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.

U.S. Open Cup roundup: Poku lifts Miami; Red Bulls, Cincy win on PKs

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While MLS represents the majority of the remaining clubs in this year’s U.S. Open Cup, one side continues to defy the odds.

[ MORE: Minnesota United adds Hearts midfielder Sam Nicholson ]

Miami FC reached their first quarterfinal in club history after knocking off Atlanta United late on Wednesday, behind a goal and an assist from Kwadwo Poku. The victory for Miami sets up a date with FC Cincinnati — who pulled off an unbelievable shootout win against the Chicago Fire.

Meanwhile, the New York Red Bulls and New England Revolution both advanced on the night with wins over the Philadelphia Union and D.C. United, respectively. The Red Bulls and Revs will meet in the final eight as well.

Sporting KC kept its hope of hoisting a fourth U.S. Open Cup title alive on Wednesday with a 2-0 win over the Houston Dynamo. The 2015 winners will take on FC Dallas — who defeated the Colorado Rapids on Tuesday night.

Here are all the results from tonight’s Open Cup action.

Houston Dynamo 0-2 Sporting KC
New England Revolution 2-1 D.C. United
Miami FC 3-2 Atlanta United
New York Red Bulls 1-1 (5-3 on PKs) Philadelphia Union
FC Cincinnati 0-0 (3-1 on PKs) Chicago Fire

Late action (10:30 p.m. ET kick off)

San Jose Earthquakes vs. Seattle Sounders
LA Galaxy vs. Sacramento Republic

Report: City Football Group set to expand outreach with Girona deal

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City Football Group appears on the verge of adding to its global outreach, and it’s next destination looks to be in Spain.

[ MORE: Are Southampton’s days of selling behind the club? ]

The group of investors, which are known for controlling Premier League side Manchester City, are reportedly nearing a deal to purchase a partial stake in Spanish club Girona — which is set to make its La Liga debut in 2017/18.

CFG is said to be gaining a near “50 percent” stake in the club, with the rest of the club owned by Media Base, a company owned by Pep Guardiola‘s brother, Pere.

Over recent years, CFG has vastly expanded its ownership outreach and currently has a stake in five clubs around the world, with Girona set to be the sixth.

MLS side New York City FC, Australian A-League side Melbourne City FC, Japan’s Yokohama F. Marinos and Club Atletico Torque in Uruguay are all part of the CFG enterprise, alongside Man City.

New York Red Bulls ink goalkeeper Luis Robles to new deal

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The “Iron Man” will keep up his amazing journey with the New York Red Bulls, after signing a new deal with the club on Wednesday.

[ MORE: Wesley Sneijder on verge of joining Los Angeles FC ]

Goalkeeper Luis Robles has extended his contract with the reigning Eastern Conference champions, as the American continues to raise his consecutive starts streak, which stands at 157.

The terms of the deal were not disclosed in the club’s release.

Robles joined the Red Bulls back in 2012 after playing in Germany, and the shot-stopper hasn’t missed a start ever since.

Report: Minnesota United adds Hearts midfielder Sam Nicholson

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Minnesota United has had its shares of ups and down in its debut MLS season, but the Loons are on the verge making an exciting young signing.

[ MORE: Wesley Sneijder closing in on Los Angeles FC move ]

ESPN FC is reporting that Minnesota will sign Hearts winger Sam Nicholson from the Scottish Premier League on a deal that makes him a Loon until 2019.

The young attacker is expected to join the MLS side when the summer transfer window opens on July 10.

Nicholson, 22, has played with the Edinburgh side since his youth days, and made his senior debut with the club in 2013. During his time at Hearts, Nicholson scored 16 goals in all competitions for the team.

Last season, Nicholson missed 16 matches due to a significant knee injury.

According to the report, Scottish sides Rangers and Aberdeen were also among those interested in acquiring Nicholson, while English Championship clubs Bristol City and Barnsley also reached out about the attacker.