The conclusion that chronic traumatic encephalopathy (CTE) is caused by concussions and repetitive subconcussive brain trauma is scientifically premature, say an increasing number of researchers.
That a sports concussions have an adverse short-term effect on cognitive functioning has long been known. But two recent studies add to a growing body of evidence that the effects of concussions may last for many months and in some cases years.
The finding by a neuropathologist that brain damage from repeated concussions suffered by former NFL star Andre Waters likely led to his depression and ultimate death by suicide in November 2006 highlights once again the critical need for parents and youth athletes to become educated and proactive about concussions.
A multiple concussion history, especially where concussions occur with progressively less impact force, are considered modifying factors in the investigation and management of concussion under the current international consensus statement on concussions.
A study of elite athletes playing contact sports suggests that the symptoms of depression some experience after a concussion may result from physical changes in their brains caused by the concussions themselves.