Abstract
Background:The present study aims to report traumatic brain injury (TBI) among soccer players in the 2017 Brazilian Soccer Championship and discuss the protocols for concussion evaluation.Materials & methods:This is an observational study utilizing video analysis of 380 matches. TBI was considered as any event in which one or more soccer player(s) had a head trauma. For potential concussion diagnosis, we analyzed players with one of the following signs: slowness to get up, disorientation, motor incoordination, loss of consciousness, head clutching and impact seizure.Results:There were 374 TBIs in total. The average time for medical assessment was 1′35”. 13 players had concussion with an average time of 3′19″ for medical evaluation. Four players were replaced after having a concussion.Conclusion:There is a gap between concussion protocols and medical practices in Brazilian elite soccer. Further discussion about soccer replacement rules are imperative.
Highlights
The present study aims to report traumatic brain injury (TBI) among soccer players in the 2017 Brazilian Soccer Championship and discuss the protocols for concussion evaluation
Despite standardized protocols for concussion in soccer endorsed by FIFA, the main concern that arises from this study is that there is a gap between these formal protocols and the sideline medical assessment in practice on Elite Soccer in Brazil
This will provide time for an adequate sideline evaluation and preserve the integrity of soccer players, respecting the dynamic and the environment of the sport
Summary
The present study aims to report traumatic brain injury (TBI) among soccer players in the 2017 Brazilian Soccer Championship and discuss the protocols for concussion evaluation. TBI was considered as any event in which one or more soccer player(s) had a head trauma. We analyzed players with one of the following signs: slowness to get up, disorientation, motor incoordination, loss of consciousness, head clutching and impact seizure. Results: There were 374 TBIs in total. The average time for medical assessment was 1 35”. 13 players had concussion with an average time of 3 19 for medical evaluation. Four players were replaced after having a concussion. Conclusion: There is a gap between concussion protocols and medical practices in Brazilian elite soccer. Further discussion about soccer replacement rules are imperative
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