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Parents using concussion caution

AP - Pittsburgh Steelers safety Troy Polamalu stretches during NFL football practice, Wednesday, May 23, 2012, in Pittsburgh. (AP Photo/Keith Srakocic)
<div style='float:right;width:100%;' align='right'><em>AP</em></div>Pittsburgh Steelers safety Troy Polamalu stretches during NFL football practice, Wednesday, May 23, 2012, in Pittsburgh. (AP Photo/Keith Srakocic)
Christopher Horner | Tribune-Review For Gorman column 10/8/11 - Seton-LaSalle senior Dylan Boccella catches a pass during the Rebels' practice Wednesday October 5, 2011 in Dormont. Boccella returned to practice after missing 6 weeks with a concussion.
<div style='float:right;width:100%;' align='right'><em> Christopher Horner | Tribune-Review  For Gorman column 10/8/11</em></div>Seton-LaSalle senior Dylan Boccella catches a pass during the Rebels' practice Wednesday October 5, 2011 in Dormont. Boccella returned to practice after missing 6 weeks with a concussion.
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Steelers' opinions

Steelers answer the question, “Should kids play football?”

Troy Polamalu: “Absolutely. You face so many different adversities. You deal with so much emotionally, but what makes this sport unique is that you can deal with a lot physically. You face guys that are bigger, stronger and faster than you. You can be physically dominated, but you still have to get up and fight. That's a type of thing you can't learn anywhere else, especially not in any other sport.”

Larry Foote: “Yes, because they're just starting to scratch the surface of making the game safer — and they are trying. My son isn't going to be skateboarding or any X-Games type of activities. The way I feel about that stuff is the way some people feel about football, that it isn't safe. But I know how football challenges you every day, how you learn discipline and control. Once you start learning those things you can apply them to anything, including studying and especially life.”

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Playing football has provided Steelers safety Troy Polamalu wealth, fame and Super Bowl glory. He also has experienced disorientation with sharp headaches dating to high school, when he was first diagnosed with a concussion.

Polamalu won't prevent his sons, Paisios and Ephraim, from following in his footsteps, but that comes with a catch: He doesn't want parents basing decisions about their children on his opinion that “the positives of playing football have shaped my life as much as almost anything else.”

Rather, he advises caution.

“I don't know if parents should feel comfortable, to be honest,” Polamalu said Thursday after the Steelers' offseason practice at their South Side facility. “It's not the responsibility of the game to make anybody feel comfortable.”

Youth football enrollment — about 3 million annually since 2007 — "potentially may" decrease over the next few years because of a concussion crisis, said USA Football executive director Scott Hallenbeck. The Centers for Disease Control and Prevention identified concussion among youth athletes as an epidemic, with 1.8 million to 3.6 million diagnosed annually.

About 67,000 concussions annually result from high school football, the most of any sport, according to medical journals.

“I'm definitely hearing concern from (youth football league) commissioners about concussions,” Hallenbeck said. “That's all they talk about. It's all anybody talks about.”

Parents are becoming more cautious about allowing their children to resume playing after a concussion, said Dr. Jack Wilberger, chief of neurosurgery at Allegheny General Hospital on the North Side.

“I saw a kid last week with his third concussion in two years. His father brought up that (he and his wife) were both perfectly fine with their kid not returning,” Wilberger said. “In the past, parents were pushing kids to go back, but that's decreasing.”

That development is welcome to agent Ralph Cindrich, who played at Pitt and several seasons in the NFL.

Cindrich's son, Michael, was diagnosed with a concussion while playing for Shady Side Academy in the late 1990s. Michael Cindrich recovered and played at Bucknell, but that career was cut short by a broken ankle.

“When he had his ankle shattered, I was very much relieved that he wouldn't play football anymore,” Ralph Cindrich said. “I was relieved he could get out of the game without permanent brain damage. When you look into your son's eyes and all you see is blurriness, all you can think is, ‘What, for a game?'

“That's about as sick and low a feeling as you can have as a parent, and I played football.”

Players at every level generally do not think about long-term ramifications of head trauma, Cindrich said. But professional experience helped convince Steelers linebacker Larry Foote that his son, Trey-veion Hammond, 17, should stick with the sport.

“I know the game better than the average parents because I've played it almost my entire life,” Foote said. “I like the steps being taken at all levels to make the game safer. You see it in our league, being conscious of head injuries and all injuries. At the younger levels we're teaching people how to tackle properly again, how to play rough and fast.

“Everybody can't play this game. Everybody shouldn't. When you sign up, you should know what you're getting into. If you're a kid, your parents need to get educated on the good and the bad, know all the risks.”

Michael Collins, a clinical psychologist who runs the renowned UPMC Sports Medicine Concussion Program, said neither parents nor youth athletes should fear playing football or any contact sports.

Collins played an advisory role for the Safety in Youth Sports Act that mandates concussion protocol for youth athletes in the state. Passed into law in October, the act requires a youth athlete with a concussion to be cleared for return to play only by a concussion expert or that expert's appointee.

The upcoming high school football season will the first played under the law.

Collins cleared former Seton-La Salle receiver Dylan Boccella for return to play after a seven-week absence because of a concussion last season. Boccella, set to enter his freshman term at Clarion, said he never considered not returning to play.

He had a hard time convincing teammates all was well upon his return.

“The first day I remember running routes, doing real good, took a couple of hits to the head,” he said. “But I jumped for this ball, the defender tapped me, my head crashed to the ground, and the whole team gasped. I'm like, ‘I'm good, guys. I'm good.' ”

His mother never lost a sense of nervousness about his return to football, Boccella said.

“I don't think anything calmed her down, but she let me do what I love,” he said.

Collins and Hallenbeck would love to see balance established, with the focus of many — parents, former players, the media — squarely on football and concussion.

“The pendulum has swung from one extreme — smelling salts, holding up fingers — and now it's wildly to the right — getting rid of football altogether — and the reality is somewhere in between.”

Rob Rossi is a staff writer for Trib Total Media. He can be reached at rrossi@tribweb.com or 412-380-5635.

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