How to deal with a concussion in football

One of the expressions which might be most frequently heard round what occurs on the pitch is that “football is a contact sport”. And it truly is so. Certain performs -especially within the air-, headers and disputes for the ball may cause skilled footballers to undergo shocks and bruises that, though normally don’t have severe penalties, they’ll characterize a danger to the well being of footballers if prevention and consciousness work will not be carried out.

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Despite the above, statistics present that there is no such thing as a must be alarmist. By its very conception of the sport, soccer is far safer than different sports activities. It is much from figures like those who set up that on this sport there may be 1 case of concussion for each 150 circumstances in American soccer or ice hockey. Or 1 case per 300 in rugby.

“Recognize, inform, withdraw”

But simply because it isn’t frequent does not imply it ought to be ignored. That is why, as a part of efforts to additional enhance participant security and well-being, all 42 LaLiga golf equipment have taken half in a sophisticated coaching course to extend consciousness and understanding of concussions.

How to deal with a concussion in football
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FIFPRO / AFE / LaLiga


The periods have been developed in collaboration with the Association of Spanish Soccer Players (AFE), the International Federation of Professional Soccer Players (FIFPRO) and the European Leagues and have served to tell the groups of the six major indicators of a attainable concussion that they need to alert each membership docs and the gamers themselves.

To illustrate them, movies of official matches have been used exhibiting the concussions suffered by Álvaro Pereira, Christoph Kramer and Nordin Amrabat within the 2014 and 2018 World Cups.

“The priority is to detect the concussion. Then remove the player from the field and not allow him to re-enter”


Javier Barrera, physician of the primary crew of Real Sociedad

They are all circumstances that we stay stay and during which the footballers offered a kind of six major indicators of a attainable concussion. Some of them are remaining motionless, lack of motor coordination, irregular posture, lack of safety acts or falls, misplaced or vacant gaze and impression seizure.

If gamers and coaches observe any of those six indicators, they need to report it to the teaching employees and medical providers and the participant should be instantly faraway from the sector of play following the FIFPRO-established message of “Recognize, report, remove”.

The risk of concussion occurs mainly in aerial plays, headers and disputes for the ball

The danger of concussion happens primarily in aerial performs, headers and disputes for the ball

The league

The individual in control of working with the FIFPRO medical employees and subsequently presenting the data to his colleagues from the opposite golf equipment in LaLiga Santander and LaLiga SmartBank has been Javier Barrera, the Real Sociedad first crew physician. For Barrera, “the priority is to detect the concussion. The second thing to do with a player with a concussion is to remove him from the field and not allow him to re-enter. And the third is to give him enough time to recover.”

The footballer’s well being, a matter for everybody

Letting a participant keep on the sector or return to motion too quickly may cause the speed of persistent signs or recurrent concussions to be increased. And that begins with the notice of the footballers themselves, since it can be crucial that they know find out how to act within the face of a concussion. For instance, if the participant who has been hit desires to proceed on the sector of play, allow them to, his teammates, be those who encourage him to depart it.

“It is important that the players get involved. That they are able to prioritize the health of their partner and tell him: ‘Your health is more important'”


Geni Martínez, director of the Health Department of AFE

The latter is defended by Geni Martínez, director of the AFE Health Department, who can also be a former soccer participant and suffered a number of concussions in his skilled profession: “it can be crucial that gamers become involved. That they’re able to determine such a scenario, prioritize well being of his associate and inform him: ‘Your well being is extra vital’”.

The head of the AFE Health Department remembers these episodes nicely: “I suffered the first one playing for Burgos CF, in a match against Hércules. The adrenaline is very strong and you want to continue on the pitch… and that’s what I did. I saw what was happening in the field as if it were a movie, from the outside. On another occasion, playing for Castilla, I even made a big hole in my head. According to what my colleagues told me, when I went to the locker room, I didn’t know where my locker was or what clothes I had come with”.

Any blow - and not just one to the head - can cause a concussion

Any blow – and never only one to the top – may cause a concussion

The league

“Obviously the aerial duels in which you collide head to head, for example, in corner kicks, are the most dangerous.” However, he provides, “it’s also very important to know that to have a concussion you don’t have to hit the head. Any blow that you do not expect, because you are not in a defensive attitude, and that causes you to compulsively shake your head, can provoke it. Or a blow to the chin”, Martínez insists.

Training is vital

Arancha Barruso, the medical supervisor of CD Mirandés, could be very happy with the receptive angle of the footballers in the course of the discuss she held alongside the identical strains of coaching and prevention on the dangers of concussions: “They were very attentive and even encouraged ask me questions on a personal level. The symptoms and consequences a concussion could have on their careers were made very clear to them and they were very conscientious.”

The “Recognize, inform, remove” campaign seeks to raise awareness throughout society about the risks of concussions and how to act against them

The “Recognize, inform, remove” marketing campaign seeks to boost consciousness all through society in regards to the dangers of concussions and find out how to act in opposition to them

The league

“We must bear in mind”, displays Dr. Barruso, “that we combat in opposition to the pure intuition of the footballer to proceed taking part in and all the time assist the crew. That is why it’s so vital to insist {that a} participant who returns to the sector of play with out the required time after a concussion is uncovered, within the brief time period, to muscle and joint accidents. And, in the long run, there are indications which you can undergo neurological and emotional penalties equivalent to melancholy, nervousness or sleep issues.

For Barruso, “another of the great pitfalls of concussion is that it does not imply loss of consciousness. In fact, shock without loss is much more common than shock with loss. And it is a trap because, by not losing consciousness, the footballer thinks that everything is fine and that it is just one more blow. That is why it is so important that, at that moment, his teammates know how to distinguish his true state and encourage him to leave the field of play”.

“One of the pitfalls of concussion is that it does not imply loss of consciousness and the footballer thinks that everything is fine and that it is just one more blow”


Arancha Barruso, medical supervisor of CD Mirandés

The collaboration of AFE, FIFPRO, European Leagues and LaLiga with the “Recognize, inform, withdraw” marketing campaign is an instance of the significance of disseminating protocols, behaviors and recommendation not solely amongst skilled footballers, however to boost consciousness all through society in regards to the dangers of concussions and find out how to take care of them.

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