The Army and National Football League are both working to improve awareness of traumatic brain injury and further research into its causes, prevention and treatment.

The top leaders of both organizations - Army Chief of Staff Gen. Ray Odierno and NFL Commissioner Roger Goodell - met at the U.S. Military Academy last week to discuss the issue and sign a letter of agreement to continue sharing resources to combat TBI.

They were joined by a panel of Soldiers and retired NFL players who have had concussions while serving on the battlefield and the playing field. Also, about 200 cadets attended, as well as representatives from Army medicine.

Odierno explained how some of the best traits in Soldiers can sometimes hinder many from seeking help following concussions: "Mental and physical toughness, discipline, team over self and stressing the importance of resilience are fundamental to the cultures of both the NFL and the Army. We have the Warrior Ethos, reinforced by the Soldier's Creed," said Odierno.

"While commendable and essential to what we do, these traits make it particularly difficult for individuals to come forward and identify physical and mental issues, especially mental," he continued. "We are seeking to educate both players and Soldiers about TBI, to empower them to seek treatment both on the battlefield and playing field."

The Army and NFL are continuing the dialogue and sharing of research on TBI, said Odierno, citing examples of joint efforts at monitoring TBI, including placing special sensors in the helmets of both Soldiers and NFL players, which can detect a possible concussion following trauma to the head.

Both NFL players and Soldiers are now coordinating strategies and using special types of tests to determine if a concussion has occurred, added Dr. Richard Ellenbogen, chair, Department of Neurological Surgery, University of Washington. He expects research to continue to reduce TBI.

The NFL commissioner then addressed the cadets. "You are the future leaders of Army," he told them. "Together, we can make a big difference, sharing medical research, and helping players and fighters and bringing a greater awareness to society as well. I believe we can change our cultures, with athletes and Soldiers sharing their experiences."

The cultural shift to which Goodell was referring is the reluctance of many football players and Soldiers to ask for help after receiving concussions.

"A frank conversation needs to take place at the lowest levels with the people most powerful in Soldiers' lives - not me, but their platoon sergeants and first sergeants," said Odierno, referring to the change he said has to take place. "Soldiers must be made to realize that there will not be retribution of any kind for asking for help."

"Sometimes the NCOs must make the decision for the Soldiers and not penalize them," said Staff Sgt. Shawn Hibbard, addressing the reluctance of many Soldiers to seek help on their own. "When I got blown up I felt like, 'hey, I'm mentally still in the fight.' That NCO must check those injured and remove them from the fight so they can get better." Hibbard suffered concussions during recent combat operations, but was reluctant to seek help.

Maj. Christopher Molino, who also suffered a concussion during recent combat operations, agreed that small unit leaders must step in and take charge. "Removing yourself is counterintuitive to Soldiers' instincts. That's why good leadership is important."