The official headgear of US Club Soccer Yeah. And I think, you know, I always come back to remember that headgear and helmets were – they’re not designed to prevent concussion. Provides comfort and safety for players of all ages and backgrounds. Information, download Maybe if everybody used it it would be no problem but I don’t think that will prevent as much as knowing how the game goes and…. You don’t want to be seen as someone who may be weaker or more susceptible so there’s a hesitancy to wear any headgear or any kind of protection that is not mandated or worn by everybody else. 13. CAVANAUGH: Dr. William Perry is a professor of psychology at the UCSD School of Medicine, past president of the National Academy of Neuropsychology. 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. You know, it – You talk to some players – Shannon MacMillan, I know, a local legend…. SKEEN: They’re absolutely uninformed. ZEIGLER: I think it was a little bit over – maybe around ten years ago in the early 2000s. The most protective 5-star ASTM-certified headgear in soccer, our ExoShield Head Guard is the only product shown to statistically reduce the risk of head injuries in a recent multi-year independent study.*. DR. PERRY: …yes, with increased concussions you’re at increased risk for further concussions. CAVANAUGH: And, Mark, when you speak to players themselves, what do they think about headgear? [2] A study published in the British Journal of Sports Medicine found that headgear does not help reduce the impact on the head from ball contact. Now I’d like to introduce three medical professionals who have a great familiarity with soccer related injuries. Is there a way of reducing it? I mean, I hate to say this. Function and structure. We believe we are making positive steps in the right direction, but it's important to understand the limitations of what head protection can do, and the need for more and deeper data analysis. Provides comfort and safety for players of all ages and backgrounds. [5] However, studies in 2006 by the University of North Carolina at Chapel Hill and the University of Pennsylvania found no link between brain injuries and routinely heading the ball. Certainly there’s a lot of room for some large scale studies and, in fact, with this very issue there are large scale studies that are needed to examine the efficacy of these headgears in a clinical situation. 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. I’ve been under the, perhaps, misimpression that you suffer some kind of hemorrhaging every time you butt your head and if you, you know, are a center that’s six foot, and you are relied on to do a lot of the air ball control, then maybe over a career of it, you could have some brain injury possibility. So I think at the same time we’re having a significant increase in terms of, you know, this being on the radar for parents, coaches and, certainly, athletic trainers and team physicians, and so we’re better able to identify athletes that have concussion. I’m sure they’re absolutely wonderful. So even wearing something like protective headgear has some concerns associated with it and I think the best intervention is education. DR. RUBEN ECHEMENDIA (Neuropsychologist): Thank you, Maureen. CAVANAUGH: And – But you’re not advising against it either, are you? 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…. The soccer helmet of claim 1, wherein the padding layer is removably and selectively attached to the shell layer. DR. PERRY: Well, I think it’s important that if any parent or athlete feels that they are comfortable and want to wear head protection and it’s allowed in the game that they should do so. The American Academy of Pediatrics finds that the injury rate in youth soccer is higher than football. So a lot of times the soccer organizations or people that are their spokespeople often ask for a type of research that is actually a felony if we were to do such research. What you have to keep in mind is that our knowledge of concussions and the effects of concussions have really only evolved over the last 10 or 15 years so there’s a lot that we don’t understand about the injury. My eldest daughter plays competitive and is now on the high school JV team and just a couple weeks ago she had a collision with another girl on the soccer field from the other team where they both were going to try to do a header and the other girl, back of her head hit the front of my daughter’s head, and subsequently the doctor determined because of symptoms like headaches that she had a mild concussion. Dr. Putukian, you were telling us that basically helmets and headgear are not designed to protect against concussion but do they reduce the incidence of concussion when they are used in other sports? Would you think it’s perhaps time to make one definitive one? 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. AMY: …and I’ve gotten a concussion still, even wearing one, you know. ZEIGLER: It goes back and forth. MARKO (Caller, San Diego): Good morning.

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