion issues, where boxing
         | literally has people getting knocked out in the ring.
         | 
         | People tend to be more accepting of sports when they own their
         | issues and cater to their specific viewers. People who have a
         | problem with concussions and violence just don't watch boxing,
         | so boxing doesn't have to pretend that head injuries aren't an
         | issue. They may not publicize the CTE aspect of the sport, but
         | I don't think they're hiding from it to the same extent as
         | rugby and the NFL.
         | 
         | As an aside, I will point out that MMA has mandatory medical
         | suspensions in place after fights that are usually longer than
         | the average football player's stay in the concussion protocol.
         | That's not to say that MMA is better for your head (because it
         | most likely isn't), just that the sport recognizes that
         | concussions are an issue, and that the only thing that fixes
         | them is time.
        
         | rapsey wrote:
         | Because boxing is a minor sport in comparison. Way to many
         | billions at stake in football and rugby.
        
           | dmurray wrote:
           | Boxing is one of the biggest sports in the world. Rugby is
           | pretty niche.
        
             | phaemon wrote:
             | That's completely wrong I'm afraid. In terms of popularity
             | (number of fans) Rugby is about as popular as American
             | Football, at around 9th most popular sport.
             | 
             | The top two are 1. Association Football (aka soccer), 2.
             | Cricket
             | 
             | Boxing doesn't make the top 10.
        
               | pessimizer wrote:
               | The rise of MMA severely damaged the popularity of
               | boxing.
        
         | Retric wrote:
         | Boxing is somewhat popular to watch, but we don't have high
         | school boxing with large numbers of participants at most
         | schools. I am fine with adults taking such risks with their own
         | bodies knowing the risks, but it's another thing when public
         | school teams enter the equation.
         | 
         | Replacing full contact high school football with say flag
         | football or soccer would be unpopular, but continuing is an
         | ethically dubious proposition.
        
           | alistairSH wrote:
           | Hopefully, more ex-NFLers will follow in Favre's steps and
           | come out against youth tackle football...
           | 
           | https://www.npr.org/2021/08/17/1028547803/brett-favre-
           | kids-f...
        
             | mcbuilder wrote:
             | That's great that Favre came out to say that; he's
             | considered one of the toughest players to ever play the
             | game.
        
           | catchmilk wrote:
           | Boxing training starts at a very young age, especially
           | because parents/kids know the kind of money and fame a
           | professional boxer can achieve. That being said, I take your
           | point on it being part of the high school programs. Begs the
           | question on whether parents should be allowed to put their
           | children into sports with long-term effects at all. As other
           | threads mention, this would be hugely unpopular.
        
             | spywaregorilla wrote:
             | > especially because parents/kids know the kind of money
             | and fame a professional boxer can achieve.
             | 
             | Oh come on. Even among professional sports boxing seems
             | incredibly unlikely to pay off as a career move.
        
               | pessimizer wrote:
               | But since probably 100x times as many kids play
               | basketball or football than box, your odds are probably
               | similar.
               | 
               | Also, I'd counter-intuitively bet that careers in boxing
               | (when found) are longer lasting than in pro football. Pro
               | football players get very moderate money for what tends
               | to be extremely short careers that leave a lot of damage.
               | My grandfather couldn't walk for the last 10 years of his
               | life from football damage to his knees he picked up 60
               | years before.
        
               | diehunde wrote:
               | True. Olympic medallist Tony Jeffries made a video about
               | this a couple of days ago[1]. Even if you become pro,
               | chances are you won't be making any significant money.
               | 
               | [1] https://www.youtube.com/watch?v=CiqJh0oG9dM
        
               | FredPret wrote:
               | There are a lot of dreamers out there
        
           | navbaker wrote:
           | Saying it would be "unpopular" is an understatement. If
           | someone has never spent time around football fans or lived in
           | an area of the country where football is king, it's hard to
           | explain exactly how ingrained it is in American culture.
           | Trying to offramp a large amount of the population into a
           | less violent sport would likely immediately be highly
           | politicized and, I would assume, an almost impossible task
           | without a significant, voluntary change in peoples'
           | willingness to sacrifice their thrilling weekend of violence
           | for the good of all these kids that grow up trying to be the
           | next NFL pro.
        
             | richk449 wrote:
             | Solution: require a surgical mask to be worn under football
             | helmet.
             | 
             | You would have football boycotts in no time.
        
       | joelbluminator wrote:
       | I used Ruby for years without apparent decline
        
         | pawelduda wrote:
         | I developed GIL. Don't do Ruby.
        
         | robmccoll wrote:
         | I also read it "Ruby" and then laughed at myself.
        
       | dboreham wrote:
       | I was required to take Rugby in school, but I engaged at the
       | minimum level possible: I was sent off once by the coach for
       | failing to make physical contact with other players. Sounds like
       | I dodged a bullet.
        
         | tonyedgecombe wrote:
         | >I engaged at the minimum level possible
         | 
         | That was my approach to all sport at school.
        
       | eggy wrote:
       | I played rugby in high school, and I was surprised at how much
       | you don't hit your head intentionally like you do in American
       | football. You use your shoulders, torso, and arms, or at least
       | that is how we were trained. Sure, you hit your head
       | occasionally, but sometimes in a maul you find yourself clasping
       | your hands behind your head in a maul to guard the ball against
       | the opposition, while your team tries to hook the ball out of
       | your stomach side, while you are laying down in a fetal position
       | on the pitch!
       | 
       | I still think American football players maximize power off the
       | line, feel protected by helmets and shoulder pads, and basically
       | create a more powerful jolt when they hit heads instead of
       | shoulder pads. When you're not wearing a helmet, you tend to
       | become better at protecting your head against intentional hits.
       | 
       | Then again Garryownens can result in being hit like a freight
       | train if you decide to catch it!
        
