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Football season is just around the corner in America!

As we gear up, we wanted to highlight a new publication by Dr. Pamilla Castillo Rocha, a neurologist at the [Nicklaus Children’s Hospital](https://www.nicklauschildrens.org/) in Miami, FL, on the “football” that the rest of the world thinks of when you say the word. Dr. Rocha just published a meta-analysis (i.e., review of published research papers) she spearheaded, “ [A Narrative Review of Soccer-Related Concussion Management in Children and Adults Over the Past 10 Years](https://www.cureus.com/articles/281644-a-narrative-review-of-soccer-related-concussion-management-in-children-and-adults-over-the-past-10-years#!/).”

This comprehensive review analyzed studies from 2013 to 2023 on soccer-related concussion management. Some of the key takeaways are surprising:

**-Increase in Soccer-Related Concussions (SRC):** Despite a reduction in concussions across various sports, SRCs have notably increased.

**-Higher Incidence in Females:** SRCs are more frequent in females (57.6%) compared to males (44.3%).

**-Mechanism of Injury:** Player-to-player interaction is the most frequent cause, with midfielders being the most affected position.

**-Importance of Early Diagnosis:** Early diagnosis by certified athletic trainers within 24 hours is crucial, with SCAT and ImPACT tools commonly utilized.

This publication is a valuable resource for both the concussion and soccer communities. Surprisingly, concussions are on the rise in soccer, and in particular females have a higher incidence of injury. The higher incidence of concussion in females is something that [has been reported previously](https://pubmed.ncbi.nlm.nih.gov/34419893/) by New Zealand researchers, and [in the US particularly for high school aged girls](https://spectrumnews1.com/oh/columbus/news/2022/10/20/experts--girls--soccer-has-second-highest-rate-of-concussions-after-football), according to the US National High School Sports Related Injury Surveillance Study.

The way players are injured is another important finding in this meta-analysis. Players and coaches can now teach specifically around the information that midfielders are most often injured and player-to-player interactions are the greatest cause of concussions in soccer.

Soccer, the world’s football, is a great sport that so many people enjoy playing and watching. Together, we can make it a safer one for all.

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