History of the Helmet: How The Football Helmet Has Evolved To Protect Against CTE

Esha Patel

About Me:

Hi everyone, thank you for visiting my capstone page! On Monday nights, Thursday nights, and Sundays, I am always doing the same thing: watching football. I grew up watching the sport both professionally and collegiately  with my family and wanted to channel my passion for it into my capstone. After noticing the recent upward trend in head injuries, I was inspired to learn more about the science and history behind CTE in the NFL. It is also a topic that is important to me because learning about the long-term effects that football players live with made me wonder how far leagues are going to prevent them. I hope you learn something new!

My Process

Planning

My planning processes spanned from scheduling interviews to creating exact numerical measurements for my 3D-designed helmet, down to the decimal point. Injuries in the NFL are a broad topic and can become time-consuming if you are not staying on track. In order to avoid this, I made sure to find a hefty set of articles, journal entries, and research papers to kick-start my capstone process. The rest of my research was done through interviews and it was great to have face-to-face time with some of the people I talked to. 

Annotating & Screen Breaks

From 3D-designing to Zoom meetings, there were times when I was on my computer for hours on end. Annotating articles and creating visual aspects by hand helped make sure I was taking screen breaks while still making progress on my project.  

Interviews

I had the opportunity to gain hands-on experience through my interviews. I spoke with former Division I football players, sports physical therapists, and a local high school athletic trainer. During preseason, I was able to visit the high school's facility and get an in-depth "tour" of their helmets. Be sure to check out clips from that interview below! 

What is CTE?

Although researchers are working towards diagnostic biomarkers for CTE, there is no cure for the disease. The best preventative measures revolve around concussion protocols and protective headgear such as helmets and guardian caps. The diagnosis can only be made postmortem using chemicals to detect an abnormal amount of tau protein in the brain tissue, which can be explored below. 


An Introduction: 

Chronic traumatic encephalopathy, better known as CTE, is brain deterioration caused by repeated head traumas. The rather rare disorder has been found in the brains of high-contact sports players (football, boxing, etc) and military personnel who have been exposed to explosive blasts. Difficulties with cognition and emotion, which are two signs and symptoms of CTE, normally progress years after the brain has been damaged. Researchers believe that CTE can progress in two forms: early life and late life. Early life CTE, which affects people between their late 20s and early 30s, can cause mental health and behavioral issues, such as anxiety, depression, and aggression.

Late-life CTE, which appears around age 60, is said to come with the symptoms of memory and cognition problems that can progress into dementia. There are no CTE-specific symptoms because some possible signs can occur in numerous other conditions. Hits to certain parts of the head can result in certain symptoms. For example, trauma to the front of the head can lead to problems with planning, organization, and carrying out tasks, which are functions controlled by the frontal lobe. 

The Science of CTE

Microtubules in the brain are particularly helpful in defining the ends of neurons: the axon and dendrites. They are sometimes referred to as a neuron’s special transportation system, helping ensure messages make it across the entire axon. After numerous concussions and hits to the head, the microtubules begin to tear and unravel the protective tau protein. The freely-floating proteins attach and impair surrounding cells and eventually kill them. The roaming tau protein stains brain tissue along the way, which helps doctors reach a CTE diagnosis after death. The darker the discoloration is, the more severe the CTE was. The process is slow, which is why it can take time for the disease to develop. The only upside to tau’s slow progression is that the time frame can give doctors time to interfere before it reaches a deadly amount of cells. As previously mentioned, researchers are working towards diagnostic biomarkers for the brain, but have already found a sensitive biomarker that can be tested in the blood. The biochemical test can detect indicators that would normally be blocked by the blood-brain barrier, but the repetitive head trauma that causes CTE damages this barrier and allows indicators to slip into the bloodstream. Dr.Ann Mckee of Boston University conducted a study of the brains of former football players. Out of the 111 donated brains from deceased NFL players, 110 showed the signs of CTE. Some players showed strong symptoms of CTE such as depression and mood impairments when alive, but only had mild CTE pathology in their brains. This could mean that there are more parts of the brain that need to be examined in order to fulfill a complete diagnosis. 

If you'd like to view the timeline in a slideshow, click here!

Helmet Timeline

A timeline of the progression of the football helmet, starting from the day that the game was invented. 

Guardian Caps

Created in 2010, the Guardian Cap is an affordable and easily-attachable extra layer of protection for football practices. The creators first pitched it as a complete helmet but were denied by football executives. Their focus then shifted to youth football at the high school and collegiate levels. After being worn practices by teams like Clemson and winning the NFL HeadHealthTECH challenge, it started to gain more popularity. Some NFL teams began to wear them during practices while lab data was being collected. The science behind it is heavily based on physics. The soft layer works as a barrier between the force of the hit and the one that is applied to the actual helmet. The soft padding of the cap reduces the force applied to the helmet, which lowers the force on one's head. After it was determined that there was a significant increase in helmet safety when Guardian Caps were worn, the NFL mandated the usage for all offensive and defensive linemen, tight ends, and linebackers for training camp. With this padding, players can feel safer when running drills and routes with their team. 

