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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Life With Cognitive-Communication Deficits After the NFL: A First-Person Narrative.

D J Johnson, Kennedy Kehaulani Guess1,2

  • 1Matthew Gfeller Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill.

American Journal of Speech-Language Pathology
|May 18, 2026
PubMed
Summary
This summary is machine-generated.

Former professional football players can experience long-term cognitive-communication issues, including memory and speech problems, due to repetitive head impacts and concussions sustained during their careers.

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06:14

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Published on: April 18, 2019

Area of Science:

  • Neuroscience
  • Speech-Language Pathology
  • Sports Medicine

Background:

  • Repetitive head impacts in professional football are linked to long-term neurological consequences.
  • Concussion and traumatic brain injury (TBI) can lead to persistent cognitive-communication deficits.

Purpose of the Study:

  • To illustrate the long-term cognitive-communication consequences of repetitive head impacts in professional football through a first-person narrative.
  • To highlight the impact of concussion and TBI on memory, speech, and daily functioning years after retirement.

Main Methods:

  • A co-authored, first-person narrative detailing the lived experiences of a former professional football player (D.J. Johnson).
  • Annotation of the narrative with relevant peer-reviewed literature.
  • Description of medical evaluation and speech-language therapy focused on dysarthria.

Main Results:

  • Progressive word-finding difficulty, slowed speech, memory lapses, and disorientation were reported.
  • Cognitive-communication difficulties persisted despite speech-language therapy primarily addressing dysarthria.
  • Challenges fluctuated over time, impacting daily life and professional activities.

Conclusions:

  • Repetitive head impacts contribute to chronic cognitive-communication deficits in former athletes.
  • First-person narratives offer valuable insights into subtle, evolving impairments.
  • There is a need for early recognition of postconcussion sequelae and long-term, individualized speech-language pathology services.