Major League Soccer could become the first professional soccer competition to allow temporary concussion substitutions, pending a potential vote by the sport's global rule-making body next week.
, the Concussion Legacy Foundation's UK executive director, told Yahoo Sports last year. In most leagues and competitions, return-to-play decisions remain in the hands of team doctors, who often feel explicit or implicit pressure to send players back onto the field. There is often no independent oversight, and no punishment when protocols aren't followed.
The IFAB and FIFA, in the past, have essentially argued that temporary subs are an imperfect solution; advocates acknowledge this, but say they’re better than the status quo. Baer-Hoffmann and Alexander Bielefeld, FIFPRO’s director of policy and strategic relations for men's football, clarified that many leagues are not yet ready or have no interest in doing so.
At the business meeting — which typically takes place in the fall, but was pushed back until after the 2022 World Cup — each of the five organizations that sit on the IFAB board gets one vote. And when they vote — often on business matters, but occasionally on trials, such as trials of concussion subs — they only need a simple majority for approval.
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