         | snapetom wrote:
         | About three or four years ago, college football formally
         | implemented a targeting (helmet to helmet contact) rule that
         | had immediate impact on the way tackling is taught in college
         | and high school. Players are now taught to tackle shoulder
         | first in certain situations or go for the legs in others. Pros
         | have a looser, inconsistently applied, personal foul rule, but
         | we're starting to see the techniques taught at lower levels in
         | the pros.
         | 
         | Mind you, it's still an incredibly violent game, who knows if
         | the new measures will make a difference, and we'll probably see
         | shorter careers due to leg injuries.
        
         | smcl wrote:
         | For non-rugby types, here's a Garryowen:
         | https://www.youtube.com/watch?v=SmdqLiEvYw4
        
           | engineer_22 wrote:
           | I don't know what I'm looking for, there's several stages of
           | play in that clip, is a garyowen where they collide in
           | midair?
        
             | Jenk wrote:
             | A "Garryowen" is very high, but not that long, kick. It's a
             | kick where the intent is to have your own team catch it.
             | Let's say you are the fullback and you are facing a wall of
             | approaching opposition, charging at you. All of your team
             | are ahead of you, too, so they are of no use. Blocking is
             | illegal. The opposition are not allowed to tackle you if
             | you don't have the ball, so you kick it up high, over their
             | heads, and run past them, catch it, and carry on running.
             | The opposition's inertia will keep them going past the ball
             | (and you) so when you regain the ball, you'll have a clear
             | field ahead of you.
             | 
             | That's the dream.
             | 
             | The reality is you now have a field of fast, heavy, people
             | running toward the same spot on the field, all looking
             | straight-up at the ball that is now 50ft in the air,
             | unaware they are about to collide in a wind-taking, bone-
             | crunching crash.
        
               | unethical_ban wrote:
               | My team called that the eagle, but yeah - I've seen
               | people knock themselves out making that play.
        
               | smcl wrote:
               | Thanks, a better explanation
        
             | maccard wrote:
             | It's the high kick.
        
             | smcl wrote:
             | edit: just read Jenk's comment :)
        
         | avnigo wrote:
         | What you wrote reminded me of an article on the bike helmet
         | paradox:
         | 
         | https://www.theatlantic.com/health/archive/2013/03/the-bike-...
        
           | ehnto wrote:
           | It's definitely a weird kind of embarrassment, I won't
           | pretend it doesn't exist. But it's one of those hurdles that
           | are so small in retrospect, you wonder how you ever let it
           | stop you from experiencing all the benefits of a cycling rich
           | life. I think it's because until you've experienced it, you
           | don't realize how much is on offer on the other side of the
           | fence.
           | 
           | In my own city I wouldn't ride without one, but in a more
           | shared space friendly city, like famously in many cities in
           | Japan, I wouldn't be as inclined to wear one. If I'm riding
           | at 30kmph right next to traffic, you bet I want a helmet. But
           | < 20kmph in and out of foot traffic, or properly shared
           | slower roads, then I wouldn't worry about it.
        
             | abraae wrote:
             | I used to feel the same. Then I was with my 8 year old son,
             | me running alongside him cycling on a path in a green be
             | grassy park. He lost his balance and slowly rolled over and
             | banged his head on the only damn rock in the entire path.
             | Fortunately he had his helmet on.
        
             | ihaveajob wrote:
             | I am somewhat similar. The irony is that when you're riding
             | next to traffic, a helmet offers little protection against
             | being hit by a car. The biggest gains are solo crashes
             | against the asphalt, with no cars involved. So if I'm
             | riding a city bike for fun or chores, I may not wear a
             | helmet (especially a shared bike). But if I'm riding the
             | hills for sport, helmet on every time.
        
               | cortesoft wrote:
               | > a helmet offers little protection against being hit by
               | a car
               | 
               | This doesn't seem true? A lot of people who get hit by a
               | car end up falling to the ground, where they can hit
               | their head on the concrete.
        
               | teachrdan wrote:
               | Anecdote incoming: I was hit by a car while bicycling
               | home one night about ten years ago. I was knocked over
               | and broke my collarbone in two places. I remember
               | thinking at the hospital, "It's amazing I didn't hit my
               | head. A broken clavicle really isn't that bad." (it's
               | basically nature's crumple zone)
               | 
               | Only a couple days later did I think to check my helmet.
               | It had a huge crack on the outside and two smaller ones
               | on the inside. I absolutely smashed my head on the
               | pavement. That helmet saved me from serious head trauma,
               | if not worse.
               | 
               | From a random stranger on the internet: Please wear your
               | helmet while bicycling. There are many ways to end up
               | hitting your head after a bike crash, and all of them are
               | bad.
        
               | frereubu wrote:
               | I second this. A car pulled out in front of me once - I
               | went over the handlebars, landed on my hip and my head
               | whiplashed onto the tarmac. If I hadn't had my helmet on
               | it's very likely that I would have fractured my skull,
               | including all of the attendant risks of serious brain
               | injury.
        
               | privong wrote:
               | > The irony is that when you're riding next to traffic, a
               | helmet offers little protection against being hit by a
               | car.
               | 
               | It may save you from head trauma as a result of a car
               | hitting you, either from your head hitting the pavement
               | or the car.
        
