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“The bulk of the head impacts that these former NFL players experienced didn’t occur at the NFL level,” Danshvar reported.

“They occurred at the collegiate level and at the high school level and in many cases the youth level. And all of those cumulative hits to the head added up to result in an increased risk.”

An NFL spokesperson reported: “The NFL continuously strives to make the game of football safer, including by implementing strategies to reduce concussions and head impacts.

“The NFL remains committed to ensuring that the NFL community has access to a robust – and expanding – set of resources to enhance their physical and mental well being.

“We encourage former players to utilise these resources to identify and seek treatment when they are concerned about their health.”

CTE among American football players has been a growing issue in recent years. A 2011 Collective Bargaining Agreement for the NFL limited the number of contact practices.

Following a long-running class action, in 2016 the NFL agreed a $1bn (£700m) settlement with more than 5,000 former players.

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