
Soccer
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About five
percent of soccer players sustain brain injuries as a result of their
sport. This may occur from head to head contact, falls, or being
struck by the ball on the head.
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"Heading" or hitting the ball with the head is the riskiest
activity. When done repeatedly, it can cause concussion. The
risk is greater if a small child uses too large a ball.
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Girls are
injured playing soccer more often than boys.
Articles
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Click
here
to read an article from the American Academy of Pediatrics about injuries in
youth soccer.
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A Perplexing
Foe Takes an Awful Toll in-set article on 'Heading' from the New York Times May 11, 2000
Soccer dads head up efforts
for safer play
By John Tuohy, USA TODAY
June 1, 2000
Bob Long and
George Halvorson watched helplessly three years ago as their sons
were knocked nearly unconscious during soccer games in St. Paul,
Minn.
In Pompton Plains, N.J.,
Donald Rumbaugh's son came home delirious and nauseated after a
heading drill at practice.
And
in St. Louis, Stuart Zatlin's boy, at age 10, buckled to his knees
after a whistling soccer ball blindsided him in the head.
"I thought, 'This is crazy, somebody's going to get
killed out there. The players need something to protect their
heads,'" Zatlin recalls.
He and
the other fathers searched but discovered that no sporting goods
stores carried protective headgear for soccer players. So they each
made and marketed their own.
Now these soccer dads are positioned as pioneers in what could be a
safety movement in soccer. Citing recent studies suggesting that
playing soccer can be dangerous to the head, the fledgling
entrepreneurs are betting that concerns about safety and pressure
from parents will make their products standard equipment in the
future.
"I think it is only a matter of time," says Rumbaugh, a family
physician. "Soccer has kept its head buried in the sand long enough
about this."
All this has made officials at the U.S. Soccer Federation defensive.
They aren't eager to see the world's most popular sport compared to
football or hockey.
Soccer officials say the dads are rushing headlong with scant
information into a delicate area of sports medicine. The studies
linking soccer head injuries and cognitive problems are inconclusive
and misleading, the soccer officials say. Especially galling to them
are some researchers' suggestions that simply heading a ball could
be dangerous.
"It has been sensationalized," says federation spokesman Jim
Moorehouse. "A great amount of testing has to be done before we
could advocate the use of these products. This is a complicated
issue that requires five- and 10-year studies."
The medical establishment, for now, agrees with Moorehouse. It isn't
ready to recommend that soccer players wear head protection.
The American Academy of Pediatrics (AAP) says more research is
needed on the topic. A panel of experts at a recent summit hosted by
the Consumer Product Safety Commission (CPSC) was split on the head
injury risk to soccer players.
But the AAP did advise in March that young soccer players head the
ball as little as possible "until more is known about the risks for
brain injury and permanent cognitive impairment in this age group."
Meanwhile, there are signs that simply having the soccer headgear on
the market is having an impact on soccer:
The National Referee Committee of U.S. Soccer last year said
referees could decide, on a game-by-game basis, whether to allow
players to wear headgear for medical purposes.
A school district in suburban Milwaukee will require that soccer
players at its only middle school wear headgear in the fall.
Two California Youth Soccer League teams of 11-year-olds played a
game in Murrieta, Calif., in September while wearing the headgear of
a fourth inventor, Texas businessman Calvin Williams.
"We are where hockey was 20 years ago, when there was a lot of
resistance to helmets. Now they are mandatory. In soccer, they
resisted shinguards at first, and now they are mandatory, too," says
Blois Olson, spokesman for Soccerdocs, which makes a headband device
called Headers, invented by Long and Halvorson of St. Paul.
Designers say the products diminish the impact of fast soccer balls
to the head by 40% to 50%.
"Soccer has gotten more physical, and the equipment needs to reflect
that trend," Zatlin says. "The game is not the same as when I played
it. It is much more aggressive, much rougher. I have seen kids
collide heads. I have seen them get cold-cocked with elbows."
The products are available mostly over the Internet, but some
makers, including Long and Halvorson, plan marketing blitzes this
summer that may put the headgear on the shelves of major sporting
goods retailers.
Unquestionably, soccer is a rough sport. The CPSC classified it as a
contact sport in 1988, and it remains the only team contact sport
that does not require helmets. According to the latest figures
available, there were 169,734 soccer injuries in 1998, and 10,372 of
those were head injuries of all types, including cuts and bruises.
