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This puzzle has NO ANSWER!!!
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I completely disagree.
I don't understand how you can say on one hand research is underfunded and needed, then dismiss it out of hand saying one will never be able to reach any useful conclusions.
Dr. Mary Scollary is trying to collect detailed information, but some won't participate.
All the examples I listed are topics that sportsmedicine has looked at, and within each topic one path leads to increased breakdowns, and taking a different path doesn't. Yes, sportsmedicine has helped decrease breakdown rates.
You are right, breakdowns have multiple causes. That doesn't mean we can't start to figure out the contributors.
Yes, I'm glad KHRC is releasing the numbers, and being open about how many occur. I sure don't look at them as "experts" on breakdown causality.