Substitution due to concussion in soccer: What it is, rules, and prevention
Concussion substitution in soccer is key to player safety. Learn how the medical protocol works and how to prevent injuries.
What is a concussion in soccer?
A concussion is a head injury caused by a strong impact that temporarily affects brain function. In soccer, these injuries can occur due to:
- Collisions between players in aerial duels.
- Hitting the ground or posts.
- Repetitive headers.
Symptoms may include dizziness, blurred vision, disorientation, memory loss, and nausea, making it essential to act quickly.
What is a concussion substitution in soccer?
The concussion substitution is an additional substitution allowed when a player suffers a blow to the head and shows symptoms of concussion. Its purpose is to prioritize the player's health without harming the team.
This protocol was implemented by FIFA, UEFA, and other federations to ensure that no player continues in the match if there is suspicion of a brain injury.
Rules for concussion substitutions in soccer
FIFA and the IFAB (International Football Association Board) have established specific rules for this substitution:
- If concussion is suspected, the player must leave the field immediately.
- The team may make one extra substitution, without it counting toward the regulatory substitutions.
- The substituted player must be assessed by medical personnel before returning to competition.
- If a team makes a concussion substitution, the opposing team receives an extra substitution to maintain parity.
Protocol in action: the case of Gavi in Barcelona vs. Alavés
One of the most recent cases illustrating the concussion protocol occurred during the match between Barcelona and Alavés.
The crash that worried everyone
During the match, Gavi (Barcelona) and Tomás Conechny (Alavés) collided heads violently. The impact left Conechny on the ground, requiring him to be stretchered off the field.
For his part, Gavi quickly got up and showed his intention to continue playing. However, the protocol for head injuries forced him to leave the field and be examined by the team doctor.
The questions that defined his departure
Barcelona's doctor, Ricard Pruna, performed a quick assessment with key questions to detect signs of concussion:
- "What day is it today?"
- What time is it? Can you tell me what time the game starts?
Gavi's initial response was concerning: "I have no idea," which raised concerns among the medical team.
Although he answered the second question correctly, the assessment was clear: Gavi had symptoms of concussion and could not continue playing.
Final decision and medical protocol
The doctor communicated his diagnosis to coach Hansi Flick: "It's a concussion", forcing Barcelona to substitute Gavi.
The player was taken to hospital for further tests, and the club later confirmed:
During the match against Alavés, Gavi suffered a head injury without losing consciousness. The tests have come back normal and he has been discharged to recover at home.
This case demonstrates the importance of the concussion protocol, preventing players with symptoms from continuing on the field and putting their health at risk.
How can concussions be prevented in soccer?
1. Use of specialized protection
The use of protective tapes such as Proteckthor B1 reduces the force of impact by up to 93%, helping to prevent head injuries.
2. Education and awareness
- Training for players and coaches on the risks of concussions.
- Early recognition of symptoms and immediate implementation of the change protocol.
3. Changes in regulations and arbitration
- Penalties for dangerous collisions with cards and sanctions.
- Implementation of mandatory medical testing prior to returning to play.
4. Monitoring and advanced technology
The development of sensors in protective straps will enable the intensity of impacts to be measured and alert medical personnel in real time.
Conclusion
The concussion substitution rule in soccer is an essential measure to protect players' health. Thanks to this regulation, the risk of irreversible neurological damage has been reduced.
In addition, the use of padvanced protection such as Proteckthor B1 and awareness of these injuries will make soccer a safer sport in the future.
Frequently Asked Questions (FAQ)
1. What should be done if a player suffers a concussion during a game?
They should be removed from the field immediately, the medical protocol should be followed, and a substitution should be made for concussion.
2. Can concussions in soccer be prevented?
Yes, with protective headbands, education about impacts, and changes in the rules to prevent dangerous plays.
3. What happens if a player continues to play with a concussion?
They may suffer serious consequences such as memory loss, chronic dizziness, and permanent brain damage.
4. How many extra substitutions does FIFA allow for concussions?
One additional substitution is allowed, and the opposing team receives an extra substitution to balance the competition.
5. Which leagues have already implemented the concussion substitution rule?
The Premier League, LaLiga, the Bundesliga, and FIFA competitions have adopted this protocol since 2021.