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.

How can Chelsea, Arsenal challenge for the title?

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There are just 24 days until the 2018/19 Premier League season kicks off.

So, now seems like a good time to continue to focus on what the big boys need to do in order to challenge for the title and the top four.

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We’ve already focused on the top two from last season and what each of Manchester City and Manchester United need to do to get better, and Tottenham and Liverpool’s quest to remain among the top four.

But what about London giants Chelsea and Arsenal? They both finished outside the top four last season and they both have new managers heading into the new campaign.

Will Maurizio Sarri and Unai Emery adapt quickly to life in England? Or will the London rivals struggle to rebuild and reach the top four as they’ll both play in the UEFA Europa League?

Below we analyze the situation for both Chelsea and Arsenal and their biggest needs for the season ahead.


Chelsea


Arsenal

Perisic, Rebic linked with moves to Man United

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Following their superb displays for Croatia at the 2018 World Cup, Ivan Perisic and Ante Rebic are being linked with moves to Manchester United via a report from the Sun.

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It’s no secret that Jose Mourinho is a big admirer of Perisic as he tried to buy the left winger from Inter Milan last summer but saw plenty of bids turned down as United missed out.

Perisic, 29, then went on to become one of Croatia’s star performers this summer as he scored three goals and grabbed two assists combined with tireless displays on the left flank. Perisic grabbed 11 goals and added nine assists last season as Inter qualified for the UEFA Champions League.

[ MORE: Alisson to Liverpool back on?

Rebic, 24, also had a fine tournament with his powerful surges forward from the right flank as the Eintracht Frankfurt star scored in the win against Argentina and went close to scoring in the World Cup final but his drive was saved by Hugo Lloris. He also committed more fouls than any other player at the tournament as he tracked back and dug deep in Croatia’s best-ever finish at a World Cup.

Do United really need these two attacking wide men?

Mourinho loves to add pace and power to his teams and they certainly fit the bill in that regard, with the likes of Juan Mata, Anthony Martial, Marcus Rashford and even Alexis Sanchez not out-and-out wingers. The transfer values of Perisic and Rebic will have soared due to Croatia finishing the tournament as runners up with Perisic valued at around $63 million and Rebic at $57 million.

Perisic only signed a new contract at Inter last season but given United’s long-time pursuit of him, he may feel like this could be his last chance to move to the Premier League, if that’s what his heart desires. While Rebic only just arrived at Frankfurt on a permanent deal after scoring twice in their German Cup final win last season, helping them win their first trophy since 1988.

If one or both of these players arrive at Old Trafford, serious doubt will be put on the future of Martial and Rashford as neither will seriously challenge Romelu Lukaku for the central strikers role.

Man City reveal squad for US tour

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Reigning Premier League champions Manchester City have announced their squad for their U.S. tour this summer.

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Pep Guardiola is without several first team stars as City had more players at the 2018 World Cup (16) this summer than any other team on the planet.

New club-record signing Riyad Mahrez will travel Stateside though, so too will Joe Hart, Claudio Bravo, Aymeric Laporte, Leroy Sane, Bernardo Silva and Benjamin Mendy, with promising youngsters Patrick Roberts, Phil Foden and Brahim Diaz also included.

Former New York City FC star Jack Harrison will also be part of Man City’s traveling squad as he returns to American soil after starring in MLS over the past few years before his move to City and subsequent loan to Middlesbrough in England’s second-tier.

City have a busy schedule of games in the States as they kick things off on Friday against Borussia Dortmund in Chicago. They then travel to New York City and play Liverpool at MetLife Stadium in New Jersey on July 25 before heading to Miami to play Bayern Munich on July 28 to round off their International Champions Cup action.

Take a look at the squad in full below.


Manchester City squad for US tour – 2018/19

Claudio Bravo
Joe Hart
Aymeric Laporte
Leroy Sane
Bernardo Silva
Benjamin Mendy
Tosin Adarabioyo
Riyad Mahrez
Patrick Roberts
Jason Denayer
Daniel Grimshaw
Oleksandr Zinchenko
Douglas Luiz
Jack Harrison
Lukas Nmecha
Phil Foden
Aro Muric
Eric Garcia
Nabil Touaizi
Brahim Diaz
Iker Pozo
Tom Dele-Bashiru
Benjamin Garre
Luke Bolton
Cameron Humphreys
Rabbi Matondo
Tyreke Wilson
Nathanael Ogbeta

Report: Liverpool in talks for Alisson

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It appears Alisson to Liverpool could be back on again.

A report from Di Marzio in Italy claims that AS Roma and Liverpool are in discussions over the transfer of Brazilian goalkeeper Alisson, with further reports from the UK stating Liverpool have offered $81 million for him.

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Their star goalkeeper, 25, was the subject of interest from Liverpool and Real Madrid before the 2018 World Cup began but Brazil’s starting goalkeeper didn’t have an outstanding tournament and Roma’s previous $100 million asking price may now have dropped.

Real may well turn their attention to Thibaut Courtois considering his recent comments that he could leave Chelsea with just a year left on his contract. As for Liverpool, their need for a new goalkeeper remains urgent following Loris Karius‘ mistakes in the UEFA Champions League final and Simon Mignolet falling out of favor.

With Karius backed by Jurgen Klopp several times over the past few months following his UCL final meltdown, Karius has continued to make mistakes in preseason games which may have accelerated Liverpool’s search for a new goalkeeper.

Although both Jack Butland and Nick Pope may well be cheaper options and have Premier League experience, Alisson is highly-regarded for his displays in Serie A and for Brazil and he is not only good with his feet but also a fine shot stopper. I mean, you have to be some goalkeeper to keep out Manchester City’s Ederson as the starter for the Brazilian national team.