He is also past president of the National Academy of Neuropsychology. It’s really interesting because, you know, I think there’s two sort of issues here. CAVANAUGH: Dr. William Perry is a professor of psychology at the UCSD School of Medicine, past president of the National Academy of Neuropsychology. And, Mark, welcome to These Days. Well, Dr. Echemendia, the comment by Amy seems to bear out what you’ve been saying.
CAVANAUGH: Dr. Echemendia, would you say that there is a, I mean, an actual solid, reliable, medical data on concussions in soccer?
Tom is calling from San Carlos. DR. PUTUKIAN: I see that there might be a role if you’re a goalkeeper it may be a little bit different where there may be, you know, there the way they play is a little bit different. And I think, as you mentioned in your opening, one of the reasons people play soccer is because of this impression that parents have that it’s really not as dangerous. Injury to the head can occur from repeatedly making contact with the ball through headers or from a single blow. But the whole issue then comes back to there really are no efficacy data in terms of these – the use of this headgear in soccer. They’re, you know, constantly diving at someone’s, you know, feet or knees. DR. PUTUKIAN: Well, I think there’s a lot of data and, you know, it’s interesting because I think that the NCAA has injury surveillance data that – you know, they published a summary of their almost ten years of data, or more than ten years of data, in ’07 and when you look at that, both soccer men and women have a concussion rate that’s certainly up there but not as high as men’s football, men’s wrestling, and even women’s ice hockey. My guests are Dr. Ruben Echemendia, he’s a neuropsychologist who served as director of the Psychological Clinic at Penn State University for 15 years, currently works as a consultant for U.S. Soccer National teams, and the NHL. DR. PUTUKIAN: Well, I think it’s certainly – When you look at all sports, not just soccer, when you look at all sports, the incidence of concussion has been increasing, at least what’s being reported. As far as collision, if you – if you’re encouraged by your parents and coaches to be aggressive and you don’t know what they mean by that and you’re just going to go blindly and hit somebody, so you have to know where your limits are and that comes with education and proper training.
So, I mean, I think what you see the professional leagues doing in hockey and in football is saying we got to get rid of these exposures and these head to head hits. Some of the examples of that are Dr. Delaney at McGill University did a study of collegiate soccer and football players and found that the concussion rate among these collegiate soccer players was 62.7% of the players experienced at least one concussion during the season.
DR. PERRY: And then the final thing I might just say is that you may – your listeners may be surprised to hear that there are other sports that are not associated with contact, like basketball, where there is also an increase in concussions. But most of the later studies and certainly some of the studies that actually Mr. Skeen was referring to have not shown that heading a soccer ball causes any neuropsychological damage or, to the best of our knowledge, any ongoing damage. So when you see a 4% concussion rate, it’s probably really more like 40%. When we return, we will continue to talk about the soccer concussion headgear controversy and taking your calls at 1-888-895-5727. Thank you for your call. DR. ECHEMENDIA: Yes, it’s true in adult soccer as well, although adults typically should be a little bit more willing to step out and do what they think is correct but, in fact, you know, some do not. But I also don’t feel that there’s any role per se in terms of protecting against concussion. I mean, you’re going to get some male players, very macho, who say I’m not wearing anything on my head.
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CAVANAUGH: I see. First of all, I just want to clarify a point that Mr. Skeen made. There are currently two headguards that meet the ASTM soccer headgear standard, the DonJoy Hat Trick and the Full90 Sports Premier-A. And we, as all manufacturers of safety equipment, do that exact same type of testing and we know that a reduction of forces should correlate to a reduction of injury. TOM (Caller, San Carlos): Hi. DR. ECHEMENDIA: Well, certainly there are rules in most of these sports in terms of hitting and when one commits fouls, and particularly in hockey we know that if you have a particular hit where you board somebody, you check somebody, you’re forcing somebody’s head against the wall or intentionally hitting them in the head, that there are penalties that can be enforced that then pull that player out of play for a specified period of time. Is there a way of reducing it? So when you talk about concussion rates, a concussion rate is soccer, depending upon the age group, ranges from 4 to 8% and that would be the, quote, reported concussion rate.
It's a question that is far more controversial than you might expect. So I don’t think that necessarily adding protection does much other than maybe give the athlete a false sense of protection.
And then we have to enforce appropriate rule play. EliteTek Soft Padded Headgear - 7v7 Soft Shell - Rugby - Flag Football Helmet - Soccer Goalie & Epilepsy Head Fall Protection - Youth & Adult Sizing 4.5 out of 5 stars 407. [4] Both comply with FIFA, the U.S. Soccer Federation, and the National Federation of State High School Associations (NFHS).
