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Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012
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Amen Clinic NFL Study by Dr. Willeumier at IFV Conference 2012

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As presented by Dr. Kristen Willeumier from The Amen Clinic at the Second Annual Independent Football Veterans Conference held April 20 -22 2012 in Las Vegas at the South Point Resort. …

As presented by Dr. Kristen Willeumier from The Amen Clinic at the Second Annual Independent Football Veterans Conference held April 20 -22 2012 in Las Vegas at the South Point Resort.

You can watch this PowerPoint while playing the accompanying presentation by Dr. Willeumier on YouTube:

http://www.youtube.com/watch?v=jNeHYx4B9fY

Published in: Sports, Health & Medicine
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  • 1. Amen Clinic NFL Brain ImagingBrain Rehab Study
  • 2. Our NFL Story Started in 1991 In 1991, brain SPECT imaging work Brain injuries greater part of psychiatric problems than most people knew Saw many high school and college football players with brain injuries on scans who had troubled behavior
  • 3. Middle Linebacker UC, BerkeleyArrested for Domestic Violence Healthy College Player
  • 4. ESPN Highlights and Arrests As a fan I watched highlights Then who was arrested that day Thought there must be serious brain damage among many active and retired players
  • 5. Just imaginesomeone like Ron Yary hitting you30 -50 times a game
  • 6. NFL Position On Brain Trauma Started Committee on MTBI in 1994 “Said they didn’t know if football caused long term brain damage, more studies needed.” Curiously, had the same position in 2009?? NFL acting like many employers with worker’s compensation claims – delay, deny, and blame the employee … steroids, alcohol, laziness
  • 7. The Problem with the NFL Position IF YOU DON’T ADMIT YOU HAVE A PROBLEM, YOU CANNOT DO ANYTHING TO SOLVE IT Many, many brain damaged retired players are currently left without help or hope
  • 8. 2000 Brent BoydMinnesota VikingsOffensive Guard 6 Seasons
  • 9. Brent Came To See Us For: Headaches Depression Fatigue Memory Problems Dizziness He was also overweight
  • 10. Clear Evidence of Serious Brain Trauma Healthy BB
  • 11. NFL Hired Doctor’s Scans mean nothing They say his problems not work-related Deny his claim Brent gets traumatized twice  once by his brain injuries and  again by being called a liar or a faker
  • 12. 2007 Anthony DavisCollege Football Hall of Fame Running Back from USC and NFL Player
  • 13. Healthy At age 54, brain looked 85
  • 14. Before Treatment After Treatment
  • 15. Los Angeles Chapter NFLPA• AD Invites me to speak February 2009• Meet many players who clearly needed help• Someone has to answer question, “Does playing football in the NFL cause brain damage?”• Team up with Reggie Berry, Marvin Smith and Dr. Joe Wu to design our study• LA Chapter helps us recruit our first players
  • 16. Where To Get The Money?• First arm of study paid for by me personally to insure independence• Total cost is about $5,000 a player• Most of researchers who helped volunteered their time
  • 17. Study Design• Brain SPECT imaging (blood flow)• Conners’ CPT (Continuous Performance Test)• QEEG (Quantitative Electroencephalography)• MCIS (Mild Cognitive Impairment Screen)• Microcog (Measures 9 different cognitive scales)
  • 18. Current Status of Our Study• 115 Active and Retired Players• From 27 teams• All positions• Ages 25 – 85
  • 19. Reported Number of Concussions• 0 = 14%• 1-2 = 24%• 3-5 = 19%• > 5 = 43%
  • 20. Important Numbers• Obese = 48% • Microcog = below• Sleep apnea = 30% average in all• Depression = 28% categories except• Dementia = 19% spatial processing and reaction time• CPT = 81% abnormal
  • 21. Outcomes• > 90% had brain trauma pattern on brain SPECT and QEEGs• Severe decreased activity … across whole brain• Results are HIGHLY STATISTICALLY SIGNIFICANT!
  • 22. Damage SeenAcross Whole Brain
  • 23. •Confirmation Number: 82635741 Damage Seen Across Whole Brain
  • 24. 20 Year PlayerDamage across whole brain
  • 25. Offensive Lineman 12 yr NFL
  • 26. Running Back 4 yr NFL
  • 27. Defensive Back 3 yr NFL
  • 28. Linebacker 10 yr NFL
  • 29. Wide Receiver 8 yr NFL
  • 30. Tight End 8 yr NFL
  • 31. Quarterback 18 yr NFL
  • 32. Damage Seen Especially In Prefrontal, Temporal and Cerebellar Regions judgment, focus, and impulse control memory, learning, emotion & moods physical coordination and thought coordination
  • 33. Brain Rehab Program• Damage so high, we added a “pragmatic” rehab component• Brain healthy strategies • weight loss for obese players • coordination exercises • healthy diet • recommended sleep apnea evaluations • avoid toxic substances (drugs, much alcohol)