           | Tarsul wrote:
           | on a tangent: the effect described there that a helmet
           | hinders taking up biking certainly applies to me. A friend
           | gifted me a bike helmet (i always cycle 20km to him) and when
           | I tried it out, it sucked all my joy out of biking and I
           | thought: huh, taking the train would be more fun. I realized
           | that it doesn't make sense to take the train just because I
           | don't like the helmet and went on biking without it. However,
           | I also don't like headsets with noise-cancelling and there
           | must be something with my head/ears or something that's
           | different from most (?) people so my suggestion for everyone
           | else: at least try a helmet. But if you don't like it, don't
           | stop biking just because (unless your city has no respect for
           | bikers, then don't bike at all).
        
             | cortesoft wrote:
             | Can you elaborate on how the bike helmet sucked all the joy
             | out of biking?
        
             | frereubu wrote:
             | You get used to it. Only have tried it once doesn't seem
             | like giving it a fair go - if you spent the whole ride
             | concentrating on the helmet I'm sure it felt annoying, but
             | if you wear it for every ride for a month you'd likely
             | forget it was there. It may also have been the wrong size,
             | and there's a wide variety of weights / styles out there to
             | choose from. It took me a while to find one that I actually
             | felt comfortable in.
        
         | GordonS wrote:
         | Reminds me playing rugby at high school... one time I dived to
         | catch the ball, and went head-first into an (unpadded) goal
         | post, knocking myself out cold :( What an absolute eejit!
         | 
         | I played casually off an on for a few years, and that was the
         | only head injury I ever received.
        
         | forgotmypw17 wrote:
         | The whiplash from getting tackled in the shoulder is enough to
         | cause a concussion itself.
        
         | jl6 wrote:
         | The idea that armor _increases_ injury risk is a fascinating
         | case study of unintended consequences.
         | 
         | Similar "safety irony" claims I've heard include:
         | 
         | * Mandatory bike helmet laws increase total risk to life
         | because having to wear a helmet deters people from cycling so
         | they drive instead, and thus miss out on the increased cardio
         | health they would have got from cycling.
         | 
         | * Trains are too safe, meaning they have to meet such stringent
         | safety criteria that the costs are raised to the point that
         | people drive instead, and driving is much more dangerous.
         | 
         | And my favorite personal anecdote: a ruined castle in Portugal
         | which had a staircase leading up to a high ledge with no
         | barrier. It was so obviously dangerous that everyone was taking
         | a lot of care up there...
        
         | dfsegoat wrote:
         | Played rugby (college and usa d1 mens club) and American
         | football in highschool.
         | 
         | I've never felt like I got my bell rung (severe impact) as much
         | as I did in American football.
         | 
         | That said, I do feel like between the drinking culture of
         | rugby, and the small impacts of tackling and going to ground, I
         | certainly did some damage.
        
         | switchbak wrote:
         | I played a bunch of football myself. While others may deny it,
         | there really exists an intentional tactic of crashing into
         | opponents with your helmet. Especially on the line. I did it a
         | lot myself.
         | 
         | The additional protection from armor very much does lead to an
         | increase in the velocity of hits. This results in very high
         | forces, and while you might not see broken bones, there's often
         | injuries still happening.
         | 
         | I had about three months of foggy brain after I stopped
         | playing. Now there's just no way I'd let a child of mine play
         | that sport. I had a great time and learned a lot, but it's just
         | not worth it, even just at the high school level.
        
           | zwaps wrote:
           | Football helmets also used to be really heavy and hard.
           | 
           | In my time, we were unaware of the negative effects, so we
           | used our helmets as a weapon. This was normal. It worked.
           | 
           | For example, if you are a running back with sufficient mass,
           | come in low with high speed and manage to place your helmet
           | on the helmet of the defender (who is often moving laterally)
           | you could literally knock them out.
           | 
           | During kick off, you could have two players running into each
           | other full speed from 50 yards out. Of course the person who
           | is willing to go fully into contact will win. The person
           | going for a Rugby style tackle might land on his behind.
           | 
           | The force of such impacts was immense. I have had my metal
           | face shield broken out of the helmet. I have seen broken jaws
           | from the impact, people getting knocked out, having
           | concussions.
           | 
           | I am horrified about the things they let us do in the 90's.
           | Even in practice, these contact drills that were designed to
           | take away your fear of contact, teach you to use your body as
           | a weapon.
           | 
           | I just hope it is different today, but if I have kids, they
           | will not play Football
        
             | FredPret wrote:
             | I grew up playing rugby, but that ends with me. My kids
             | aren't playing either
        
             | dougmwne wrote:
             | In the 00's we may not have had the scientific backing yet,
             | but the common knowledge was that football was scrambling
             | the players' brains. As we were still in the last stages of
             | the transition away from a manufacturing economy into a
             | knowledge economy, there was still a popular perception
             | that intellectual capacity was not really needed in men who
             | would be much better off learning self-sacrifice, physical
             | endurance, pain tolerance and willingness to abuse their
             | bodies for the good of the group, all great skills for blue
             | collar workers but not much needed in white collar jobs.
        
           | toss1 wrote:
           | Yup, knew a guy who played in the Rose Bowl, had a bunch of
           | NFL offers.
           | 
           | He passed and went to a corporate job.
           | 
           | While his concern was constant knee injuries, his key
           | statement was "I want to be able to walk when I'm 45".
           | 
           | Wise choice.
        
             | toss1 wrote:
             | Edit: This was before the knowledge about TBI became
             | widespread, so in some ways, his ability to look forward to
             | the results of his older peers was even more prescient.
        
