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Super Bowl 50: Even in NFL's golden era, hints of a sweeping change

The Super Bowl shows the NFL is more popular than ever, but the game could change in fundamental ways because of mounting public concerns over head injuries. 

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Lucy Nicholson/Reuters
A Super Bowl sign is displayed in downtown San Francisco Saturday. Super Bowl 50 will be played in Santa Clara, Calif., Sunday.
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David J. Phillip/AP
A BrainScope device is displayed before an NFL health and safety news conference Thursday in San Francisco. The device can be used to help diagnose traumatic brain injuries.

National Football League news this week told two dramatically different stories.

On one hand, there was the run-up to the Super Bowl, with all the anticipation and intrigue around whether the Denver Broncos can stop the juggernaut that is Cam Newton and the Carolina Panthers.

Last year鈥檚 ratings for the game 鈥 a record 114.4 million viewers 鈥 suggest the NFL has never been more popular.

Yet there was also the story of Kenny Stabler, the late Oakland Raiders quarterback who was revealed to have been diagnosed with CTE, the degenerative brain condition linked to many former professional football players.

The contrast was both poignant and apt, many say.

At a time when the NFL is the unrivaled king of American professional sports, concerns about the long-term health effects of tackle football are nudging their way further and further into the mainstream discussion.

After years of pressure, news reports and firsthand accounts have forced awareness on even the most聽casual observer, says Dan Lebowitz, executive director of the Center for the Study of Sport in Society at Northeastern University聽in聽Boston.

Oscar-nominated 鈥淐oncussion鈥 tells the story of the doctor who discovered chronic traumatic encephalopathy (CTE) in former players, and the book 鈥淣FL Confidential鈥澛爄s a memoir of the 2014 football season written anonymously by a current player 鈥 outlining in聽vivid detail the pressures to play through injuries.

鈥淚f we look cross-country, this narrative is having an effect,鈥 Mr. Lebowitz says.

As of 2012, enrollment聽for Pop Warner, the nation鈥檚 largest youth tackle football league, was down 12 percent from previous years. Enrollment has聽remained flat since that drop, says league spokesman Josh Pruce.

But the trend goes beyond the grass-roots level to the number of high-profile voices questioning whether they would let young boys in their families play football.

Recognizing the potential threat, the sport is already changing. New rules on the field in the NFL are only a start. The future could see no tackle football at all for the youngest players 鈥 switching to flag football to learn the fundamentals. High schoolers could practice without helmets to teach them how to slow down and tackle properly 鈥 not use their heads as weapons. And pro players could be forced to take a mandatory number of games off after a diagnosed concussion.

The game is in no immediate danger of collapse. But it is fast becoming clear that the health of the sport 鈥 much less its players 鈥 will likely demand significant changes.

鈥淭his groundswell will continue to gain ground as more studies show the long-term effects of the game and former players continue to come out discussing the early onset of dementia and other problems,鈥 adds Lebowitz.听

Recent years have seen a number of pro football players commit suicide, with post-mortems confirming a diagnosis of CTE. Other players have reported significant mental challenges that they attribute to repeated concussions.

Letting your son play football

The shift in attitudes about tackle football is apparent at all levels, but perhaps nowhere more so than in youth football.听

On a recent Saturday, teams of boys of聽various ages filled the fields at the Studio City Recreation Center in Los Angeles.听They are playing flag football, not tackle. Daniel, the father of an 8-year-old player (and who聽gave only his first name), says: 鈥淚 wouldn鈥檛 mind him playing tackle football, but my wife would聽not allow it.鈥

Nearby, his wife聽nods vigorously, adding, 鈥渘ever.鈥

Scott A. Miller/AP/File
Greater Gould (Fla.) Rams Jacob McCray (2) and Trayvond Ball (4) tackle Fort Worth Colts Jalen Bridges (35) in the Division II Midget championship game during the Pop Warner Super Bowl at Walt Disney's Wide World of Sports complex in Lake Buena Vista, Fla., in this 2009 file photo.

