All sports worldwide in recent years have started to take concu sions and their impacts on players more seriously and football is no exception.This is from the gra sroots level where heading a ball before a certain age is banned, right up to the profe sional leagues where we are beginning to see the implementation of concu sions substitutions.While the details vary between leagues, concu sions substitutions allow teams to replace a player who is showing signs of suffering concu sion without using one of their allocated substitutions.It is designed to get teams to Gale Sayers Jersey consider player welfare over the team as a whole, but does it work as planned?MORE: FIFA confirmed before the World Cup that concu sion substitutions would be allowed at the 2022 World Cup the first ever to have them in place.There have long been calls for the competition to have concu sion substitutions so that teams would not jeopardise the health of their players in the pursuit of winning a World Cup game.The i sue became prominent in football circles during the 2014 World Cup Final, when German midfielder Christoph Kramer sustained a head injury after failing to leave the field after receiving a knock to the head and exhibiting concu sion symptoms. Referee Nicola Rizzoli revealed that Kramer came up to him during the match and asked him if he was in the World Cup Final, at which point Rizzoli informed the Germany team and replaced him.The situation caused much debate and highlighted a need to take concu sions more seriously and to have procedures in place to avoid these incidents occurring. FIFA's official concu sion protocol dictates that: If there are signs or symptoms of damage to the brain, or a concu sive injury is suspected despite the absence of signs or symptoms, the doctor/therapist should remove the player from the pitch for a more detailed examination (using a concu sion substitute if available/required) Richard Dent Jersey .While this is a good theory in practice, as a directive to medical officials that forces them to take a safety first approach, there is still no requirements for any independent medical examiners to provide a se sments as to whether players are fit to continue playing after a head knock. After the concu sion substitution was first introduced by FIFA at the 2021 FIFA Club World Cup on a trial basis, many top leagues around the world officially adopted concu sion substitutions as part of their rules.The English Premier League, France's Ligue 1, and the MLS are all leagues that quickly adopted the concu sion substitution in and around 2021.The first instance of the concu sion substitution being used in English football came on February 6, 2021 when West Ham's I sa Diop was substituted at half-time after receiving a head knock during a match. He continued to play initially, however after further a se sment in the locker rooms he was deemed not Eddie Goldman Jersey fit to play and was replaced without havig one of West Ham's allocated subs taken away from them.In the aftermath of this, the Profe sional Footballers' A sociation praised the concu sion substitution rule as something that is of great benefit to players' long term health and safety while playing the game. Not including the concu sion substitution, teams are allowed to make five substitutions during a game at the 2022 World Cup at three separate intervals during a match. This is an increase from the three substitutions normally seen at a World Cup due to the continuing impacts of Covid-19.In addition, in extra time games in the knockout rounds teams are also permitted to make one extra substitution, meaning that up to six substitutions could be made during a game if it goes to extra time.The World Cup is moving in line with many major leagues around the world, which increased the amount of substitutes on the bench and also the amount of substitutions able to be made from three to five.Iran's goalkeeper after clashing heads with his own defender, he tried to play on after being tended to by the medical team Mike Singletary Jersey ESPN FC (@ESPNFC) The i sue of the concu sion substitution made an immediate impact at the 2022 World Cup in England's 6-2 win over Iran.In the first half, Iranian goalkeeperAlireza Beiranvand was involved in an awful collision with teammate Majid Ho seini, which left the keeper bloodied and bruised and also evidently disorientated, a sign of concu sion.However he was initially permitted to continue playing, though he then slumped David Montgomery Jersey to the floor after the game got back under way, forcing the team to replace him with substitute keeper Ho sein Ho seini using the free concu sion substitution. It was later revealed that Beiranvand suffered a broke nose and a severe concu sion in the incidentIn the aftermath of this incident, many pundits and fans slammed FIFA and the Iranian team for initially clearing Beiranvand to continue playing despite his physical state and evident symptoms of concu sio.Luke Griggs of brain injury charity Headway said: "It is an utter disgrace that the Iran keeper Alireza Beiranvand was allowed to stay on the pitch. It was irrelevant that he came off a minute later, he shouldnt have stayed on for a second, let alone a minute. He was clearly distre sed and unfit to continue."Many believe there are still loopholes that allow for teams to coerce or allow players to continue playing even if they are showing evidence of concu sion.