           | collsni wrote:
           | dude i dont remember my junior and senior year of highschool
           | due to football. I turned down college scolarships due to how
           | dangerous it is. sophomore year i fractured my distal femur.
        
           | grogenaut wrote:
           | We had that (leading with the head) in the 90s as an old
           | school training for o-line in Missouri. However at the time
           | they had switched the good players on the line to just using
           | their hands as they had started allowing grabbing "inside the
           | numbers". Still took a while for the transition to trickle
           | down.
           | 
           | All of the higher end camps and college camps taught using
           | hands. Then I played in college, the people who hit with
           | their heads on the line were hopelessly outclassed. We had a
           | senior who was a physical monster but just loved using his
           | shoulder/head to block, he never was put on the field (dude
           | got a PHD in high energy lasers at the same time). It
           | massively limits visibility and frankly, you can't HOLD with
           | your head, which is, again, legal. Your hands are massively
           | better. And the right amount of work in the weight-room you
           | get your chest and triceps as big as most people's arms, you
           | end up being able to double hit people. First hit is coming
           | in with the arms and stopping their momentum by bending your
           | arms. Second hit is that you can literally bench press them
           | so you then shove them very quickly off balance or to the
           | ground.
           | 
           | Even when we did less than savory tactics, often out of
           | desperation, like a leg whip
           | (https://www.youtube.com/watch?v=RHdPcaRAkeg watch the
           | running back in the first 5 seconds come in from the left)
           | they taught us to have our heads up looking for the next
           | person to block.
           | 
           | The coaches we had in high school were not very smart and
           | were doing it as a part time job based on what they
           | remembered from high school. The coaches in college were
           | professionals and did constant training and improvement.
        
           | marianov wrote:
           | I played rugby and there is no way I'll let my children play.
           | Spinal injuries from scrum collapses are way too common, and
           | there is a view of scrum being a fundamental part of the
           | sport so they only mitigate it by not pushing in scrum until
           | a certain age, doing 3 against 3 scrums and so on. By the
           | time the boys are 15 they like the game and start playing
           | hard and getting hurt. I'd rather have them row, run, play
           | soccer, surf, and so many other options
        
             | amenghra wrote:
             | _I 'd rather have them row, run, play soccer, surf, and so
             | many other options_
             | 
             | This. While all sports can lead to injuries, there are so
             | many enjoyable sports with lower injury risks out there.
             | I'd rather teach my kids activities they can enjoy their
             | entire lives -- well past their youth vs something high
             | impact.
        
           | jimbob45 wrote:
           | To be clear, there are unspoken concussion issues with many
           | sports. It was only recently that soccer began to take
           | concussions seriously from headers by banning them from some
           | youth leagues.
           | 
           | That said, I would also never allow my children to play
           | gridiron football. Even if concussions weren't a thing,
           | people leave that sports with lifelong injuries.
        
           | svrtknst wrote:
           | This is an increasingly common sentiment among hockey players
           | too, that softer shoulder pads could be a way to decrease
           | head trauma
        
             | lc9er wrote:
             | I can't find it now, but there's a Bobby Clarke quote about
             | modern protective equipment being like armor. This gives
             | players a false sense of invulnerability and the tools to
             | hit other players harder with less damage to themselves.
        
               | dyingkneepad wrote:
               | Well, olympic boxing concluded that not wearing helmets
               | is safer for the athletes.
        
             | Someone wrote:
             | In boxing, it is argued that not wearing gloves would
             | decrease head trauma, too.
             | 
             | Hitting a skull with your bare fist is more likely to break
             | your hand than to knock out your opponent, so bare-knuckle
             | fighters won't go for head punches as much as boxers do.
        
           | oogali wrote:
           | Perhaps it varies from area to area?
           | 
           | Where I grew up, the pee wee football league (9 and up),
           | there was an unwritten rule of "no head hunting" (purposeful
           | helmet to helmet contact).
           | 
           | If you suspected the other team of doing so, or vice versa
           | there would certainly be a fight amongst the teams: either
           | after the game or even mid-game.
           | 
           | Now I'm speculating here but maybe it had to do with inner
           | city culture where sports was seen as a way out rather than
           | simply as an extracurricular so cheap shots and other
           | intentional injuries were very much frowned upon.
        
         | hnlmorg wrote:
         | There's similar research that shows padded gloves have lead to
         | more injuries in boxing.
        
           | marttt wrote:
           | Tangentially related: I do odd jobs in forestry, in the
           | former Soviet Union. An experienced forester once told me how
           | during the old times, all workers were using regular boots or
           | wellingtons -- that is, boots with no steel toe or other
           | safety elements.
           | 
           | By the early 90s, Husqvarna chainsaws and pro-level
           | protective logger boots had gradually become the norm in our
           | country. And guess what -- now, by the end of the day, the
           | old forester would occasionally receive workers' boots with
           | obvious chainsaw tracks across the toes.
           | 
           | So, as long as the men were using regular, layman's boots,
           | something like this had, obviously, never happened. No logger
           | had ever cut in his toe. Pro-level safety gear, however, made
           | many of them inattentive or careless.
           | 
           | I wonder if this is also true to a degree when it comes to
           | bike helmets. I often seem to ride faster and with more
           | bravado when I'm wearing a helmet. I would, however, never
           | let a 5yo child bike on a sidewalk without protection these
           | days -- even though this is exactly how I grew up myself.
        
