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Brad Keselowski says more needs to be done to diagnose mild concussions

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DAYTONA BEACH, Fla. — Brad Keselowski says all sports face a challenge in diagnosing mild concussions and until such a tool is available to do so, “all of sports are playing from behind.’’

Keselowski’s comments come less than a week after NASCAR upgraded its concussion protocol and on a day where Danica Patrick said the number of concussions she could have suffered in her racing career is “thought-provoking.’’

Keselowski said Wednesday at Daytona International Speedway that the next key area for all sports is to “find a definitive way to diagnose a mild concussion. Until we can definitively define a mild concussion, we’re going to have one or two end results.

“We’re either going to have drivers sit out when they don’t really have a concussion, or we’re going to have the long-term effect of drivers that have faced multiple concussions and developed CTE (Chronic Traumatic Encephalopathy), Parkinson’s, Alzheimer’s, all the things that go with it. We need a definitive tool to diagnose a mild concussion.’’

As part of its updated concussion protocol, NASCAR announced Feb. 17 that it will require infield care center physicians to incorporate the SCAT-3 diagnostic tool in screening for head injuries. A SCAT test is used by IndyCar and the NFL in diagnosing concussions.

Keselowski’s issue is with hits defined as subconcussive. Enough of those can impact an athlete.

“A race car driver does have, over the course of a long career, repetitive head injuries,’’ Dr. Robert Cantu, clinical professor Neurology/Neurosurgery at the Boston University School of Medicine, told NBC Sports’ Nate Ryan in August. “It’s not just concussions. It’s the subconcussive violent shaking that can contribute as well. So I think it’s very important that we have the opportunity to study the brains in someone involved in racing.’’

Asked about drawing a line from concussions to CTE, a progressive degenerative disease found in those with a history of repetitive brain trauma, Cantu said:

“I think it’s fair to draw the line from repeated head injury, both at the subconcussive and concussive level, with the risk of developing CTE, and it goes up the more trauma you’ve taken.’’

Patrick, 34, says she believes she’s had her share of concussions in a racing career that began when she was 10 years old.

“Every time you crash, you have a concussion of a varying degree,’’ she said Wednesday at Daytona International Speedway. “(Dale Earnhardt Jr.) said something about having 12 concussions, I was like, ‘Oh, I’m sure I’ve had 12 concussions.’ It is a little bit thought-provoking is what I would say for sure.’’

Earnhardt has never revealed how many concussions he has had, although he has sustained at least five concussions during his 17 seasons in NASCAR’s premier series.

Patrick has not suffered a concussion since racing in NASCAR in 2010.

“While we’re not football players, we don’t get the repeated hits in succession over a short amount of time, but it’s rough in the car and the hits are probably singularly bigger, maybe,’’ Patrick said. “I’m just assuming going 200 miles an hour, going 150 miles an hour, has got to be a fairly big hit compared to running.’’

Patrick noted that SAFER barriers and collapsible items on NASCAR vehicles have better protected drivers. Still, Earnhardt missed the final 18 races of last season because of concussion symptoms that stemmed from a crash at Michigan International Speedway in June. It marked the second time in his career that Earnhardt has missed races because of concussion symptoms.

He wasn’t the only driver to sit out last year for similar issues. Matt DiBenedetto was forced to miss a Cup race last season although he questioned if he had been diagnosed correctly after an incident in November at Texas. John Wes Townley missed two Camping World Truck Series races last year because of concussion-like symptoms suffered after two crashes in a June race at Gateway Motorsports Park.

Earnhardt’s openness about his symptoms and recovery is viewed by many in the sport as trendsetting and raised the profile of the issue.

I was very, very sick,’’ Earnhardt said Wednesday.“I had no business being in a car. I just did everything my doctors were telling me to do.

“If it helps somebody, that’s important. But I was just looking out for myself, listening to my doctors. If it taught someone a lesson or helped someone, that’s awesome. I definitely became more educated through the process.’’

A day before Earnhardt returned to the car last weekend at Daytona International Speedway, NASCAR updated its concussion protocol for competitors. The policy states:

#As part of the new rule regarding damaged vehicles, a driver whose car sustains damage from an accident or contact of any kind and goes behind the pit wall or to the garage is required to visit the Infield Care Center to be evaluated.

#The medical portion of NASCAR’s Event Standards now require that Infield Care Center physicians incorporate the SCAT-3 diagnostic tool in screening for head injuries.

#AMR will provide on-site neurological consultative support at select NASCAR events during the 2017 season and will work directly with NASCAR in the continued development of concussion protocol.

Martin Truex Jr. and Jimmie Johnson each said they had no issues after their separate incidents in Sunday’s Clash.

“They just evaluated me,’’ Johnson said after his visit to the infield care center. “It seemed like a normal routine, so I don’t think I was in question to go into protocol mode.’’

With a doctor and paramedic in an emergency vehicle that responds to crashes, it allows medical officials to view drivers more closely after the incident instead of waiting until the drivers arrive to the infield care center. If the doctor or paramedic see something that raises a concern, it can trigger the concussion protocol program.

For as much as is being done, Patrick recognizes the dangers associated with concussions.

“It’s our life, and if there was someone that told me, and I would hope that any other driver that if you had another wreck you could have a serious problems (that) they would be out,’’ she said. “I would be out. I love what I do, but I love lots of other things, and I also love life. I’m too young to have it be over.’’

So with the emphasis on concussions, what more can be done?

“No. 1 for me is taking note of symptoms, being really aware, which I feel that I’m pretty good at that,’’ Patrick said. “I would almost call myself hyper-sensitive just because of how much I take care of myself with food and working out. I feel very, very perceptive to any little change to my body.