How Severe is Severe in NFL Brains?

Photo by Jeffrey Beall on Wikimedia Commons 

Photo by Jeffrey Beall on Flickr 


The most recent NFL CTE diagnosis was Denver Broncos Wide Reciever Demaryius Thomas (pictured top left). At the age of 33, Thomas was diagnosed with Stage 2 CTE. Through the years, former NFL players have shown some of the most damaged brains that researchers have seen. New England Patriots tight end Aaron Hernandez (pictured bottom left) was diagnosed with Stage 3 CTE when he died at age 27. Doctors had never seen such severe CTE in a brain younger than 46 years old before him. Justin Strzelczyk and Mike Webster, two former Pittsburgh Steelers players, sparked the initial conversation about CTE in the league. Strzelczyk's brain was in a similar condition to boxers with dementia or those in their 80s. Webster's brain was said to have been through the equivalent of 25,000 car crashes over his 25 years of playing football in high school, college, and the NFL.

Interviews

Meet Ms.Liza Sylvia, the head athletic trainer at Maple Shade High School! In the clips below, she gives an in-depth look into the numerous protective components of a helmet. 

How a helmet fits.mov

How A Helmet Fits

The process of tightly fitting a helmet onto a player. 

Interior Pads.mov

Interior Pads

 Get a look at the inside of a helmet, it's interior padding, and learn about NOCSAE approval

Cheek Pads.mov

Cheek Pads

Watch the process of changing the cheek pads in a helmet. 

Quick Release.mov

Quick-Release

Watch the new “quick release” facemask function, which helps medical personnel get fast access to a player’s face and neck in the case of emergency, on-field injuries.

Helmet Advancements.mp4

Helmet Advancements

Ms.Sylvia compares the older use of XM extractors to remove a facemask to the newer quick release function, talks about newer helmet technology, and the tackling techniques that are being used by high school coaches to prevent head injuries. 

Dr.David Velez, a former football player at the University of North Carolina at Chapel Hill and current chiropractor, dives into his experiences with football as a doctor, student, and player. His office Active Life Project approaches sports injuries through neurofunctional correction techniques that work with parts of the brain that are making these pain conclusions in their patients. 

Helmet Options in High School and College.mov

Helmet Fitting Process

Dr.Velez explains the helmet-fitting process and how, at the time, it differed between the high school and collegiate level. 

Active Life Project's Time with Athletes.mov

Active Life Project

Dr.Velez talks about the concussion/head injury patients he works with at Active Life Project and the range of symptoms he works around. Learn more about their mission here! 

Dr.Velez Reflection On His Time In Football.mov

Reflection

Dr.Velez looks back at his time on the football field and when he recognized the severity of the hits he took. 

Dr.Velez: Time Under Dr.Kerrick.mov

Tests & Procedures

When working with brain trauma patients as a student, specifically those in the NHL, Dr.Velez observed numerous tests and procedures that are conducted during a patient’s rehabilitation. Learn more about them in this clip!

Proprioceptive Awarness and Our Subconscious After Concussions.mov

Proprioceptive Awareness

Learn about proprioceptive awareness and the neurological effects that concussions have on athletes’ abilities. 

Final Project

For my final project, I recreated the exterior of a modern-day football helmet. Not only did this help me learn more about the way it is constructed, but it also allowed me to have a more unique culmination for my project. 

3D_Helmet.mov

Looking into the Future

Where will my capstone follow me?

I am currently interested in the field of sports medicine and am hoping to find myself working with the medical staff of an NFL team in the future. Assessing sideline head injuries and making game-time decisions requires knowledge of the helmet's abilities and this project has been the perfect stepping stone in that journey. 

What are my next steps?

The world of technology is advancing by the day, which means there are always going to be ways to improve helmet safety. I would love to continue along the same research path when I have access to more hands-on resources and can experiment in my own ways. 

My advice to you!

Although the process is rigorous and requires great effort, deciding to do a capstone was one of the best decisions I could have made. If you are interested in pursuing a capstone, my main advice is to make sure you chose a topic that you are passionate about. I have enjoyed the past 11 months because researching and interviewing never felt like a burden to me because I was learning about something important to me. Completing a capstone requires time, dedication, and motivation, but it is a great way to learn at a deeper level. 

I'd like to give a special thanks to Mrs.Moriuchi, Mr.Rachlin, and everyone who was willing to give insightful details to help make my capstone the best that it could be! Feel free to email me at eshakp@gmail.com with any questions. Thank you for viewing!