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Introduction Sports and recreation can present a considerable risk of brain injury, with an estimated 1.6 to 3.8 million mild traumatic brain injuries, or concussions, occurring annually in the United States as a result of participation in these activities ( Even in the absence of diagnosed concussions, American football athletes are prone to sustaining repeated, subconcussive head impacts during their regular practices and competitions ( In an effort to reduce the risk of head and brain injury, protective helmets are required to be worn at all levels of American football competition
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