ZEIGLER: Yeah, you know, one thing people need to understand it’s become a very politicized topic and very controversial because on both sides—and maybe this is being a little bit too cynical—but on both sides you have people who are trying to make money. Put these Soccer Heads to the test! I really appreciate it.
How did she actually suffer these concussions? Need help keeping up with the news that matters most? 1-888-895-5727 is the number to call. Lots of parents are relieved when their sons choose soccer over football as their team sport.
So did your daughter know that she was injured right away? Kids are not going to hit each other if they’re playing the sport of American football without a helmet. MARKO (Caller, San Diego): Good morning. DR. PUTUKIAN: Yeah. CAVANAUGH: We have a number of callers who want to get in on our conversation here so let me take a call now from Scott in San Diego. I want to thank you so much. And our discussion about concussions, headgear and soccer will continue in just a few moments right here on KPBS. CAVANAUGH: Now, I understand several high profile soccer players, including Chelsea Goalkeeper Petr Cech, have suffered serious head injuries and they’ve started wearing a certain kind of headgear.
lowers the rate of head injuries by as much as 84%. It is flexible, not a rigid helmet. CAVANAUGH: I'm Maureen Cavanaugh, and you're listening to These Days on KPBS. SKEEN: In all of her concussions, the mechanism of injury was as Mark described earlier, which was a collision and not from deliberate heading of the ball.
Best Price Guaranteed. What is this protective headband? I have two daughters, teenage, who have played soccer for five or six years. I’m a neuropsychologist here in the Department of Psychiatry and I work closely with my son’s competitive soccer team here locally and serve as their manager for the Rancho Santa Fe Attack Team.
I want to give an opinion about how to prevent these injuries.
And, you know, athletes that choose to wear headgear may feel that it provides them with some sense of protection that it doesn’t. MARKO: I don’t see a problem but I can see that how come – how can some players wearing that be picked on a little bit, and as it was mentioned also you don’t want to be different. That’s the first thing. Dr. William Perry, Dr. Margot Putukian and Dr. Ruben Echemendia, thank you so much for speaking with us and sharing your information with us this morning.
Dr. Putukian, welcome. Acrobat Reader.
I mean, no, that was my point in terms of looking at – when you look at the college data.
Or are we just hearing about concussions that always occurred in soccer and more people are just reporting them? And, you know, I think what we really need to see is some true, true large independent research now (audio dropout)…. CAVANAUGH: I want to thank you for coming in and speaking with us.
Dr. Echemendia currently works as a consultant for U.S. Soccer National teams, and the NHL.
I also have a son playing soccer and he does not wear headgear. Well, first let me say that I’m not speaking for the U.S. Soccer Federation and I’m also not paid by the U.S. Soccer Federation as Dr. Skeen – or, Mr. Skeen…. So it’s sort of been an on-again, off-again topic. Should amateur and professional soccer players wear some kind of head protection to prevent against concussions? There are rules in effect with spearing and other rules that protect against the use of the head as a weapon or as a target. SKEEN: You know, that’s a great way of really just framing this whole topic is really what a parent should look for and really what should the player look for.
Did you ever suffer a concussion or head injury while playing soccer yourself? It’s kind of hard to compare because, you know, it’s not like you’re going to say, well, let’s play American football without helmets. A plastic helmet as in other sports would not suffice since they are bulky and may consist of uneven surfaces; this would make ball control off a header nearly impossible.
DR. ECHEMENDIA: Well, I don’t think that there is such a thing as one definitive study. Dr. Perry is also a member of the Defense Health Board for Traumatic Brain Injury. DR. PERRY: …if the emphasis is on headgear versus to underscore what Dr. Putukian said earlier, appropriate rule enforcement and emphasis on safe play, then we’re doing the entire issue a disservice. And then if you look at the high school data, the National High School Federation of Sport, they also, you know, give you some incidence of injury for boys and girls soccer that’s, you know, if you look at the number of injuries that occur per athlete exposure, the numbers they have for, you know, boys soccer is 1.7, for girls soccer, 3.4 for every 10,000 athlete exposures. You’re listening to These Days on KPBS. We speak to several experts about the frequency of head injuries in soccer, and about the arguments for having players wear some kind of head protection. Dr. Echemendia, I wanted to ask you, you know, there was, as Dr. Perry points out, this original concern about players heading the ball but that’s sort of changed now. COOLOMG Soft Padded Headgear 7v7 Soft Shell Head Protector Goalkeeper Adjustable Soccer Goalie Helmet Support Rugby Flag Football Helmet Youth Adults (Head Circumference 53-62cm) 4.5 out of 5 stars 91.
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