Romelu Lukaku situation shows need for Premier League concussion policy

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After Romelu Lukaku scored the winning goal in Everton’s 3-2 win over West Ham, he admitted he could not remember anything about the play.

“Nothing,” he said. “I didn’t even know that I scored. … I didn’t remember what happened for a couple of seconds, and then I woke up, and they said I scored.”

If Lukaku was unconscious, that makes the decision to put him back on the field that much more irresponsible. Everton had used all three of its substitutes at the time of his injury, and taking him off would have meant playing a man down with a slim lead in the dying minutes away from home.

The 2013-14 Premier League Handbook outlines the thinnest definition of a head injury policy:

Any Player, whether engaged in a League Match, any other match or in training, who having sustained a head injury leaves the field of play, shall not be allowed to resume playing or training (as the case may be) until he has been examined by a medical practitioner and declared fit to do so.

That’s all there is to it: No definition of “medical practitioner” or clarification of what constitutes an examination or what it means to be “declared fit.” Athletic trainers and physiotherapists have some level of understand of concussions, but their knowledge doesn’t run as deep as a medical doctor’s, and an examination on the side of a field in a noisy stadium is not the same as a thorough evaluation in a quiet room.

This is one aspect that Major League Soccer gets right. Every club puts its players through baseline testing before the season begins, and even after they are symptom-free following a head injury, they have to see a neuropsychologist for more strenuous testing before being allowed to return to any activity, let alone full training.

The current MLS concussion protocol came into effect in 2011, and baseline testing began to be a routine measure in 2007.

As for Lukaku, not only did he finish the match against West Ham on Saturday, but he also played 90 minutes in a 2-1 League Cup loss to Fulham on Tuesday. Had he suffered another blow to the head in those approximately 95 minutes or in training between the original injury and the (now extended) time until he makes a full recovery, the situation would only get worse.

Coming back too early from a concussion can have long-term cognitive effects in adults, and it is downright deadly for children. Just ask Taylor Twellman, the outspoken ESPN analyst and former New England Revolution forward whose promising career was cut short by concussion-related symptoms.

The Premier League’s 54-word, one-sentence policy on head injuries is simply not enough.

Bundesliga wrap: Relegation playoff race stays tight

Christian Charisius/dpa via AP
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With three matches remaining for all 18 Bundesliga clubs, there’s clarity at the very top and bottom but plenty to sort in the races to qualify for Europe and avoid the relegation playoff.

[ RECAP: Man City 5-0 Swans ]

We focus on the latter here, with all three teams on 30 points losing away from home this weekend, including one to the 17th place side in Germany.

Hamburg 1-0 Freiburg

Lewis Holtby scored a 54th minute goal to keep the hosts’ slim survival hopes alive, and USMNT forward Bobby Wood got into the match for the final 23 minutes as Hamburg scooped up a rare win.

Augsburg 2-0 Mainz

The visitors had more of the ball but couldn’t rebound from a 29th minute Michael Gregoritsch goal, allowing Alfred Finnbogason to seal the result in stoppage time.

Borussia Monchengladbach 3-0 Wolfsburg

Wolfsburg has a hefty edge on Mainz and Freiburg in terms of goal differential, but won’t be feeling too confident after watching Lars Stindl, Raffael, and Christoph Kramer all score before halftime.

Elsewhere
RB Leipzig 2-5 Hoffenheim
Eintracht Frankfurt 0-3 Hertha Berlin
Stuttgart 2-0 Werder Bremen
Hannover 96 0-3 Bayern Munich
Borussia Dortmund 4-0 Bayer Leverkusen
Koln 2-2 Schalke — USMNT’s McKennie goes 90

STANDINGS

Team GP W D L GF GA GD Home Away PTS
 Bayern Munich 31 25 3 3 84 22 62 13-2-0 12-1-3 78
 FC Schalke 04 31 16 8 7 49 35 14 9-4-2 7-4-5 56
 Borussia Dortmund 31 15 9 7 61 41 20 9-4-3 6-5-4 54
 Bayer Leverkusen 31 14 9 8 55 41 14 7-5-3 7-4-5 51
 1899 Hoffenheim 31 13 10 8 60 44 16 9-4-2 4-6-6 49
 RB Leipzig 31 13 8 10 47 47 0 8-4-4 5-4-6 47
 Eintracht Frankfurt 31 13 7 11 41 40 1 7-4-5 6-3-6 46
 Mönchengladbach 31 12 7 12 42 48 -6 8-4-4 4-3-8 43
 Hertha BSC Berlin 31 10 12 9 38 35 3 5-6-4 5-6-5 42
 VfB Stuttgart 31 12 6 13 29 35 -6 9-4-3 3-2-10 42
 FC Augsburg 31 10 10 11 40 40 0 6-4-6 4-6-5 40
 Werder Bremen 31 9 10 12 34 38 -4 6-5-4 3-5-8 37
 Hannover 96 31 9 9 13 38 47 -9 7-3-6 2-6-7 36
 VfL Wolfsburg 31 5 15 11 30 40 -10 2-8-5 3-7-6 30
 FSV Mainz 05 31 7 9 15 32 49 -17 6-3-6 1-6-9 30
 SC Freiburg 31 6 12 13 26 51 -25 5-6-4 1-6-9 30
 Hamburger SV 31 6 7 18 24 48 -24 5-4-7 1-3-11 25
 1. FC Köln 31 5 7 19 31 60 -29 3-5-8 2-2-11 22

Pep celebrates another historic Man City performance

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Pep Guardiola was thrilled with his club’s response to sealing the Premier League title: More dominance.

