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Soccer heading may increase concussion risk

Soccer concussion symptoms can happen when someone’s head strikes an object such as another player or the ground while playing sports.

Soccer Concussion Angle 5-19 inside
Youth soccer rules limit heading for players 13 and younger because of possible concussion risk.

In soccer, players purposely make head-to-object contact when they head the soccer ball.

“Heading puts you in a position to accidentally collide with another player, which is known to cause concussions,” said Makenzie Ward, a Marshfield Clinic athletic trainer.

Heading the ball improperly, like when a player doesn’t have enough time to react, also can cause a concussion.

Avoiding a concussion from heading a soccer ball

Heading poses a risk for concussion if the soccer ball is traveling at high speeds. More commonly, a concussion can come from head-to-head contact from players or hitting your head on the ground when falling.

Players can decrease soccer concussion risk with proper heading technique:

  • Bend your knees and bend backwards at the waist to use your body to generate power.
  • Jump to meet the ball rather than letting it hit you.
  • Keep your eyes open and locked on the ball.
  • Try to hit the center of the ball with your forehead, just below the hairline.

Studies have looked at the connection between soccer heading and concussions. One study looked at the brains of deceased soccer players who had been skilled at heading. Some of their brains showed signs of chronic traumatic encephalopathy, or CTE, a progressive degenerative disease found in people who had repeated concussions.

Another study of living players showed those who did a lot of heading were three times more likely to have concussion symptoms than those who didn’t often head the ball.

“The studies show a connection between heading and concussions but we still need more information and research,” Ward said. “While it’s part of the game, there are ways we can help youth decrease the risk for long term impacts.”

Watch for concussion symptoms

Coaches and referees are trained to recognize concussion signs, but parents also should know the symptoms. Headache, dizziness, weakness, confusion and vision changes after impact to the head signal concussion.

Concussion signs may not appear until a few hours after the injury, and children may not let you know they have symptoms.

Ask your child about signs of concussion after heading the soccer ball in practice or games. Let your child’s coach know if symptoms develop and have the child checked by the school’s athletic trainer. The player should sit out of play until they are assessed and are cleared to return.

“The biggest risk for someone with a concussion is to continue playing,” Ward said. “The brain is vulnerable to a worse concussion and second impact syndrome until it’s healed.”

Rules limit heading in youth soccer

U.S. Club Soccer released heading rules to reduce concussion risk for young athletes.

Players under age 11 aren’t allowed to head the ball at all in practice or games. Players ages 12-13 must limit their heading practice to no more than 30 minutes and 15-20 headers per week.

The rules aren’t required for all youth soccer leagues, but Ward said other leagues should consider limiting headers to a certain number per week for younger players.

The WIAA doesn’t limit heading for high school players.

For immediate care, visit Marshfield Clinic Health System.

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