             | gnu8 wrote:
             | I'm reminded of the story about improving the armor on
             | airplanes in World War 2. They were looking at where the
             | fighters had been hit by enemy fire and improving the armor
             | in those areas, until someone realized they should be
             | armoring the areas where there were no bullet holes -
             | because the planes hit in those areas didn't come back at
             | all.
             | 
             | Likely the same principle applies to the logging boots.
             | Logging boots without steel toes were probably damaged to
             | the point of. being unusable (to say nothing of the
             | logger's foot) and they were discarded.
             | 
             | I don't claim to know anything about sports but in the
             | industrial environment, I am not going to be convinced that
             | less PPE to make people work more carefully is a good idea.
             | The idea is attractive as a paradox but it is beyond absurd
             | to consider in practice - in fact it is barbaric.
        
               | amenghra wrote:
               | https://en.wikipedia.org/wiki/Survivorship_bias
        
               | gnu8 wrote:
               | Thank you, I could remember the story but not the word
               | for it.
        
           | dyingkneepad wrote:
           | Not only research, but you can also see differences because
           | there are events without gloves (bareknuckle boxing), events
           | with small gloves (MMA) and events wtih big gloves (Boxing,
           | but also Sparring which generally uses even bigger gloves).
           | 
           | For olympic boxing they removed the _helmets_ because they
           | think it 's safer. Also, the gloves are extremely useful to
           | protect the hands. Bareknuckle boxing exists (and you can
           | watch it on youtube!), and the gameplan for these guys is
           | _very_ different. You can 't go 100% since you risk breaking
           | your hand. There's no closing your eye and throwing a
           | haymaker here. Defending a punch with your forehead suddenly
           | becomes a viable strategy since it's likely the damage to
           | their hand will be bigger than the damage to your forehead.
           | Knuckle conditioning, wrist adjustments, etc. So many
           | changes! I find it extremely fascinating.
           | 
           | Extrapolating even further you can see how Jiu Jitsu becomes
           | a whole different thing if you allow headbutts (just watch
           | the 90's Brazilian Vale Tudo fights if you wanna see this,
           | but I warn you that's it's much more violent than today's MMA
           | fight). But that doesn't make it any safer so I may be
           | diverging :)
        
           | blix wrote:
           | There's some evidence that increased padding leads to
           | increased impact force in a wide range of sports, from boxing
           | to running, that have a padded person initiating impact.
           | Anecdotally, this is well known among hockey players and
           | there's a social stigma against wearing more protective gear
           | than average. I've even seen it implicated in pedestrian
           | deaths as a result of driving.
        
           | linguistbreaker wrote:
           | More head injuries. The gloves are to protect the hands.
        
           | matwood wrote:
           | I've seen some of that research. MMA for example looks worse
           | b/c of the potential for cuts and blood, but a single good
           | punch typically ends a fight (and if a fighter does get to a
           | position to really tee off, the ref stops the fight). Whereas
           | in boxing, the boxer takes repeated punches over many rounds,
           | and that doesn't count the training they do.
        
           | [deleted]
        
         | slg wrote:
         | This is certainly true, but it isn't the only aspect of the
         | games that causes more head injuries in football.
         | 
         | In rugby tackles are often made in pursuit or with a defender
         | moving perpendicular to each other. It is much rarer for two
         | people to be moving in opposite directions to collide. This is
         | much more common in American football in which the opposing
         | sides are reset to be facing each other after every play. This
         | causes the collisions to be much more violent because there is
         | more momentum involved than a tackle in pursuit. This will lead
         | to increased brain injuries because it isn't just external
         | trauma to the head that damages the brain. There is also
         | internal trauma caused by these collisions as the brain crashes
         | into the inside of the skull when there is a sudden
         | acceleration/deceleration of the head/body.
         | 
         | Think of an egg inside a glass jar. You can add external
         | cushioning to ensure that the glass doesn't break and to help
         | slow down the jar more gradually, but there isn't much you can
         | do to stop the egg from rattling around in there.
        
       | ben-gy wrote:
       | I've been following concussions in sports for while as part of a
       | company I'm launching soon (https://ocula.ai) - it's seriously
       | scary stuff now that longer term, validated studies are beginning
       | to be published - it's worth noting NFL powered through its
       | allocated funds for concussion payouts of $0.5B almost a decade
       | ahead of schedule
       | (https://www.google.com.au/amp/s/amp.abc.net.au/article/10056...)
       | and there's many more on the way...
        
         | toomuchtodo wrote:
         | What's the end game for American football when, inherently,
         | everyone ends up with brain damage? I assume the NFL will end
         | up bankrupt from civil claims?
        
           | kasey_junk wrote:
           | Early on in American footballs life there was a problem with
           | excessive deaths. The President stepped in and effectively
           | demanded rule changes to make the sport less deadly.
           | 
           | I doubt that will happen again but you can imagine a similar
           | set of rule changes to help with brain health. I suspect the
           | NFL will need to drive that as I don't see a Teddy Roosevelt
           | line public figure these days.
        
             | ProjectArcturis wrote:
             | What rule changes can you make to football to eliminate
             | head hits, without making the game unrecognizable? I think
             | if that were a possible solution, they would have done it
             | already. As is they're just tinkering on the margins with
             | things like kickoff rules (encouraging more touchbacks to
             | eliminate contact on one of the most dangerous plays of the
             | game).
        
               | LgWoodenBadger wrote:
               | Targeting (leading with the crown of the helmet) is a
               | penalty that can get a college player ejected from the
               | game, and if in the second half will carry over to the
               | first half of the next game.
               | 
               | A blow to the QBs head is a 15 yard penalty and automatic
               | 1st down.
               | 
               | Spearing is a personal foul, 15 yard penalty, automatic
               | 1st down IIRC.
               | 
               | I'm sure there are others...
        