A few miles away, at the Sepulveda Basin Recreation Center, independent contractor Jos茅 Garcia watches teams of young boys play flag football.

鈥淚f I had a son, I would never let him play football,鈥 he says.听鈥淚 used to be a fan, but not any more because the pro sports are not pure anymore.鈥

He adds that the pro league鈥檚 unwillingness to tackle health and drug issues has turned him off the game. 鈥淚 watch some college sports now, maybe basketball, but not football, not anymore.鈥

President Obama once said that, if he had a son, he鈥檇 鈥渉ave to think long and hard before I let him play football.鈥澛燩rominent former players such as Mike Ditka have made similar comments. Hall of Famer Harry Carson, a former New York Giants linebacker and now an activist on the issue of brain injuries, has banned his 6-year-old grandson from playing football.

How can the game be safer?

Partly to address such concerns, football has begun implementing changes.

During the past three years, the NFL 鈥撀燼 $440 billion聽industry 鈥 has made rule changes such as聽authorizing聽athletic trainers stationed in sky boxes to stop play if a player exhibits signs of injury. On-the-field rules have emphasized a ban on all reckless contact to the head and neck. And the league is looking into new helmet designs and brain-scan technologies to lower the risks of head injuries and to diagnose them more accurately. 聽

The new Heads Up NFL training program also coaches techniques that protect players from head-to-head collisions. Nearly every state now has laws聽restricting contact during public school practice times. At Pop Warner, players can only聽engage in contact football during one-third of their practice time.

But research on the risks and ways to mitigate damage from concussions is in its infancy,聽points out researcher Erik Swartz at the University of New Hampshire.听 He recently聽 on helmetless tackling drills to prevent head impact and reduce the risk of concussions in college football players. He is currently studying the drills聽with high school students.

The idea behind the Helmetless Tackling Training, points out Professor Swartz,聽is聽that practicing without protective equipment, like helmets, will train players instinctively to keep their heads out of the game.

鈥淚f they do it over and over again in practice, it will become second nature during a game,鈥 he says via e-mail. He is quick to add, however, 鈥渨e would never want to send the message that any contact sport, like football, is completely safe, no matter how much work we do to mitigate the risk.鈥

David J. Phillip/AP
A BrainScope device is displayed before an NFL health and safety news conference Thursday in San Francisco. The device can be used to help diagnose traumatic brain injuries.

While research is important to reducing risk of injury,聽a more thorough understanding聽of the risks could change public tolerance for the sport, says Dennis Deninger, professor聽of聽sport management at Syracuse University in New York.听

鈥淚f new studies emerge in coming years that show what聽was thought to be a small minority is instead actually聽a majority, or a significantly larger percentage聽of young men聽permanently injured by playing football,鈥 he adds via e-mail, 鈥渢hen opinions and participation may begin to聽change dramatically.鈥

Changing a 'suck it up' culture聽

More research is聽needed to drive changes in attitudes among players, say experts in sports medicine. Football has embraced a 鈥減lay through the pain鈥 or 鈥渟uck it up鈥 culture for all types of injuries, says Chicago-based orthopedic surgeon Benjamin Domb.听

Now that the long-term consequences of ignored injuries are being discovered, 鈥渁thletes and their parents are fighting back against that culture,鈥 he says via e-mail.

Domb聽also has two young sons, ages 1 and 5.听 He admits to being a fan of the game but has strong reservations about his own children鈥檚 involvement.

鈥淚 would think very carefully before allowing my son to play football,鈥 he says.

This tension between fan and parental values is largely unresolved, says Fordham University theologian Charles Camosy.听

鈥淎necdotally, I know several hard-core football fans who are really being confronted with this as a serious moral issue,鈥 he says via e-mail. 鈥淚t is so connected to our lives 鈥 particularly our social lives 鈥 that it is really, really difficult鈥 to give up.

For his part, Lebowitz suggests such fundamental shifts to cultural values can sometimes need 20 years to take hold. But he adds: 鈥淎t the end of the day, there is a moral and social responsibility to make changes.鈥澛

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