[ RECAP: Man City 5-0 Swans ]

Man City battered Swansea City 5-0 at the Etihad Stadium on the strength of goals from five different players.

“From the first minute to the last one, we played what we have shown in the season,” Guardiola said on NBCSN after the match. “(We scored) a lot of goals and we didn’t concede. We play to keep improving our game here and for the next season.”

Guardiola could hardly differentiate between the club’s stylish Sunday goals, saying, “The first one, the second one, of course the third one. … The Yaya pass was amazing. All the goals were so good.”

And he was also pleased with the support from the Etihad Stadium crowd, though he admits he was grateful to escape before the City faithful stormed the pitch.

Guardiola said he thinks the supporters are still behind their team despite the decisive UEFA Champions League loss to Liverpool because of how hard City plays week-in and week-out.

“That’s happened because they know that we are not liars in the way we want to play,” he said. “They know that we tried our best from the beginning to the end. We knew from the beginning how happy they were.”

Conte relishing renewal of Mourinho rivalry

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LONDON —  Antonio Conte versus Jose Mourinho. Chelsea versus Manchester United.

The FA Cup final on May 19 will be some showdown between two Premier League giants as Chelsea breezed past Southampton 2-0 in their semifinal at Wembley on Sunday.

Conte against Mourinho is a battle which has become increasingly feisty over the past two seasons as they’ve had public spats and insulted one another.

Speaking after the game, Conte was asked about his relationship with Mourinho and potential fireworks on the sidelines, as well as on the pitch, during the final.

“With Jose [Mourinho], we have clarified the situation and that is the most important thing. There is not a problem between him and I,” Conte said. “I think this is a final between two great teams. In my mind I can tell you last season we arrived as favorites against Arsenal. I think in this season season we are not arriving as favorites but as you know very well, last season we lost the cup.”

Conte then revealed he respects Mourinho despite the words the two had earlier this season.

The Italian coach responded to Mourinho’s comments about him, and other PL managers, acting like “clowns” on the sidelines by saying Mourinho was a “fake, little man” as United’s manager also hit out and made a remark about Conte’s involvement in a previous match-fixing investigation.

“We are talking about two managers with a strong character and about two winners and when your mind, your heart, your blood and there is the will to win, for sure we want to try to win this trophy,” Conte said. “The same way Manchester United wants to achieve this. I have great respect for United’s story, for Mourinho’s story. I think they have the same respect for Chelsea’s story and my story.”

Let’s see if that respect is on show during what should be a fantastic final next month as it could well be Conte’s final game in charge of Chelsea.

Man City 5-0 Swans: Royal blowout

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  • Swans give guard of honor
  • Four different goal scorers
  • Fabianski saves PK

Five different players scored as Manchester City hammered Swansea City 5-0 at the Etihad Stadium on Sunday.

Fans flooded the pitch after the final whistle, many congregating around a surprised Benjamin Mendy in his return from injury.

Kevin De Bruyne scored the highlight reel goal, with David Silva, Raheem Sterling, Gabriel Jesus, and Bernardo Silva also scoring for the Premier League champions in their first match since sealing the title through a Manchester United loss to West Brom.

[ MORE: Watch full PL match replays ]

Man City put together another brilliant team goal to open the scoring, with Kevin De Bruyne playing Raheem Sterling toward the end line and David Silva burying Sterling’s cutback in the 12th minute.

Sterling made it 2-0 in the 16th minute, capping off a 1-2 between Fabian Delph and David Silva with a back post tap-in.

Lukasz Fabianski caught a curling effort from Bernardo Silva as the match reached the half hour mark. He’d stop De Bruyne two minutes later.

[ MORE: Latest Premier League standings ]

[ MORE: Full lineups, stats, box score ]

De Bruyne scored an otherworldly goal from 25 yards in the 54th minute.

Swansea almost had an answer through Ki Sung-yeung’s corner kick, but Alfie Mawson headed over the bar.

Federico Fernandez conceded a penalty kick to Sterling, and Jesus saw his chance saved by Fabianski. That didn’t stop Bernardo Silva from carving a rebound goal for 4-0.

Benjamin Mendy made his long-awaited return from injury with a 75th minute substitution for Delph.

Fellow substitute Phil Foden took a play started by Yaya Toure and nearly found an assist when Fabianski caught Jesus’ header.

Jesus got his goal when he popped Toure’s scooped past over Fabianski in the 88th.