 Football is a full-contact sport, and injuries are relatively common. Most injuries occur during training sessions, particularly ones that involve contact between players. To try to prevent injuries, players are required to wear a set of equipment. At a minimum players must wear a football helmet and a set of shoulder pads, but individual leagues may require additional padding such as thigh pads and guards, knee pads, chest protectors, and mouthguards. Most injuries occur in the lower extremities, particularly in the knee, but a significant number also affect the upper extremities. The most common types of injuries are strains, sprains, bruises, fractures, dislocations, and concussions. Repeated concussions can increase a person's risk in later life for chronic traumatic encephalopathy and mental health issues such as dementia, Parkinson's disease, and depression. Concussions are often caused by helmet-to-helmet or upper-body contact between opposing players, although helmets have prevented more serious injuries such as skull fractures. Various programs are aiming to reduce concussions by reducing the frequency of helmet-to-helmet hits; USA Football's "Heads Up Football" program is aiming to reduce concussions in youth football by teaching coaches and players about the signs of a concussion, the proper way to wear football equipment and ensure it fits, and proper tackling methods that avoid helmet-to-helmet contact.
