Brain Injury Detection Goes Low-Tech

A simple spit test may soon revolutionize how doctors diagnose brain injuries. Researchers have known for years that saliva contains biomarkers indicating brain injury. In January 2026, University of Waterloo in Canada unveiled HeadFirst, a portable saliva-based device that works much like a COVID test – two lines indicate a concussion, one line means negative. According to the report, this new low-tech innovation is currently at the pre-clinical trial.

The mission is clear: “Leave no concussion undetected.” “What we’re doing is adding the first objective test into the toolkit of athletic and health care professionals,” said Andrew Cordssen-David, HeadFirst CEO. The new technology detects biomarkers that cross the blood-brain barrier into saliva within minutes of injury.

Currently, no saliva concussion test has FDA approval, though several companies are preparing submissions. With studies showing 92-94% accuracy, these non-invasive diagnostics could transform sideline assessments in sports and combat zones alike. 

* TBIontheHill first reported on the government’s investment in brain injury detection devices in 2017. At that time, Abbott Laboratories was developing of i-STAT, a mobile device that could detect brain injury. Since that time, U.S. government agencies have remained heavily invested in concussion detection. The National Institutes of Health awarded $2.3 million to Quadrant Biosciences for developing saliva-based microRNA tests, while the Department of Defense mandated baseline cognitive assessments for all military recruits starting January 2025. 

Chewing Gum’s Surprising Brain Benefits Come with Caution

In 2026, publications from The Economics Times to National Geographic, have reported on the unexpected benefits of chewing gum. The U.S. government has a long-released study that confirms this.  Nearly 30 years ago, the NIH published a study that found, “[Chewing] increased regional cerebral blood flow in the primary sensorimotor areas by 25-28%, in the supplementary motor areas and insulae by 9-17%, and in the cerebellum and striatum by 8-11%.” (Cerebral blood flow activates the hippocampus, critical for memory, and reduces stress hormones by 16%.) Multiple trials confirm improvements in alertness, sustained attention, and reaction times from chewing gum.

These benefits seem to have been almost forgotten though, as what has been more widely reported in the past decade is the harm that chewing gum causes the body. A study indexed in the NIH database found that chewing commercially available gum can release over 250,000 microplastic particles per hour. Research shows microplastics cross the blood-brain barrier, potentially contributing to oxidative stress and neuroinflammation linked to cognitive decline.

Pertaining to brain injury patients, medical professionals have long known chewing gum may be a boon. The aforementioned statistics note gum’s ability to enhance blood flow and hippocampal stimulation support neural recovery, while stress reduction aids in healing. Gum chewing is used in speech and oral motor rehabilitation therapy, strengthening muscles while stimulating neural pathways, and improving reaction times. Additionally, during these cognitive rehabilitation exercises, gum still retains its ability to reduce stress levels.

To capture benefits while avoiding microplastics and without artificial sweeteners, consider homemade alternatives using natural chicle or beeswax. Many websites offer such recipes, including: Instructables Utopia CookTilYummy. (I do not known the quality or tastiness of these recipes. If you choose to make chewing gum for its cognitive benefits, I recommend using fresh mint as an ingredient because of its own proven cognitive benefits)

Stalking Awareness Month Spotlights Hidden Brain Connections

The Federal Office for Victims of Crime, part of the Department of Justice, states, “Stalking is a crime of power and control.” January marks the 22nd annual National Stalking Awareness Month; the 2026 theme “Know It, Name It, Stop It” urges Americans to recognize and respond to this dangerous crime that affects over 40 million people nationwide.

This Sunday, January 18 commemorates National Stalking Awareness Day of Action. In New York, landmarks across the state will be illuminated in yellow, symbolizing caution like a yield sign, to honor victims and survivors. North Dakota and other states have also issued official proclamations and specific actions to recognize the day and the month.

Stalking’s link to traumatic brain injury is a troubling bidirectional relationship. Research shows 60% of stalking offenders have experienced a TBI, which impairs impulse control and increases aggression. Conversely, 75% of women in abusive relationships sustain at least one brain injury from violence like strangulation.

CDC data reveals 22.5% of women and 9.7% of men experience stalking during their lifetimes. In 2025, President Biden proclaimed, “My father used to say that one of the greatest sins a person could commit is the abuse of power – and that is fundamentally what stalking is.” President Trump has declared, “Stalking any individual, especially our young people will not be tolerated. My Administration remains committed to ending the crime of stalking.”

For resources and state-specific legislation, visit StalkingAwareness.org.

Historic Federal Shutdown Resolved as Disability Services Faced Collapse

“The House of Representatives passed the ‘Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, abd Extensions Act, 2026’, with a vote of 222 to 209… after a damaging and unnecessary shutdown that lasted 43 days,” states a press release on the Committee on Appropriations section of the House of Representatives site.

The longest congressional government shutdown in U.S. history ended November 12, 2025, after 43 days, and 15 votes, that threatened the funding of critical services for people with brain injuries and disabilities. The House passed the Senate Appropriations Committee’s spending bill H.R.5371 with a vote of 222-209. President Trump signed the bill into law at 10:25 PM EST.

As was widely reported, the shutdown disrupted Supplemental Nutrition Assistance Program November benefits for 42 million Americans. Nearly 14 million people with disabilities rely on SNAP benefits.  Senator John Fetterman, who suffered a stroke in 2022, was among eight Democrats who voted with Republicans to end the shutdown. He stated: “I refuse to gamble with the food insecurity of 42 million Americans”.

Many financial assistance government programs that benefit the brain injured population are state-based: Supplemental Security Income, employment services, support for independent living healthcare, such as Medicaid and state-specific programs. As such, Social Security Disability Insurance (SSDI) payments thankfully continued without interruption, though other crucial services suffered.

