Major League Baseball Institutes Seven-Day Disabled List for Concussions

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Mar 29, 2011

MINNEAPOLIS — Major League Baseball and its players’ union have announced a new set of protocols for dealing with concussions, including the creation of a new seven-day disabled list for players with the injury.

The league and the union announced the protocols in a joint statement on Tuesday. They include mandatory baseline testing for all players and umpires and new steps for evaluating players who may have suffered the injury and for having them return to action.

The new guidelines will be in effect starting on opening day.

The new disabled list is in addition to the 15-day and 60-day DLs that already exist for players with injuries. Any player needing more than 14 days to recover will automatically be transferred to the 15-day disabled list.

“It really is comporting our disabled lists with the reality of management of concussions,” MLB senior vice president of labor Dan Halem said.

Each team will also have to designate a specialist who deals with mild brain injuries to evaluate players and umpires when needed and be required send its medical reports to Dr. Gary Green, MLB’s medical director, for approval before the injured player is cleared to return to the field.

“This policy, which reflects the collective expertise of many of the foremost authorities in the field, will benefit players, umpires and clubs alike, and I am proud of the spirit of cooperation that has led us to this result,” Commissioner Bud Selig said in a statement.

It’s a topic that has been on the league’s radar for more than two years, Halem said.

With players such as Minnesota Twins first baseman Justin Morneau, New York Mets outfielder Jason Bay and Toronto Blue Jays infielder Aaron Hill missing huge chunks of games due to concussions in the last few seasons, baseball officials formed a committee to examine the issue this winter.

The committee was chaired by Dr. Alex Valadka, MLB’s consultant on mild traumatic brain injuries and the chief of adult neurosciences and neurosurgery at the Seton Brain and Spine Institute in Austin, Texas. It included Green, head athletic trainers, team doctors, and Tony Clark, the union’s director of player relations.

Halem said that several medical experts on the committee recommended the seven-day DL as a way to address one of the most fundamental challenges to evaluating players with concussions. He said medical research has shown that the average concussion — not the more serious ones suffered by Morneau, Bay and Hill, of course — clears within five to seven days.

“The problem that baseball had with the 15-day disabled list was that the clubs were reluctant to put a player on it for 15 days if he could be back in seven days,” Halem said. “So some players who maybe should have been on the disabled list probably weren’t.”

The committee met at the winter meetings in December and held numerous conference calls before finishing their proposal. It was submitted to Selig, who approved it, and then sent to the players’ union before it was put into effect.

“Player safety is a major concern of the collective bargaining parties, and these new protocols and procedures should enhance our ongoing efforts to protect the health of players and umpires,” MLBPA executive director Michael Weiner said in a statement.

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