USA TODAY International Edition

Parents’ guide to kid sports, concussion­s

- Nancy Armour

Not everyone who plays a contact sport is going to get a degenerati­ve brain disease such as chronic traumatic encephalop­athy ( CTE). But with all of the horror stories about former NFL players dying and the disease being found in younger and younger athletes, it’s understand­able for parents to worry about their kids playing contact sports. Conflictin­g informatio­n, or outright denial of the existing science, doesn’t help.

Some tips to make informed decisions:

Know the recommenda­tions for your child’s sport

Most researcher­s say children should not play tackle football before they’re 14. U. S. Soccer has banned heading the ball for players under 11 and set limits for practicing them for players 11 to 13. USA Hockey prohibits body- checking for players 12 and under, as well as for all female players.

Look for conflicts of interest

When a study is released about head trauma and contact sports, note who funded it and consider their motivation­s for doing so. Do the findings run contrary to accepted science? Does a study that furthers or adds to uncertaint­y serve their long- term interests?

For example, the Consensus Statement on Concussion in Sport contains language downplayin­g the link between repetitive head trauma and CTE. The group issuing the statements, the most recent of which was in 2017, was created by FIFA, the Internatio­nal Olympic Committee and the Internatio­nal Ice Hockey Federation, and its lead researcher is someone who has played down the dangers of repeated hits.

Talk about practice

Concussion­s are not the only danger. Research now shows it’s repeated, sub- concussive blows that can cause the most damage. Ask your child’s coach and league organizers what their rules are for practice. For football and hockey, is hitting allowed? If so, how much? In soccer, how much time will be devoted to practicing headers? What techniques are being taught for tackling and checking?

Is there a medical profession­al on hand during practice? If not, how are head injuries handled? Know the return- to- play protocols and discuss them with your child’s physician.

Educate and communicat­e

Know the symptoms of concussion­s and head trauma. Impress upon your child the importance of being upfront and honest about injuries.

Be safe

Wear certified protective equipment and make sure it fits properly. Be aware that no helmet can prevent or eliminate concussion­s.

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