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Athletes’ Concussions Could Pose Legal Problems for Colleges

March 27, 2011, 2:09 pm

Cambridge, Mass.—As medical researchers learn more each year about the devastating long-term effects of sports-related brain injuries, thorny questions have emerged about who could be held liable for the damage in years to come.

So far, it’s a debate that has played out in the professional-sports arena, mainly in the NFL. But those same questions could eventually dog the NCAA and collegiate athletic programs, legal experts said Friday during a symposium on sports law at Harvard Law School.

Athletes who compete for NCAA programs do so in a gray area, legally speaking, said Chris Nowinski, president of the Sports Legacy Institute. Mr. Nowinski is also co-director of the Center for the Study of Traumatic Encephalopathy at Boston University School of Medicine, where researchers have been studying the brains of deceased professional and college athletes for signs of the degenerative brain disease, chronic traumatic encephalopathy, or CTE, that is caused by repetitive hits to the head.

The crux for college athletes, he said, is whether they’re being told upfront about the long-term risks associated with competing in football, basketball, soccer, ice hockey, or any other sport in which concussions are common. With new medical-research findings every year about the diagnosis and treatment of concussions, let alone their lasting effects, it’s hard to gauge how much information is being passed along to college players about the lifelong consequences of head injuries before they suit up, he said.

This question of “informed consent” lies at the heart of the legal debate over who should (or could) take the blame for the long-term fallout of repetitive hits to the head, Mr. Nowinski and others said. And it’s a particularly tricky one for colleges.

Professional athletes, of course, are adults. High-school and youth athletes, on the other end, are minors and under the care of a parent or guardian. But when it comes to college athletes, the distinction isn’t so clear-cut: Most are over 18, but they are also under the care and oversight of the college athletic programs for which they compete.

Dave Bergeron, a former linebacker at Stanford who played in the NFL for the Philadelphia Eagles and the Carolina Panthers, said he had no illusions about what he was getting into when he began playing for the Cardinal.

“You know, going into any sort of college athletic program, that there’s inherent risk physically. I knew I could blow out my knee any day. I knew I could break my arm, or break a rib. I knew I could be paralyzed,” he said during the panel discussion. “Everyone’s upfront and clear about that.”

The NCAA, for its part, has strengthened its policies on concussion in recent years. As I reported last fall, the association now advises colleges not to let athletes with the head injury return to play until cleared by a physician, and requires every athletics department to have a written protocol for handling concussions. The association has also instructed athletics departments to distribute educational materials to athletes and coaches on the dangers of concussions. And it requires programs to have athletes sign statements accepting responsibility for reporting symptoms of the injury to medical staff members at their institutions.

But Mr. Nowinski said Friday that he was “extremely disappointed” in the NCAA’s response to the concussion issue. “They’ve been completely absent from this conversation,” he said.

Still, the liability question looms—for the lawyers, anyway. Boston University researchers have found CTE in the brain of a college football player who died last year. So how will the NCAA and college athletic programs fare in coming years if medical research reveals that former college athletes, not just the pros, are also suffering from the degenerative brain disease linked to their college playing days? What would the legal claims be, and how would judges and juries respond?

Matt Henshon, a Boston lawyer and a former Princeton basketball player, predicted major legal challenges for the NFL—and for NCAA programs. “How many former NFL players have problems?” he said. “Multiply it by the [number of] people who play at lower levels, and it’s going to be a much bigger problem than the NFL can pay for or, frankly, the NCAA can pay for.”

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  • lexalexander

    This problem is only going to get worse. Research into CTE suggests that it’s not just the big hits and concussions that cause it, but that the regular, repetitive impact that doesn’t rise to the level of concussion can contribute as well.

    Worse, even the most advanced technology in terms of helmets, padding and so forth doesn’t appear likely to make much of a dent in the problem.

    I think it likely that the only thing that will reduce the incidence of CTE is significant changes in the rules of the game designed to make any kind of impact to the head very infrequent. Call me cynical, but I don’t see such rule changes being enacted, particularly at the pro level, except pursuant to a raft of lawsuits.

  • davi2665

    Informed consent will be a challenge to obtain and to fully verify, especially with the consequences of head injuries. Repeated head trauma and concussions appear to increase the likelihood of neuronal degeneration later in life, with possible consequences of Alzheimer’s disease, cognitive impairment, even ALS. In addition, new imaging techniques indicate that in young women athletes participating in high impact sports such as basketball, early cartilage changes occur that may result in future knee dysfunction or mobility problems. Unless the student athlete fully understands the risks (even more challenging with high school athletes who are minors), the educational institution may be vulnerable to costly litigation in the future.

  • 11134078

    High schools, colleges, and universities have been established to educate people, not to provide circuses for them.

  • taraw

    This is alarming because it is not entirely accurate:
     
    **
    This is why some counselors here said they promptly tell students (especially those who worry about their readiness for college) that grade-point averages from community colleges won’t follow them to four-year institutions.
    “We like to call it a clean slate,” Mr. Flagel said. “We say to them, ‘Look, it’s a safety net for you.’”
     **

    Some four-year colleges do include coursework from other institutions in the cumulative GPA. Grades earned at community college may also come into play when applying for further studies, depending on the institution’s GPA calculation and review policy. In our review of potential graduate students, we make it very clear to applicants that the entire educational history will be taken into consideration, including any significant studies completed at community colleges. The phrase “clean slate” is very misleading because you can’t simply erase pieces of your educational history. Students should be aware that universities may follow their own policies in the area of GPA calculation, and sometimes that means including calculations from community college coursework.

  • lkaplan

    Thank you for writting this article. I too, was a tranfser student who right out of high school went to a community college and received my A.A. degree. It was the best decision I made! I was too young for college and not ready for a big institution. When I was done with my AA in two years, I graduated and transfered to a four year institution. I felt like I was better prepared for college. Although it did take some getting used to a bigger institution.=) Now I have my Masters in College Student Affairs and I am ready to embark on my higher education career.

  • tbanksle

    I am also concerned about the “grade-point averages from community colleges won’t follow them to four year institutions” and “clean slate” information especially as it relates to financial aid and the SAP policy which takes into account all collegiate work attempted when calculating ratios for eligibility.

    I do agree that a stigma is attached to attending community colleges; however it will take greater coordination between community college admission staff and high school counselor to partner to present the “true” upside of attending community colleges which may start with cost and ease of transferability of coursework to partnering 4-year institutions.

  • surpassingreach

    I think the “clean slate” comment relates to a clean slate from their High School educational history. University admissions only consider CC transfer educational history, not high school educational history.  I don’t think the author meant to say clean slate from CC to the university.