               | Goronmon wrote:
               | I think that would fall under "tinkering on the margins"
               | as the person you replied to phrased it.
               | 
               | An example of a more systemic change would be elimination
               | of any head-to-head impacts that might occur between
               | defense and offensive linemen on any given play.
               | 
               | How do you work to eliminate those without changing the
               | game into something unrecognizable?
        
               | kasey_junk wrote:
               | If you look at the rule changes the previous safety
               | crisis brought on, the game became fundamentally
               | different so I don't think that's actually a show
               | stopper.
               | 
               | I actually worry much more about line play than most
               | given the evidence that suggests constant low level head
               | collisions are as dangerous as limited high impact hits
               | for things like cte.
               | 
               | You could imagine mandating standing positions at the
               | line, a wider scrimmage line and mandatory shotgun snaps
               | as rule changes that would limit the constant head
               | collisions linemen take. Just as a for instance.
               | 
               | For a dramatic change you could imagine weight limits
               | like in sprint football.
        
               | toast0 wrote:
               | I don't know that eliminating the risk is a feasible
               | goal. Reducing the highest risk parts of the game is
               | feasible.
               | 
               | But things like reducing the number of players on the
               | field, making periods shorter, increasing time between
               | games (or reducing games per season), and putting
               | playtime caps (at least at lower levels) would
               | statistically reduce risk without making things
               | unrecognizable.
               | 
               | Alternatively, Atari predicted robot football by next
               | 2022 [1], with additional updates in 2072.
               | 
               | [1] https://www.arcade-
               | museum.com/game_detail.php?game_id=7469
        
           | adventured wrote:
           | > What's the end game for American football when, inherently,
           | everyone ends up with brain damage?
           | 
           | Everyone doesn't end up with brain damage.
           | 
           | Most NFL players only play for a few seasons. The average
           | career is only three seasons; the median is even lower. An
           | exceptionally small number of players are going to suffer
           | brain damage in two or three seasons.
           | 
           | Today's NFL players are paid far beyond extraordinarily well,
           | they don't need the money. The bulk of the claims are coming
           | from players in the past that were not paid so well and do
           | need the money. Guys that used to play for $100,000 /yr
           | across a ten year career, and played at a time when the NFL
           | was far more violent and head protection was even worse.
           | 
           | A player that lasts 10-15 years in the NFL today will
           | typically earn $100 million or more. They'll have a lot of
           | money and some will have lasting brain damage. A very small
           | fraction of those players will ever consider suing the NFL.
           | 
           | > I assume the NFL will end up bankrupt from civil claims?
           | 
           | That's an incorrect assumption. The legal cost will barely be
           | a drop in the bucket of the NFL's financial machinery.
           | 
           | Someone else mentioned the $500m concussion fund was burned
           | through sooner than expected. $50m-$100m per year is an easy
           | problem for the NFL these days. The commissioner gets paid
           | $40 million per year. League revenue was $16 billion in 2019.
           | One team, the Dallas Cowboys, alone has $280 million in
           | operating income. If you cycle out ten more years, the NFL
           | could afford $500 million every single year in liability
           | costs related to head injuries, and it would still be fine
           | (and that number isn't going to happen).
        
             | alistairSH wrote:
             | _Most NFL players only play for a few seasons._
             | 
             | A large portion of collegiate players will end up with CTE.
             | Enough high school players end up with CTE that we should
             | be concerned.
             | 
             | https://www.bu.edu/sph/news/articles/2017/evidence-of-cte-
             | fo...
        
               | microtherion wrote:
               | Last year, there was a horrific Sports Illustrated
               | article about the linebackers on the 1989 USC team:
               | https://www.si.com/college/2020/10/07/usc-and-its-dying-
               | line...
               | 
               | Of the 12 linebackers on the depth chart of that team
               | that year, 5 were dead by 2020, all before the age of 50,
               | with diagnosed or suspected CTE (and only one of them had
               | gone on to play in the NFL).
        
             | watwut wrote:
             | Most players don't ever get to high league. They play in
             | schools, colleges and clubs.
             | 
             | They don't earn money and they do suffer injuries all the
             | time.
        
           | fallingknife wrote:
           | Why can't they just add "this causes brain damage and we are
           | not liable" to their contract?
        
             | syops wrote:
             | In a properly functioning society the government tends to
             | look out for the best interests of its citizens. People are
             | local optimization machines and they tend to make bad long
             | term decisions. In order to prevent exploitation of labor
             | it is necessary for government to intervene from time to
             | time. It's why we don't let mining companies say to the
             | prospective employees: "This is dangerous and we aren't
             | liable." Instead we require mining companies to take
             | prudent steps to ensure the safety of workers. People
             | desperate for a paycheck often times will do things they
             | ordinarily wouldn't.
        
               | thinkharderdev wrote:
               | In general that is true, but I don't think NFL players
               | fall into the category of "desperate for a paycheck."
               | That said, the vast majority of football players never
               | make a dime and if the NFL DOES go bankrupt it will
               | because the pipeline of players dries up because many
               | fewer people want to play at the HS/College level given
               | the obvious health risks and very low adds of becoming a
               | successful professional.
        
               | 1270018080 wrote:
               | NFL players are absolutely desperate for a paycheck. For
               | many, it's their way out of poverty. They have to go
               | through 8+ years of brain damage for their only chance of
               | not ending up poor like everyone else in their family.
               | And the avg tenure in the NFL is only 3 years.
        
