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Football’s concussion protocols ‘need urgent review’ Main Image

Football’s concussion protocols ‘need urgent review’

Wed 01 May 2019

Headway has called for football’s authorities to urgently review concussion protocols within the sport in order to assist medical staff in the assessment of players following head injuries.

The call comes after the latest in a long line of incidents that have called into question the sport’s commitment to tackle this important issue. Tottenham Hotspur defender Jan Vertonghen suffered a clash of heads in a collision with teammate Toby Alderwiereld in their side’s Champions League semi-final first-leg match against Ajax.

After being assessed on the pitch for five minutes, the player briefly returned to the match before quickly being removed permanently after appearing to stagger. He then had to be helped from the pitch, with the player later stating that he had fainted.

Luke Griggs, spokesperson for Headway – the brain injury association, said: “It is hugely disappointing that we are once again talking about concussion rather than the game itself.

“Concussion is notoriously difficult to diagnose. The symptoms may be hidden and require the individual to be honest about how they’re feeling, while they can also be delayed in their presentation.

“Assessing a player for three minutes – or even five, as was the case with Jan Vertonghen – does not allow for medical staff to make a reliable diagnosis, particularly when this is conducted on the pitch under the gaze of tens of thousands of fans eager for the game to resume.

“The pressure on club medical staff is enormous and unfair, particularly in such high-stakes games such as a Champions League semi-final.

“We believe the time has come for football to introduce temporary concussion substitutions that would allow for longer off-pitch assessments to be conducted.

“In addition, independent doctors with expertise in concussion and head injuries should make the ultimate decision as to whether or not a player is fit to continue.

“Not every head injury will result in a concussion. But allowing players to continue while showing clear signs of discomfort following a head injury is contrary to the ‘if in doubt, sit it out’ principle at the heart of all effective concussion protocols.”


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Headway - the brain injury association is registered with the Charity Commission for England and Wales (Charity no. 1025852) and the Office of the Scottish Regulator (Charity no. SC 039992). Headway is a company limited by guarantee, registered in England no. 2346893.

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