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Dr. Gary Steinberg

๐Ÿ‘ค Speaker
686 total appearances

Appearances Over Time

Podcast Appearances

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

studying concussions and trying to figure out better ways to diagnose them, prevent the sequela for football players, including changes in equipment and in tackling and that kind of thing.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

But concussion is, we've learned a lot since the 1990s.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

At that time,

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

Concussion was not known, even repeated concussion, to cause CTE, chronic traumatic encephalopathy, in football players.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

CTE, which became a hot topic, was known only in boxers.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

So I became very well informed at the time about concussions, and there was surprisingly little known

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

soccer players had a high incidence of concussion at that time.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

It wasn't known if there were long-term sequela.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

And usually there are not long-term sequela as long as you don't get repeated concussions.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

So now what we generally recommend if someone has a concussion, we usually get an MR scan if it's severe.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

MR scans usually don't show anything.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

They would show a contusion if there's any bruising of the brain, but they don't show the molecular abnormalities that occur with a concussion.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

So the best way to figure out how severe it is and when a person has recovered

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

is to do more sophisticated neurologic testing.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

Eye tracking is a very sensitive way to detect problems with the brain after a concussion because you won't track as well.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

And in fact, many sports, football, hockey, are incorporating pre-season eye tracking testing.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

To get a baseline.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

To get a baseline.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

Of course, some of the players will game the system because they still don't want to be taken out.

Huberman Lab
Dr. Gary Steinberg: How to Improve Brain Health & Offset Neurodegeneration

So they may try to perform not as well as they could.