While head bumping and even kicks to the head have long been risks
of the game, research indicates that they could be more damaging
than previously thought and that even the rudimentary skill of
heading a ball could jeopardize a player's health .
A study last fall in The Journal of the American Medical Association
showed that players who head the ball several times a game don't
perform as well on cognitive tests as swimmers and runners. Another
study in JAMA found that soccer players suffered the third-highest
incidence of concussions, behind football players and wrestlers. And
a study out in May from the University of California, Los Angeles,
found that "mild concussions" may have more serious long-term
effects than commonly believed.
There are plenty of coaches, team physicians and soccer officials
who dispute the findings.
"People have the opportunity to injure themselves in sport, that's
the way it is," says Tom Sells of Altmonte Springs, Fla., the
National Soccer Coaches Association's national youth girls coach of
the year in 1999. "We now have data overload. We create issues that
aren't issues. I think people are overly concerned with a
non-problem."
John Powell, a professor of kinesiology and an athletic trainer at
Michigan State University in East Lansing, says it is unlikely the
headgear will make any difference in injuries because so many
variables determine a concussion. A main cause is the brain bouncing
around inside the skull, which can happen many ways, he says.
"A protective headband may give you piece of mind, but it really
won't prevent injury," says Powell, whose study of 23,000 sports
injuries appeared last year in JAMA. "It won't do anything for
whiplash, which can cause brain trauma, and won't affect the
integrity of a person's brain tissue. Let's not sell 8 million of
these and then find out they are bad for the neck or something."
But the reports about head injuries have the soccer world concerned.
The U.S. Soccer Sports Medicine Committee issued a rebuttal this
year to the slew of studies, stating that "it is premature to
conclude that purposeful heading of a modern soccer ball is a
dangerous activity."
Rather than require headgear, the medicine committee recommends that
coaches teach proper heading techniques and require
neck-strengthening exercises and that referees call more fouls on
dangerous plays.
When parents in Minnesota last year bought headgear for their kids,
referees told them it was against the rules to wear the equipment
during games. So the parents complained to the state's youth soccer
director, Steve Olson. The parents didn't know it at the time, but
they had an ally in Olson.
Olson had worked for the Institute of Preventive Sports Medicine in
Ann Arbor, Mich., which conducted one of the studies on soccer head
injuries, so he had empathy for the parents' concerns. Olsen
approached officials at the national board of U.S. Soccer to see
about modifying the rule.
It worked. In April 1999, the National Referee Committee voted to
let each game's referee decide whether players may wear head
protection.
A year later, the Fox Point-Bayside School District outside
Milwaukee voted to require players at Bayside Middle School to wear
the headgear at games.
District superintendent Jan Sodos says the decision was consistent
with the school system's concern for its students' health.
"We require protective gear for Rollerbladers, we have a strong bike
policy, and we eliminated football years ago, so this is in keeping
with the safety provision at our school," Sodos says.
School district president Jeffrey Cameron, a doctor whose specialty
is brain injury rehabilitation, says the rule was "an inexpensive
way to reduce injuries."
"Kids shouldn't head the ball. They lack the skill and coordination
at that age, and their heads are unusually big for their bodies," he
says. No other school districts have indicated they would follow
Bayside's lead, but Cameron says, "Maybe parents at the other
schools will ask their coaches why their kids don't have
protection."
But will the soccer headgear be a hit with kids? Hard to say.
Amanda Greenstein, 10, a soccer player in Ashland, Ore., wears the
Headers band at games and practice. "It makes my head feel more
padded," she says. "It doesn't hurt as much when I head, and I think
it looks cool."
At a soccer field in Arlington, Va., recently, 13-year-old John
Westgate, a forward with the South Arlington Soccer Club Falcons,
said he could see someone else wearing the headgear, but not him.
Perhaps someone like Jeff Imperato, 14, of the Arlington Optimists,
or his teammate Frankie Hazera, 14, who both say they would have no
problem trying out the gear.
"I might wear it," Imperato says. "I have hit a lot of balls on my
head, and it hurts my noggin."
Adds Hazera: "I would try it if it helps my head and prevents brain
damage."