However, many disability advocacy organizations operated “on fumes,” with some stopping new cases entirely. Maria Town, President of the Washington D.C. located nonprofit American Association of People with Disabilities, warned: “Given how many people with disabilities rely on benefits from government programs, this shutdown is especially harmful for the disability community”. The Tennessee Rehabilitation Center in Smyrna closed completely due to lack of federal funding, while Arkansas suspended rehabilitation services starting November 1.

Interestingly, the government shutdown, officially termed a “lapse in appropriations”, was not introduced to the Country as a negotiating “tool” until 1980, during the presidency of Jimmy Carter.  Since that time, most Presidents have weathered these shutdowns. Only two, Ronald Reagan and Donald J. Trump, weathered 3 shutdowns while in office. If history is to be the guide, this government inaction will soon be forgotten, which is both a positive and great negative for America’s well-being.

Link: Target Shooting Could Be Causing Brain Injuries.

Today, November 4, 2025, the New York Times reported on the dangers of recreational shooting, specifically the risk of brain injury. While the article provides common sense information: military-style weaponry pose a greater risk, “the data also showed that indoor shooting ranges designed to make shooting safe inadvertently make blast exposure worse — doubling and sometimes tripling the amplitude of the blast.”

While it may seem that numerous studies are “telling” citizens to halt many recreational activities that are practiced to relieve stress – alcohol, smoking – legal and illegal, gambling, shooting, etc. – it is important to be informed of the most recent scientific findings before making personal decisions.

Gambling At Odds With Your Brain

Hollywood has long depicted the brutal consequences of gambling debt. In Casino, debtors are beaten with baseball bats and buried alive. Uncut Gems, a favorite of mine, shows Adam Sandler’s character shot in the face despite finally winning enough to pay everyone back. These fictional beatings causing head trauma mirrors a darker real-world cycle: brain injuries can themselves create devastating gambling vulnerabilities.

Gambling is legal and gambling establishments exist in 48 states and they are engineered to entice. Casinos use specific lighting, no clocks, free alcohol, and calculated rewards to keep people playing. Online gambling apps employ similar tactics through notifications, bonus offers, and easy one-click betting designed to override rational decision-making. These manipulative tactics can be especially perilous for brain injury survivors. A 2020 study found brain injury survivors face 2.8 times higher odds of developing gambling problems.

Traumatic brain injuries can affect the prefrontal cortex and orbitofrontal regions. This can then cause behavioral changes by disrupting impulse control, creating powerful urges that override rational thinking and causing disinhibition. On August 8, 2025, the NIH published results of a study that found the dopamine system can also be dysregulated, driving brain injury survivors to seek the stimulation that gambling provides. A person with a brain injury may simply struggle to recognize they’re losing, calculate odds accurately, or stop when they should.

The consequences can be devastating. In one case, a construction worker who sustained a workplace head injury lost $80,000 at Las Vegas casinos within six months, unable to process his mounting losses due to impaired executive function. Thankfully, his family intervened before complete financial ruin.

Hope exists: There are support organizations, such as Gamblers Anonymous (https://gamblersanonymous.org/) which reports 50-70% sustained recovery rates. For those with brain injuries, overcoming this addiction may require both addiction and cognitive rehabilitation, but recovery is very possible.

“Celebrating Value & Talent”

October 2025 marks the 80th anniversary of National Disability Employment Awareness Month (NDEAM). This year’s theme “Celebrating Value and Talent” recognizes the contributions of workers with disabilities. Despite progress, significant employment gaps persist. According to the U.S. Bureau of Labor Statistics from February 2025, only 22.7 percent of people with disabilities were employed in 2024, compared to 65.5 percent of those without disabilities.

Secretary of Labor Lori Chavez-DeRemer emphasized the importance of observance this year, stating, “Celebrating America means celebrating the value and talent that all Americans – including people with disabilities – add to our nation’s workplaces and communities.”

As we commemorate this milestone anniversary, all Americans must renew our commitment to creating workplaces that celebrate the value and talent of all workers.

CDC – TBI in the Workplace Facts (8/5/2025)

2025 CDC Youth Football Safety Report

A CDC’s August 2025 report, Comparing Head Impacts in Youth Tackle and Flag Football, reiterates five key recommendations stated in 2021: expand flag football programs, reduce contact practices, enforce helmet-to-head penalties, teach proper tackling techniques, and provide comprehensive safety education. The research shows youth tackle players sustain 15 times more head impacts than flag football athletes.

These findings echo longstanding government concerns about youth football safety, that this website has noted since 2018. While the CDC’s rules remain sound, the persistence of these same conclusions suggests it may be time for more decisive action to accelerate the adoption of safer practices nationwide. (Some have recommended regulatory standards, funding incentives, or policy mandates, but others note concerns about overreach.)

Comparing Head Impacts in Youth Tackle and Flag Football (8/4/25): https://www.cdc.gov/traumatic-brain-injury/data-research/comparing-head-impacts/index.html#cdc_report_pub_study_section_2-more-efforts-needed-to-prevent-head-impacts-during-youth-football-games

Link: AI Shaping the Future of Neurorehabilitation

Just as it assists in other medical issues & care, artificial intelligence is a significant aide in the short & long term outcomes of those with a brain injury.  In March 2025, the NIH released a comprehensive evaluation of such information.  This report links to 134 references that provide more information on said topic.  (I am quite happy that I came across this page.  This weekend, I will be looking through some of the linked studies.)

https://pmc.ncbi.nlm.nih.gov/articles/PMC11943846/#abstract1