Objective: To determine the presence of chronic traumatic brain injury
in professional soccer players. Methods: Fifty-three active professio
nal soccer players from several professional Dutch soccer clubs were c
ompared with a control group of 27 elite noncontact sport athletes. Al
l participants underwent neuropsychological examination. The main outc
ome measures were neuropsychological tests proven to be sensitive to c
ognitive changes incurred during contact and collision sports. Results
: The professional soccer players exhibited impaired performances in m
emory, planning, and visuoperceptual processing when compared with con
trol subjects. Among professional soccer players, performance on memor
y, planning, and visuoperceptual tasks were inversely related to the n
umber of concussions incurred in soccer and the frequency of 'heading'
the ball. Performance on neuropsychological testing also varied accor
ding to field position, with forward and defensive players exhibiting
more impairment. Conclusion: Participation in professional soccer may
affect adversely some aspects of cognitive functioning (i.e., memory,
planning, and visuoperceptual processing).