Brooke de Lench's blog

At the beginning of the month, 8-year-old Gabriel Mendoza was hanging on the crossbar of a soccer goal post during a soccer game in South Mountain, Arizona, when it fell on him. He was the ninth boy in the past three years to die from a falling goal post. News reports of his death did not say whether the goal post was anchored or, if it was anchored, whether it was anchored incorrectly.

With several recent studies demonstrating the clinical value of neuropsychological (NP) testing in evaluating the cognitive effects of and recovery from sport-related concussions, such testing has become increasingly popular in recent years, with the 2008 Zurich consensus statement on sports concussions¹ viewing NP testing as an "aid in the clinical decisionmaking process" and an "important component in any return to play protocol." 

The sad fact, and what makes it sometimes hard for parents to truly believe that programs are taking concussions seriously, is that many of the sports programs in which their children participate do not follow any set of return-to-play guidelines, and if they do follow guidelines, they are too liberal in terms of same-day return-to-play (RTP). When parents are kept in the dark like that, when they have no clue as to how a program treats concussions, their anxiety level naturally goes up.

The best way to ensure that athletes who suffer concussions playing sports have the best possible outcome in both the short and long term is to educate them and their parents about the importance of self-reporting and the parent's role in the critical return to play decision.

It is my belief that parents have a right to expect, when they entrust their children to a sports program - whether it be Pee Wee hockey, youth lacrosse, Olympic development soccer, or high school football - that it will take reasonable precautions to protect them against harm. In other words, parents have a right to expect that the entire team to whom they entrust their children's safety - including the national governing body for the child's sport, the state association, the athletic or club director, the athletic trainer (if there is one), and especially the coaches - are part of the concussion solution, not part of the problem.