Join us for this LIVE Q&A where our expert panel ā Dr. Mari Swingle, Dr. Andrew Hill, Anthony Ramos, John Mekrut, Joy Lunt, Santiago Brand and Jay Gunkelman ā dive into the neurological effects of concussions, using Tua Tagovailoa's recent head injury and fencing response as key examples. š§ Our experts explain the posturing reflexes seen in traumatic brain injuries and discuss how neurofeedback can aid in recovery. We'll also explore the impact of concussions in sports like soccer ā½ and hockey š and what parents and athletes should know about brain health. Key Moments: 0:00 - Guardian helmets and concussion reduction: Discussion starts on how Guardian helmets are designed to reduce concussions by 10% on both the hitter and the one hit. 1:04 - Tuaās posturing (fencing posture) explained: Conversation about Tua Tagovailoaās contribution to mental health awareness, specifically when people search for "fencing posture" after his injury. 2:00 - Brainstem trauma and primitive reflexes: Detailed explanation of how the fencing posture is a result of brainstem trauma and primitive reflexes like the Babinski reflex. 5:04 - Posturing response indicates major brain injury: A distinction is made between mild concussions and more severe injuries like posturing or fencing responses, indicating significant brain injury. 6:49 - Decorticate phenomena and cortex injury: More technical discussion about the neurological response to brain injuries and the difference between posturing from trauma and posturing from swelling events. 8:00 - Debate on children in sports: Discussion turns to whether it's ethical to let children participate in sports with high injury risks, like football, without being able to make rational decisions. 10:02 - Gender differences in neck injuries in sports: A discussion on how females are more prone to neck injuries due to less muscular protection compared to males, especially in car accidents and sports. 12:01 - Footballās inherent design risks: Football is singled out as a sport where injury is inherent due to its design, with heavy players crashing into each other. 15:45 - Heading in soccer and brain injury: A study is cited showing that even one heading drill in soccer can create brain inflammation and short-term memory loss equivalent to a mild concussion. 17:45 - Chronic TBI and depression: A study is discussed that found traumatic brain injury (TBI) could be the main culprit for depression and sleep problems in adults, potentially stemming from high school sports injuries. 21:02 - Baseline EEG mapping for children in sports: The panel discusses the importance of baseline EEG mapping for children before they start playing contact sports to monitor brain health. 24:00 - Autism and QEEG mapping: The panel discusses how QEEG (Quantitative Electroencephalography) mapping is used to identify patterns in individuals with autism and how neurofeedback can assist. 31:00 - Artifact removal debate in EEG software: Discussion about the pros and cons of using automated artifact removal software in EEG data and the importance of manual review. 39:05 - Psychedelics and mental health: Psychedelics like MDMA and psilocybin are discussed in the context of trauma therapy, with both benefits and potential risks mentioned. 43:30 - ADHD and neurofeedback interventions: Neurofeedback's ability to address core symptoms of ADHD, including impulsivity and attention, is debated, with a focus on lasting effects and personality preservation. 52:00 - Meditation and neurofeedback interactions: The potential for neurofeedback to enhance meditative states is explored, as well as cases where meditation might not be suitable for everyone. 55:40 - Photobiomodulation and neurofeedback: A discussion on using photobiomodulation (red light therapy) before or after neurofeedback sessions to enhance results. Got questions? We answer them LIVE every Wednesday at 6 PM CST! Don't miss your chance to engage directly with experts in brain health and neurofeedback. š Join us LIVE for Q&A every Wednesday at 6 PM CST: https://www.youtube.com/@NeuroNoodle š½ļø Catch more episodes on mental health and neurofeedback here: [Channel Link] #TuaConcussion #NFL š #FencingPosture #BrainHealth š§ #LiveQandA #Neurofeedback #ConcussionRecovery š¤ #ADHD #BrainInjury #CTE #SportsInjuries #MentalHealth #Neurofeedback #MentalHealth #BrainHealth #LiveQandA #YouAskWeAnswer #ADHD #Anxiety #Trauma #BrainOptimization #NeurofeedbackClinician #PeakPerformance
Episode Summary
The Fencing Response: When Primitive Reflexes Reveal Brain Trauma
When Miami Dolphins quarterback Tua Tagovailoa hit the ground after a devastating tackle, something chilling happened. His arms locked into an unnatural positionāone extended forward, the other bent at his side, like a fencer holding an Ć©pĆ©e. The image burned into viewers' minds, and for good reason. This "fencing response" signals something far more serious than a typical concussion.
As traffic pours into neurofeedback clinics after these high-profile incidents, parents and athletes want answers. What exactly is happening in the brain when we see this alarming posture? And why should it change how we think about brain injuries in sports?
The Brain That Moves Like Jelly in a Hard Shell
First, let's dispel a common misconception. When you see a brain on televisionāheld confidently in a medical examiner's handāyou're looking at a fixed, chemically-treated organ. A living brain bears little resemblance to this firm prop.
"A dead brain is pretty sloppy," I often tell people. The living human brain pulses and moves constantly. Delta waves at 2 Hz create washing machine-like agitation throughout brain tissue at night. We're discovering massive physical movement in the lymphatic system that we never knew existed.
This jelly-like organ sits encased in your hard skull. During impact, it doesn't move as one solid unit. Instead, it sloshesāfirst in the direction of impact, then rebounding in the opposite direction. This is the "coup-contrecoup" mechanism (French for "blow-counterblow") that creates the mechanical tissue damage we call concussion.
Imagine putting an egg in a jar and shaking it violently. The egg doesn't just crack where it first hits the wallāit gets damaged throughout as it ricochets back and forth. Your brain experiences similar mechanical forces during head trauma.
