US Youth Soccer has mandated that no player in Grade 5/6 or younger may head the ball in games or practice. Heading should be very limited in practice for grade 7/8.


Changes in brain functions:

  • Unaware of game (opposition colors, score of game, last play)
  • Confusion
  • Amnesia (does not recall events prior to the hit or after the hit)
  • Drastic changes in alertness
  • Does not know time, place or date
  • Slowed responses to questions or conversation
  • Decreased attention and concentration

Mental and emotional changes:

  • Depression
  • Anxiety
  • Anger
  • Irritability
  • Emotionally unstable

Physical changes:

  • Headache
  • Dizziness
  • Nausea
  • Unsteadiness/loss of balance
  • Feeling "dinged" or stunned or "dazed"
  • Seeing stars or flashing lights
  • Ringing in the ears
  • Double vision

Changes in sleep:

  • Too much sleep
    • School-age children (6-13): > 9-11 hours
    • Teenagers (14-17): > 8-10 hours
    • Younger adults (18-25): > 7-9 hours
  • Difficulty falling asleep or staying asleep


Remove, Evaluate and Rest are key steps to treating a concussion or other head injury in soccer. When a concussion is identified quickly, it prevents the injury from getting worse, and prevents the player from staying off the field for even longer.

An athlete who experiences a blow to the head or body should immediately be removed for play and should not return to play until he/she is evaluated. When in doubt, the athlete should sit out.

Have a health care professional evaluate the athlete immediately. Do not try to judge the severity of the injury yourself.

Never rush a return to play. A return to play should only occur after an athlete has been cleared by a medical professional. Inform the parents that the player must be cleared by a medical professional before return to play. If you rush the return, a player is at significantly higher risk for more problems in the future.

    If you have questions or problems, please read our Troubleshooting Guide.
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