5 Years of Brain Scans in Breachers

A recently published study by Glikstein et al. 2024 that conducted serial brain scans on Canadian Special Operations Forces (CANSOF) breachers over five years found significant volume loss, white matter lesions, and enlargement of VR spaces. [1] This study included 92 subjects with an average of 9.4 years of blast exposure. The study includes many… Continue reading 5 Years of Brain Scans in Breachers

Quantifying Blast Exposures

One vital step in addressing the impact of repeated subconcussive exposures on readiness is to monitor and quantify exposures to low-level blasts. There is a DOD program called CONQUER which “…is an operational monitoring program whose main objective is to provide reports to units and commands on the magnitude and frequency of blast exposure during… Continue reading Quantifying Blast Exposures

Blasts and the Ear Canal

Primary blast injury is that due to the overpressure of the blast. Primary blast overpressure can travel through the abdomen, ears, eyes, nose, neck and mouth. The brain, lungs, intestines, eardrum, and peripheral vestibular system are particularly vulnerable to primary blast overpressure.   Study by Sandlin et. al 2018 isolated blast overpressure waves to the… Continue reading Blasts and the Ear Canal

Subconcussions and Changes in Brain Communication

One strategy researchers are using to identify subtle impacts of subconcussions is to look at changes in brain functional connectivity. Essentially this is looking at changes in which the brain is communicating. A study done on Canadian Special Operations Forces (CANSOF) included breachers and snipers who had an average of around 10 years of exposure… Continue reading Subconcussions and Changes in Brain Communication

Neuronal Damage Biomarker Rises After SCUBA Diving

Protecting brain health in tactical athletes means we must expand our view to include all potential subconcussive mechanisms, ensuring any MOS, or specialty’s unique neurotrauma exposures are considered. Combat divers are no exception. A study conducted at the Swedish Armed Forces (SwAF) naval base with professional divers recruited from the SwAF, the Swedish Coast Guard,… Continue reading Neuronal Damage Biomarker Rises After SCUBA Diving

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Target Vulnerabilities

We know subconcussions can change the way the brain communicates. We also know the specific areas that appear most vulnerable to these exposures – emotion, memory, sleep, sensory systems for situational awareness. [1-3] But the brain remains plastic, meaning roadways aren’t permanent. Even in stroke patients and those with multiple sclerosis, neuroplasticity remains possible. [4-5]… Continue reading Target Vulnerabilities

An Intangible Slowing Down

A 37-year-old male active-duty special operator was referred to me a few years ago who described an intangible feeling of slowing down, particularly in more visually stimulating environments. He was preparing for his retirement, and finally had time to start addressing some issues he ignored or “rubbed dirt on” throughout his career. There was no… Continue reading An Intangible Slowing Down

Blast Exposures and Young Onset Parkinson’s Disease

Subconcussive head trauma are sufficient in increasing vulnerability to developing young onset Parkinson’s Disease. [1] This includes subconcussive blast exposures. [2] There is currently no cure for Parkinson’s Disease. Current medical strategy is to decrease the impact it has on quality of life. As a Physical Therapist I’ve been part of healthcare teams doing that… Continue reading Blast Exposures and Young Onset Parkinson’s Disease

Know Your Neurotrauma: Blast Exposures

As a tactical athlete you are frequently exposed to low level blasts. It is important to know that cumulative exposure to these subconcussive blasts can slowly chip away at your performance and brain health. An important study out of Walter Reed Medical Center has looked at the impact of blast exposures on active duty military… Continue reading Know Your Neurotrauma: Blast Exposures

Brain Changes In Tactical Operators With Repeated Subconcussive Exposures

Tactical Operators have distinct changes in the roadways of their brain with repeated subconcussive exposure. [1,2] These changes can be boiled down to two things: Highways where there shouldn’t be Rugged trails where there should be highways The areas of these altered roadways are in the areas where we see the insidious effects of these… Continue reading Brain Changes In Tactical Operators With Repeated Subconcussive Exposures