When Ancient Reflexes Resurface
The fencing response represents something profound: the reassertion of primitive reflexes that disappeared in your first year of life.
The asymmetric tonic neck reflex (ATNR)āthe technical name for the fencing postureānormally vanishes between 9 months and 1 year of age. In healthy babies, when you turn their head to one side, their arm on that side extends while the opposite arm flexes. This reflex helps infants learn to roll over and eventually crawl.
As your nervous system matures, higher brain centers develop inhibitory control over these primitive patterns. The reflexes don't disappearāthey become masked by more sophisticated motor systems.
When severe brain trauma occurs, particularly to the brainstem, these inhibitory systems fail. Ancient reflexes break through like buried code suddenly executing in a computer crash. In a 300-pound athlete hurtling through the air, this creates the disturbing spectacle of primitive infant reflexes playing out on a massive adult frame.
Not Just "Getting Your Bell Rung"
Here's what parents and coaches need to understand: if you see a fencing response, you're not witnessing a mild concussion. This represents major brain injury.
The appearance of primitive reflexes indicates brainstem compression and significant mechanical damage. There's likely bleeding, secondary inflammation, and extensive tissue disruption beyond simple "getting your bell rung."
This isn't posturing that develops over timeāyou see it instantly as the trauma occurs. Compare this to "decorticate posturing," where swelling gradually disconnects the cortex from deeper brain structures over minutes to hours. The fencing response happens in real-time as tissues get mechanically disrupted.
The Broader Picture: Different Types of Brain Posturing
The fencing response belongs to a family of abnormal postures that reveal different types of brain dysfunction:
Asymmetric Tonic Neck Reflex (Fencing Response): One arm extends, the other flexes. Triggered by neck movement or brainstem trauma.
Symmetric Tonic Neck Reflex: Both arms lift and extend, neck stretches, legs pull up. Helps babies prepare to crawl. You'll see this in premature infants as a sign they're still developing.
Moro Reflex: The "startle" response where babies throw their arms out and then pull them back in, often triggered by sudden movement or loud sounds.
Babinski Reflex: When you scratch the bottom of a baby's foot, their toes fan out instead of curling down. In adults, a positive Babinski sign indicates serious central nervous system problems.
All these reflexes serve important developmental functions in infants. Their reappearance in older children or adults signals that something has gone seriously wrong with higher brain function.
The Gender Factor in Brain Injury
One critical factor often overlooked in brain injury discussions is the role of neck anatomy. Female athletes face disproportionately higher concussion rates, and neck girth plays a major role.
Women typically have more elegant, slender neck structure compared to the thick, muscular necks common in male football players. This anatomical difference means less mechanical stability during rotational forcesāthe kind that cause the most severe brain injuries.
This explains why young women playing soccer show some of the highest brain injury rates in youth sports. It's not just about headers (though those contribute). It's about fundamental biomechanical differences in how impact forces transfer through the neck to the brain.
The Uncomfortable Question: Child Athletes and Calculated Risk
When adults choose high-risk professionsāFormula One racing, professional football, combat sportsāthey make calculated decisions with mature brains capable of weighing long-term consequences.
The uncomfortable reality is that youth sports place developing brains at risk before children can make truly informed decisions. We know the statistics: 98% of retired NFL players show signs of chronic traumatic encephalopathy (CTE). Yet we continue enrolling children in activities that carry similar mechanical risks.
This raises difficult questions. At what point does youth participation in high-impact sports cross the line from acceptable risk to potential child neglect? The brain doesn't finish developing until around age 25, yet we make participation decisions for children based on athletic potential and cultural expectations.
Beyond Football: Hidden Concussion Sources
Football grabs headlines, but brain injuries occur across youth sports in surprising patterns. Cheerleading, gymnastics, and soccer all produce significant head trauma. Young women's soccer may actually represent the highest brain injury risk in youth athletics when you account for both impact frequency and neck biomechanics.
The mechanisms varyāheaders in soccer, falls in cheerleading, collisions in basketballābut the outcome can be equally devastating. The fencing response doesn't discriminate by sport.
What This Means for Parents and Coaches
If you see any abnormal posturing after head impactāfencing response, arm stiffening, unusual positioningāthis is a medical emergency, not a "tough it out" moment. The child or athlete needs immediate medical evaluation and should not return to play.
Modern protective equipment helps but doesn't eliminate risk. Guardian helmets may reduce impact forces by 10%, but they can't overcome the fundamental physics of a soft brain moving inside a hard skull.
The most important protection is education. Understanding these warning signsāprimitive reflex reassertion, abnormal posturing, altered consciousnessācan prevent secondary injuries that often cause more damage than the initial trauma.
Moving Forward
The fencing response serves as a visible reminder of brain injury's serious nature. When primitive reflexes surface, they're showing us that sophisticated neural networks have been disrupted enough to let ancient patterns break through.
This isn't about ending sports or wrapping children in bubble wrap. It's about making informed decisions based on real understanding of risk. Every time we see a fencing response on television, it should reinforce our commitment to better protection, better recognition, and more honest conversations about the true costs of impact sports.
The brain's primitive reflexes evolved to help infants develop motor skills. When they appear in athletes after trauma, they're delivering a different message entirely: this injury demands serious attention, regardless of the game's outcome or the season's stakes.
Dr. Andrew Hill is a neuroscientist and brain optimization expert with 25+ years of experience in neuroplasticity and brain training. He has analyzed over 25,000 brain scans and specializes in neurofeedback therapy for cognitive enhancement and brain injury recovery.