             | mustacheemperor wrote:
             | Professional football relies on the infrastructure of
             | child/school football producing new players, so there's
             | going to be a trickle down effect from whatever happens
             | with the NFL. Even if over 18 year olds signing contracts
             | can waive their liability, high schoolers can't. And
             | mounting scientific evidence about the risk of concussions
             | is going to cause it's own liability issues for the schools
             | hosting the sports.
             | 
             | Anecdotally, I remember a couple of my high school
             | classmates seemed perceptibly affected by their repeated
             | concussions in varsity football, and would discuss at the
             | lunch table how to throw the "impact" test at the start of
             | the year so they would still be allowed to play after a
             | serious hit. The test compared your score after injury to
             | your score at the start of the year, so theoretically if
             | you do badly enough on round 1 you can still pass with a
             | "mild" concussion.
        
               | quantumBerry wrote:
               | Professional software development relies on the
               | infrastructure of childhood STEM producing new
               | scientists, so there's going to be a trickle down effect
               | from whatever happens with the startup sector. Even if
               | over 18 year olds signing contracts can waive their
               | liability, high schoolers can't. And mounting scientific
               | evidence about the risk of pressure to succeed in the
               | sciences is going to cause it's own liability issues for
               | the schools hosting the subjects, such as the many
               | suicides of engineering students who are overwhelmed with
               | pressure to succeed.
               | 
               | Anecdotally, more than 1 engineering student has killed
               | themself, affected by their repeated challenges in
               | engineering school, and has discussed their challenges at
               | the lunch table about how to throw back a "drink" at the
               | start of the night so they could still allow themselves
               | to continue after a serious reprimand by their PI.
               | 
               | --------------
               | 
               | NFL primarily sources from collegiate football, not high
               | school. In fact, there is a strict rule a player must be
               | 3 year out of high school before being drafted. If you
               | have a problem with the way collegiate football recruits
               | children, perhaps it is best to start there.
        
             | AnIdiotOnTheNet wrote:
             | The most American of answers.
        
               | quantumBerry wrote:
               | Person A consents voluntarily to Person B to take large
               | sum of money in exchange for concussion/negative health
               | effects on their own body (which I presume we agree they
               | own their own body including the ability to risk it).
               | 
               | What business is it to anyone else, least of all the
               | government?
        
               | alistairSH wrote:
               | You're only thinking about the NFL.
               | 
               | High school and youth players are neither paid nor are
               | they old enough to consent.
               | 
               | Collegiate players are old enough to consent, but aren't
               | paid (excluding tuition/room/board).
               | 
               | Regardless of the sums of money, do we as a society,
               | really want to allow people to allow themselves to become
               | brain damaged in exchange for money? If not, we need to
               | decide where we draw the line.
        
               | quantumBerry wrote:
               | Yes, we really should allow people who consent to risk
               | becoming brain damaged to do it in exchange for money. We
               | already allow people to do it for free, like allowing
               | people to ride dirt bikes.
               | 
               | >You're only thinking about the NFL.
               | 
               | The article was literally about professional rugby
               | players. Yes I realize most of those guys are not making
               | millions.
               | 
               | >High school and youth players are neither paid nor are
               | they old enough to consent.
               | 
               | Which is why I said those who consent, who are you
               | arguing against? My statement was "Person A consents." If
               | you believe a minor cannot consent then by definition we
               | haven't spoken about high school and youth.
               | 
               | As an aside, do you believe all sex amongst 17 year olds
               | is rape as well, since you are not attributing them the
               | ability to consent?
        
               | 0134340 wrote:
               | It becomes the government's and everyone else's business
               | because who's going to look after you if you get disabled
               | and can't work? You'll then have to proceed to beg, steal
               | or live on government benefits and then you become
               | everyone else's problem. As long as we live in a society
               | we are our brother's keeper whether we like it or not.
               | The only escape is to move away from society so you have
               | no interaction with it so then you can't complain about
               | society interacting with you. Which in today's world is
               | impossible as society will still at least affect your
               | natural environment, unfortunately.
        
               | quantumBerry wrote:
               | If you don't like the fact that the disabled may have to
               | be looked out for on your dime or taxpayer's dime, that
               | sounds more like an argument for government not "looking
               | out" for someone who voluntarily risked their body.
               | 
               | Being your brother's keeper doesn't mean getting an IRS
               | agent and some agent with a gun to force someone who
               | didn't consent to someone else playing football/rugby to
               | pay for their injury. Being brother's keeper doesn't mean
               | removing consent.
               | 
               | I think what you should really be arguing for is the
               | rugby association to properly compensate anyone with
               | medical disability as a result of their employment.
        
             | _jal wrote:
             | Aside from being appalling, this would also serve as an
             | admission.
        
         | ProjectArcturis wrote:
         | You're probably aware of this, but this study and many others
         | indicate that repeated sub-concussive hits can be just as
         | dangerous to the brain. Indeed, some would argue that the NFL's
         | focus on concussions is a way of looking like they're doing
         | something while ignoring the fact that there is no way to play
         | NFL football without causing brain damage.
        
       | pessimizer wrote:
       | The emergent research about CTE in what are upper-middle class
       | sports in the US like soccer and rugby are ironically going to be
       | an effective shield for the NFL, because there's no way American
       | suburbanites are going to allow a little brain damage to force
       | them to limit their European affectations.
        
       | [deleted]
        
       | rory wrote:
       | I played rugby for years and had a constant, mild headache the
       | entire time. Went abroad for five months so I took a break, and I
       | couldn't believe how good I felt. I had forgotten what it felt
       | like for my brain not to hurt.
       | 
       | Needless to say, I never played again.
        
