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Matser EJT, Kessels AG, Lezak MD, Jordan BD, Troost J. Neuropsychological Impairment in Amateur Soccer Players. JAMA. 1999;282(10):971–973. doi:10.1001/jama.282.10.971
Author Affiliations: Department of Neuropsychology and Sports Neurology, St Anna Hospital, Geldrop, the Netherlands (Dr Matser); Department of Anatomy, Faculty of Medicine and Health Sciences, Erasmus University, Rotterdam, the Netherlands (Dr Matser); Research Unit Patient Care (Dr Kessels) and Department of Neurology (Dr Troost), University Hospital of Maastricht, Maastricht, the Netherlands; Department of Neurology, Oregon Health Sciences University, Portland (Dr Lezak); and Traumatic Brain Injury Program, Burke Rehabilitation Hospital, White Plains, NY (Dr Jordan).
Context Soccer players incur concussions during matches and training sessions,
as well as numerous subconcussive blows to the head from impacts with the
soccer ball (headers). The combination of soccer-related
concussions and the number of headers may be a risk for chronic traumatic
brain injury (CTBI).
Objective To determine whether amateur soccer players have evidence of CTBI.
Design, Setting, and Participants Cross-sectional study of 33 amateur soccer players and 27 amateur athletes
involved in swimming and track (controls) in the Netherlands who underwent
interviews and neuropsychological testing.
Main Outcome Measures Performance of soccer players vs controls on 16 neuropsychological tests
having 27 outcomes.
Results Compared with control athletes, amateur soccer players exhibited impaired
performance on tests of planning (39% vs 13%; P=.001)
and memory (27% vs 7%; P=.004). Among soccer players,
9 (27%) had incurred 1 soccer-related concussion and 7 (23%) had had 2 to
5 concussions during their career. The number of concussions incurred in soccer
was inversely related to the neuropsychological performance on 6 of the neuropsychological
Conclusions Our results indicate that participation in amateur soccer in general
and concussion specifically is associated with impaired performance in memory
and planning functions. Due to the worldwide popularity of soccer, these observations
may have important public health implications.
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