  • 34. Brain Rehab Program• High potency multiple vitamin• Omega 3 supplement, 5.6 grams a day• Brain and Memory Power Boost Formula – vinpocitine, gingko, PS, huperzine A, acetyl-l- carnitine, n-acetylcysteine, alpha lipoic acid• Other recommendations for individual player needs, such as treating depression, anxiety, alcoholism, ADD, dementia or using HBOT
  • 35. Preliminary Results• 30 players with follow up scans/cognitive tests• 25 showed improvement• Especially in: • Memory (69%) • Attention (53%) • Mood (38%) • Motivation (38%) • Sleep (25%)
  • 36. MicroCog Before After p value #> 50% betterGeneral cognitive 31.8 (24.1) 43.4 (25.7) <0.000 14 functioningGeneral cognitive 24.7 (20.1) 35.2 (23.5) <0.000 14 proficiencyProcessing speed 33.1 (24.8) 39.3 (25.5) 0.026 12 Processing 40.9 (28.7) 48.5 (29.1) 0.012 13 accuracy Attention 38.4 (26.2) 48.7 (27.6) 0.025 9 Reasoning 32.7 (25.7) 41.6 (28.0) 0.006 11 Memory 33.8 (27.4) 42.9 (28.4) 0.022 17Spatial processing 69.0 (21.8) 74.3 (13.2) 0.154 3 Reaction time 70.2 (24.5) 74.67 (22.9) 0.669 6
  • 37. Elston Ridgle (45) Before After %• General Cognitive Fun. 39 61 56%+• Information Processing 53 81 53%+• Attention 45 45 0%• Reasoning 50 77 54%+• Memory 25 73 192%+
  • 38. Big Ed White (62) Before After %• General Cognitive Fun. 21 39 90%+• Information Processing 25 58 > 100%+• Attention 21 25 2%• Reasoning 3 13 > 400%+• Memory 14 66 > 470%+
  • 39. “Little” Ed White
  • 40. John Hauser (74) Before After %• General Cognitive Fun. 19 42 121%+• Information Processing 55 90 64%+• Attention 12 58 383%+• Reasoning 39 50 28%+• Memory 23 39 70%+
  • 41. Gern Nagler (77) Before After %• General Cognitive Fun. 63 77 22%+• Information Processing 42 70 66%+• Attention 45 73 62%+• Reasoning 75 75 0%• Memory 50 86 72%+
  • 42. Tight End 8 yr NFLBefore After 8 mos
  • 43. Tight End 10 yr NFLBefore After 18 months
  • 44. Offensive Tackle 12 yr NFLBefore After 18 months
  • 45. Defensive Tackle 2 yr NFLOur interventions plus 40 Sessions of HBOT
  • 46. Conclusions• Based on our sample, playing football in the NFL puts players at risk for brain damage & long-term cognitive and mood problems• Preliminarily: The brain has potential to improve with a comprehensive rehab program• More studies immediately needed to evaluate components of our study and other interventions such as HBOT, neurofeedback, and meds such as memantine and modafinil
  • 47. Conclusions• General brain health principles should be taught to all active and former players• More intense brain rehab offered to current and former players• Targeted supplements, such as omega 3s and the ones we used• Start using brain imaging tools, like SPECT and QEEG on any player with a concussion
  • 48. Conclusions• Implications go beyond NFL to: • High school and college athletes • Military personnel (15% of soldiers returning from Iraq and Afghanistan have brain injuries) • 2 million people each year who acquire brain injuries
  • 49. NFL/Amen Clinics Collaboration?• We have a great cohort for a long term study• We have a waiting list of dozens of players and could easily recruit hundreds more, players trust us• We could add DTI and genetic markers• Help us on design better studies• Help us find funding to continue our work
  • 50. If I Was The Commissioner• Be an advocate and a leader for brain health among football players, stop the bad press with genuine care and concern• Invest in unbiased studies, with researchers who have a sense of urgency• Evaluate all players coming into the league to establish baseline level of brain function
  • 51. If I Was The Commissioner• Treat concussions early and effectively• Work to identify retired players who are troubled and get them the help they need• It will be less expensive in the long run• Lawyers and legal battles are very expensive
  • 52. BRAIN RECOVERY PLAN: PART A STOP HURTING YOUR BRAIN Brain injuries  High blood pressure Drugs  Diabetes Alcohol  High sugar diets Obesity  Environmental toxins Sleep apnea  Chronic stress Smoking  Lack of exercise
  • 53. BRAIN RECOVERY PLAN: PART B START HELPING THE BRAIN Social connections  Green tea New learning  Exercise Great diet  Coordination Calorie restriction  Gratitude Omega 3s  Meditation Supplements, Vit D  Healthy sleep
  • 54. With Gratitude All of our players Los Angeles Chapter of the Retired NFLPA, especially Reggie Berry and Marvin Smith Independent Football Veterans Conference, with special thanks to Dave Pear and Robert Lee
  • 55. With Gratitude to Our Research Team Most Have Donated Their Time Kristen Willeumier, PhD, Amen Clinics Joe Wu, MD, UC, Irvine Andrew Newberg, MD, Univ of Pennsylvania Robert Thatcher, PhD, Applied Neuroscience Yi Jin, MD, NeoSync Technologies Jim Fallon, PhD, UC, Irvine
  • 56. Daniel G. Amen, MDdocamen@amenclinics.com 949-266-3749
  • 57. Fred McNeill on the cover of GQ

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