Post-concussion syndrome
Though no universally accepted definition of postconcussive syndrome exists, most of the literature defines the syndrome as the development of at least 3 of the following symptoms: headache, dizziness, fatigue, irritability, impaired memory and concentration, insomnia, and lowered tolerance for noise and light. One complication in diagnosis is that symptoms of PCS also occur in people who have no history of head injury, but who have other medical and psychological complaints. In one study 64% of people with TBI, 11% of those with brain injuries, and 7% of those with other injuries met the DSM-IV criteria for post-concussion syndrome. Many of these PCS sufferers were misdiagnosed as having other unrelated conditions due to commonality of symptoms. (see diagnosis, below).
American football
Repeated concussions (and possibly sub-concussive head impacts) can increase a person's risk in later life for CTE (chronic traumatic encephalopathy) and mental health issues such as dementia, Parkinson's disease, and depression. Concussions are often caused by helmet-to-helmet or upper-body contact between opposing players, although helmets have prevented more serious injuries such as skull fractures. Various programs are aiming to reduce concussions by reducing the frequency of helmet-to-helmet hits; USA Football's "Heads Up Football" program is aiming to reduce concussions in youth football by teaching coaches and players about the signs of a concussion, the proper way to wear football equipment and ensure it fits, and proper tackling methods that avoid helmet-to-helmet contact. However, a study in the "Orthopaedic Journal of Sports Medicine" found that Heads Up Football was ineffective; the same study noted that more extensive reforms implemented by Pop Warner Little Scholars and its member teams were effective in significantly reducing concussion rates.