         | necrotic_comp wrote:
         | I had a similar thing with jiu-jitsu in my 30s. It's fairly
         | low-impact as combat sports go (which is great!), but I had
         | been playing other sports (judo and wrestling) for the majority
         | of my life and those have periodic non-concussive impacts.
         | 
         | After 20 years of practice, I felt just a touch foggy, and I
         | took a few months off to see if anything changed and if my
         | brain cleared up. It definitely did, and I therefore had to
         | quit so I could continue to do programming work at a high
         | level.
         | 
         | Absolute bummer, but that's life, I guess.
        
           | cnity wrote:
           | Have you considered doing BJJ instead?
        
             | necrotic_comp wrote:
             | That's what I meant, sorry. Japanese Jiu Jitsu isn't really
             | full contact.
             | 
             | You get ancillary knocks and bumps in BJJ (catching a knee
             | in side mount, or screwing up a takedown and bonking
             | yourself), and while they're not that bad, after a lifetime
             | of playing for fun, it was time to stop.
        
               | matwood wrote:
               | Interesting. BJJ for fun (not competition - so start in
               | position and do less full speed take downs) is probably
               | one of the least impact inducing sports I've ever done.
               | Of course getting bumped in the head can happen, but it's
               | usually with newer people. I mostly stick to higher belts
               | and people I know, and I can't think of the last time I
               | got hit in the head.
               | 
               | Running and basketball I had to quit because of impact on
               | my body overall, though not so much my head. Wakeboarding
               | I quit b/c of a torn ACL and minor concussions in my 20s.
               | Skateboarding is obvious lol. Surfing doesn't have very
               | much impact, but in big waves there is a whole other set
               | of risks.
               | 
               | Anyway, I was just a bit surprised by your comment b/c
               | out of all the sports I've done, BJJ seemed like the one
               | I could do for a very long time just by sticking with
               | people I know and trust.
        
               | necrotic_comp wrote:
               | yeah, I started because my body was getting creaky after
               | years of judo and I wanted something lower impact - it's
               | definitely significantly less stress on your body than
               | either wrestling or judo, but you still get jostled
               | around and in more competitive situations (i.e. in my
               | last tournament I gave myself a concussion and nearly got
               | choked unconscious bc I was out of it) the chance for
               | injury is higher.
               | 
               | It's definitely safe if it's the first thing you've ever
               | done, as the lower levels of bumps are new, but if you've
               | done similar things for a long time, you definitely feel
               | the accumulation in your brain and joints. It's super
               | dumb because it's literally my favorite thing in the
               | world, but I want to be a sharp tack when I'm old and I
               | couldn't sustain it.
        
               | matwood wrote:
               | Definitely gotta do what works for you. I've taken to it
               | the past few years _because_ my body was getting creaky
               | from years of all the other sports. I 'm definitely not
               | doing anymore competitions though. They were fun and
               | submitting someone you don't know is a rush, but I could
               | tell that's where I was likely to get hurt.
               | 
               | At this point in my 40s I've got nothing to prove. If
               | someone comes at me spastic, I tap and move on. The
               | algorithmic/thinking side is really a big draw for me
               | (and it seems others). Over half the people in one of my
               | typical classes are programmers. Time will tell if I can
               | do it in a way that allows for longevity - I certainly
               | hope so. Good luck to you!
        
         | unyttigfjelltol wrote:
         | The study covered one season and did not cover long term
         | impacts. It's entirely possible that, like the parent comment,
         | the whole team finished the season, tested poorly on cognitive
         | performance, took a few months break and were then back close
         | to baseline. The comments about long-term impact are generally
         | not about one season of ordinary contact in any sport.
        
           | ncallaway wrote:
           | I would be really curious to see a long term study.
           | 
           | Based on the short term immediate decline they observed, it
           | does seem like there must be _some_ recovery after the
           | season. Just the compounding effects after a handful of
           | seasons seem like they would be very noticeable.
           | 
           | But I'd also be surprised if any recovery were totally
           | complete, either.
           | 
           | I loved playing rugby, and would be sad to see results
           | similar to football, but I'm trying to be open-minded about
           | the long term results.
        
           | blunte wrote:
           | How many times of being hit in the head is ok? Obviously one
           | wrong hit in the head can lead to death. Is there any
           | acceptable level of being hit in the head?
           | 
           | Why this is even a debate is boggling to me.
        
             | unyttigfjelltol wrote:
             | One wrong step, sneeze, or meal can lead to death. People
             | compete in sport not to get hit in the head, but for other
             | benefits which are legion, just as people become sedentary
             | doing desk jobs not in hopes of suffering ill health from
             | doing no physical activity, but again because their focus
             | is elsewhere.
        
               | JohnJamesRambo wrote:
               | There are lots of sports that don't involve being hit in
               | the head, people can do those instead.
        
             | rory wrote:
             | I actually don't think it was primarily caused by hits to
             | the head. Every collision (including tackles and scrums)
             | "rattles" the head in a way that causes pain, and
             | presumably damage, over time.
        
               | blunte wrote:
               | Ok, forgive me for being imprecise in my language :).
               | 
               | Any willful activity that harms the brain should be
               | considered carefully before undertaking. This would
               | include drinking alcohol as well (something which many of
               | us willfully choose).
        
       | swader999 wrote:
       | I wonder if you even have to hit your head, perhaps just a hard
       | tackle to the ground would be enough for a minor concussion.
        
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