Saturday, March 12, 2016

A head start

Daily News (West Bend, Wis.)
Published: March 10, 2016



A head start

UW to conduct first test regarding headbands in soccer

By NICHOLAS DETTMANN
Daily News

Tim McGuine has seen data that shows the force of a soccer ball going against a person’s head is similar to being hit in the head by a brick.
He’s also seen data that shows no connection between headers and concussions.
It’s time to find out which is the truth.
McGuine of the University of Wisconsin School of Medicine and Public Health and Alison Brooks, assistant professor in the UW Department of Orthopedics and Rehabilitation, Division of Sports Medicine, have commissioned a study to explore head injuries in soccer, centering on the use and effectiveness of headbands.
“There’s conflicting results, just like with helmets in football,” said McGuine, who is a senior scientist and researcher in the sports medicine program at UW. “There have been studies where they’ve shown on dummies that there is some force (from soccer balls). On the other hand, they’ve shot soccer balls and the balls deflate to an extent where the force is minimal.”
McGuine added he’s fielded seemingly hundreds of calls and emails from medical providers, parents and coaches about the effectiveness of headbands in soccer and whether they truly reduce concussion risk. McGuine hopes to finally answer the question with more confidence once the study is completed.
“That’ll give us a definitive picture,” he said. “Don’t mandate it if it’s not proven. We want to provide evidence.”
The study, which will be the first to explore this topic, will take two years starting in August. McGuine and his research team want about 3,000 high school soccer players (male and female, ages 14 to 18 and in ninth through 12th grades) from 88 Wisconsin high schools to enroll in the study. The subjects will fill out a baseline survey and then schools will be randomly assigned to either wear the head gear, which will be provided at no cost to schools or parents, or not wear head gear.
McGuine said the study needs “several hundred thousand practices and games” in order to get confident data.
There will be five models of headbands for students to choose from and they will be provided by researchers. All of the gear is approved for use by FIFA and NFHS and schools will be provided $100 to $200 per season. Once the study is complete, all unused gear will be donated to participating schools. The study is funded by a $300,000 grant from the National Operating Committee on Standards for Athletic Equipment.
Kewaskum is one local school that has expressed a desire to participate. Athletic trainer Emily Anderson said she immediately jumped at the opportunity.
“It’s overdue,” she said of the study. “It needs to be done. I know a lot of researchers have done studies on the helmets in football. I think the whole concussion thing needs to be extended to soccer.”
Anderson added she hopes Kewaskum is picked. “It’s going to be a great study,” she said.
McGuine hopes more schools are willing to participate. But he also said he’s not trying to scare people from participating in soccer or other contact sports.
“If you care about the sport of soccer, you should ask (the school district) why we’re not participating in this study,” McGuine said. “I agree with soccer purists. Head gear is something they may not want to embrace, but we need to research. I don’t want to ruin it or scare people.” According to the synopsis with the study, an estimated 40,000 head injuries happen to soccer players, with girls having the higher frequency.
“The rate of concussion in girls’ high school soccer is fourth highest, behind only football, boys ice hockey and lacrosse, and high-school girls soccer players get concussed at almost twice the rate as their male counterparts,” Brooks said. “The reason for this increased risk in girls is not clearly understood. This study is incredibly important in helping us to learn more about concussion in a nonfootball sport, and to specifically look more closely at gender differences as well as monitor rates of other types of injuries that may be affected by use of the headgear.”
Following Daily News’ story
In August, the Daily News published a story looking at the debate of headers and protective head gear in soccer.
At that time, West Bend West boys and girls soccer coach Kyle Cruse said, “I’d hate to see the game lose its purity.”
He also acknowledged the seriousness of head injuries in all sports.
Also in that story, Deb Hauser from the WIAA suggested headbands could make players more reckless under the belief that, if proven, head bands could reduce concussions. McGuine and Anderson each agreed that is possible and cautioned players about that.
“They may still fall on the ground and hit their head,” Anderson said, adding most of the soccer concussions she’s seen in her 10 years at Kewaskum is because of body-to-body contact or hitting their head on the ground.
“I’m not trying to scare people,” McGuine said. “I want to keep sports accessible. We have to be careful when we mandate things. If I’m a parent, I should have some certainty if I’m asked to go purchase these things.”
“The more we can do to prevent, the better we’re going to be,” he added.

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