“Hopefully, it puts NASCAR in a position and the safety team into a position where they start to address it differently from a recording information standpoint or a data or testing of some sort. There are some different protocols. The question is what can we do really? Just be aware of your symptoms and be honest.’’

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Kyle Busch wins Stage 2 of Brickyard 400; Dale Earnhardt Jr. out after accident on restart

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Kyle Busch continued his domination of the Brickyard 400 by winning Stage 2 of the race at Indianapolis Motor Speedway.

Busch, who has led 85 of the race’s 160 laps, led the final 13 laps of the stage. Busch also won Stage 1.

Busch restarted ninth on Lap 75 after eight cars stayed out of the pits during the preceding caution. He passed Ryan Blaney to return to the lead on Lap 87.

The top 10 after 100 laps were Busch, Martin Truex Jr., Blaney, Erik Jones, Kevin Harvick, Matt Kenseth, Joey Logano, Denny Hamlin, Brad Keselowski and Jamie McMurray.

Dale Earnhardt Jr.‘s final Brickyard 400 ended early when he ran into the back of Trevor Bayne on the Lap 75 restart. The collision smashed in the front of his No. 88 Chevrolet and damaged the radiator, which began trailing smoke and brought the caution back out. Earnhardt went to the garage with his sixth DNF through the first 20 races of the year.

“We had a great car, I was having a lot of fun, the car was fast, we had a top-10 car for sure,” Earnhardt told NBCSN. “It’s frustrating because I really enjoyed being out there.

“Hopefully, our luck’s going to turn around. It’s been pretty tough and this is a difficult one to put up with.”

The race’s second caution for an accident occurred on Lap 57 when David Ragan spun in Turn 1 and collected Jeffrey Earnhardt and JJ Yeley. Earnhardt and Yeley were able to continue, but the severe damage to Ragan’s No. 38 Ford ended his day.

Yeley’s day ended when he brought out another caution on Lap 70 when his No. 7 Chevrolet lost his right-front tire and hit the outside wall.

The Brickyard 400 is scheduled to end on Lap 160.

 

Dale Earnhardt Jr.’s last Brickyard 400 ends early after making contact

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Dale Earnhardt Jr.‘s hopes of finally winning a Brickyard 400 in his final career appearance in the mid-summer classic ended abruptly on Lap 77 of Sunday’s race at Indianapolis Motor Speedway.

Earnhardt made contact with the rear of the No. 6 of Trevor Bayne, causing significant damage to the front end and radiator of Earnhardt’s No. 88.

Shortly after that, smoke began to billow from the rear of Earnhardt’s car. He didn’t take the car to pit road, going straight to the garage instead, his day officially over.

“There were just a bunch of cars slowing down and stopping and caused a chain reaction,” Earnhardt told NBC. “I got into the back of the 6 car (Trevor Bayne), they were all getting into each other, and just knocked the radiator out of it.

“We had a great car, I was having a lot of fun, the car was fast, we had a top-10 car for sure. It’s frustrating because I really enjoyed being out there.”

Earnhardt now has just six races to qualify for the NASCAR playoffs. He’s pretty much in a must-win situation if he hopes to make the 10-race playoffs.

“Hopefully, our luck’s going to turn around,” Earnhardt said. “It’s been pretty tough and this is a difficult one to put up with.”

Earnhardt is the second Hendrick Motorsports driver to see his day come to an early end. Chase Elliott suffered engine failure on Lap 45.

 

Engine issue ends Chase Elliott’s Brickyard 400 hopes early

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Chase Elliott‘s hope of winning the Brickyard 400 went up in smoke about one-quarter of the way through Sunday’s 24th edition of the race at Indianapolis Motor Speedway.

Elliott had some issues with his engine that brought him to pit road. After his team looked over the car, it sent him back out on the racetrack and shortly after, smoke began coming out of the rear of his Chevrolet on Lap 44. Elliott took his car to the garage, his day officially over.

“We don’t know, it was some type of motor issue,” Elliott told NBC of the apparent cause of the engine failure. “We went down a cylinder and then started blowing smoke out of the pipes. I’ve been racing Hendrick engines since 2013 and this is the first engine problem I’ve ever had. … We’ll move on to next week and see what we have there.”

Elliott came into the race hoping to repeat what his father did in the latter’s win in the 2002 Brickyard 400.

 

Kyle Busch leads Brickyard 400 at end of Stage 1; Chase Elliott out due to engine problems

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Pole-sitter Kyle Busch led all 50 laps to win the first stage of the Brickyard 400.

Busch is seeking to win his first Cup race in his last 36 starts since capturing last year’s Brickyard 400.

The top 10 after 50 laps were Busch, Martin Truex Jr., Ryan Blaney, Kevin Harvick, Joey Logano, Matt Kenseth, Jamie McMurray, Kyle Larson, Jimmie Johnson and Dale Earnhardt Jr.

Denny Hamlin finished the stage in 24th after he pitted twice under the competition caution to fix damage from contact with Ryan Newman on his first trip down pit road.

Chase Elliott is out of the race after his No. 24 Chevrolet blew an engine on Lap 45. Elliott had begun dropping off the pace around Lap 20 and he was a lap down after an extended stop during the competition caution.

It is the first time Elliott has lost an engine in his Cup career.

The first caution of the race occurred on Lap 9 when Corey LaJoie hit the wall in Turn 3. During the caution the field was brought to pit road on Lap 12 ahead of severe weather.

The race was red flagged for lightning before it began raining. The red flag lasted one hour, 47 minutes and three seconds and was lifted at 4:47 p.m.

The race went back to green on Lap 18.

The competition caution originally scheduled for Lap 20 was pushed back to Lap 30.

Stage 2 will end on Lap 100 with the race scheduled to go 160 laps.