Stricter guidelines for NFL players with concussions

NFL teams now have new, stricter instructions for when players should be allowed to return to games or practices after head injuries, guidelines that go into effect this week.

In the latest step by the league to address a hot-button issue, commissioner Roger Goodell sent a memo to the 32 clubs Wednesday saying a player who gets a concussion should not return to action on the same day if he shows certain signs or symptoms.

Those include an inability to remember assignments or plays, a gap in memory, persistent dizziness and persistent headaches.

The old standard, established in 2007, said a player should not be allowed to return to the same game if he lost consciousness.

Wednesday’s memo also says players “are to be encouraged to be candid with team medical staffs and fully disclose any signs or symptoms that may be associated with a concussion.”

Nearly one-fifth of 160 NFL players surveyed by the Associated Press from Nov. 2-15 replied that they have hidden or played down the effects of a concussion.

The league said its concussion committee, team doctors, outside medical experts and the NFL Players Association developed the new standards.

NFLPA assistant executive director George Atallah said the union is “encouraged by this new policy.” He added that the NFLPA “will continue to examine these issues independently to recommend the best possible policies and procedures.”

The new policy states, in part: “Once removed for the duration of a practice or game, the player should not be considered for return-to-football activities until he is fully asymptotic, both at rest and after exertion, has a normal neurological examination, normal neuropsychological testing, and has been cleared to return by both his team physician(s) and the independent neurological consultant.”

Teams were told this month they have to find an outside neurologist who can be consulted on concussions, and NFL spokesman Greg Aiello said Wednesday all of those independent doctors have been approved and are in place.

Since last month’s congressional hearing on NFL head injuries, momentum has been building for changes in league policy.

On Wednesday, Cleveland Browns running back Jamal Lewis was put on injured reserve with post-concussion symptoms, ending his NFL career. Lewis had previously said he would retire at the end of the season. His teammate, starting safety Brodney Pool, also went on IR after getting at least his fourth known concussion last weekend.

They were among 11 players listed on Wednesday’s league-wide injury report with concussions. Another eight were listed with head injuries.