Fourth Down and Inches

Starred review from July 29, 2013
McClafferty (The Many Faces of George Washington) sounds a dire warning about the dangers of playing football, especially at the youth level. As the first four of the book’s 16 chapters point out, controversy surrounding football is as old as the sport itself: “As the number of football-related injuries and deaths grew during the 1905 season, even Roosevelt wondered if this would ultimately lead to the death of the game.” The author, who readers later learn lost her toddler son to successive head injuries, presents story after poignant story of high school and professional players who suffered brain damage or worse. Among their profiles are details of research studies, photos of MRI images and damaged brain tissue, and explanations of chronic traumatic encephalopathy (CTE) and second-impact syndrome. The book builds a damning case against playing high-risk-of-concussion sports, though the narrative doesn’t preach: “This is not now and will not ever be a simple issue,” writes McClafferty in closing. This thoroughly researched and of-the-moment work concludes with appendices that include concussion symptoms and return-to-play guidelines. Ages 11–18. (Sept.)■

September 1, 2013

Gr 5 Up-With both historical research and in-depth analysis of modern scientific studies, McClafferty has written an essential book concerning the hidden dangers of concussions in football. What starts out as a history of the early years of the game succinctly transitions into the modern dangers of America's most popular sport. Deftly placed, captioned images help to explain the effects that concussions have on the brain. Readers will relate to the personal stories the author tells concerning both young athletes in their prime and older athletes who have seen their lives deteriorate not long after their playing days are over. This book could serve report writers, but, more importantly, it can be a guide to parents and young athletes on how best to monitor and minimize head injuries. Endnotes include tips on how to tell if someone has concussion symptons. Extensive source notes and a lengthy bibliography are included. An important and enlightening addition for all collections.-Keith Klang, Port Washington Public Library, WA

Copyright 2013 School Library Journal, LLC Used with permission.

July 15, 2013
A well-researched and readable informational text on sports concussions provides a strong case for greater understanding and awareness of their long-term effects. Concerns about concussions in sports, especially football, have been increasing over the years and are particularly critical for young athletes. Worry about the violence and potential for serious injury have been part of football's history almost from the beginning. It was close to being banned in Georgia after the death of a University of Georgia student in 1897. The sport's possible brutality merited the attention of President Theodore Roosevelt in 1905, when he invited representatives from Harvard, Yale and Princeton to a meeting at the White House. But it survived and thrived. Improved technology, heightened awareness and high-profile cases of chronic traumatic encephalopathy (brain injury) have served to focus attention on the problem. In addition to providing historical context, McClafferty provides a clear and highly readable narrative by weaving in stories of affected athletes and researchers studying the problem. Along with the engaging writing, this volume has an arresting design that uses a catchy page layout, bold graphics and an excellent selection of photographs. A lofty level of research is reflected in the extensive backmatter, which includes source notes, an index, a bibliography and further reading as well as a medically approved list of concussion symptoms and return-to-play recommendations. An important read for young athletes and the adults who care about them. (Nonfiction 11-18)

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September 1, 2013
Grades 8-12 Anyone paying attention to football knows the concussion controversy is in sudden-death overtime. In this timely, well-thought-out overview, McClafferty explains how we got here, what concussions are doing to kids and young men, and where we might go from here. From the 1890s, football's appeal was its very roughness, and though 10 or 20 were dying of injury per year, even President Roosevelt supported the game. New rules led to fewer physical injuriesbut there's the rub. Got a broken bone or torn ACL? You're rushed off the field. But even diagnosing a brain trauma is tricky. Cutely termed head ringers back in the day, concessions are deadlythe stories of NFL players ruined in their early thirties or high-school players killed on the field are heartbreakingand McClafferty counters the no pain, no gain culture with graphics, brain scans, brain samples, and details of new studies tracking how concussions lead to devastating legacies of dementia and trauma. Solid, powerful materialthis ought to make any football fan contend with the harsh realities of the sport.(Reprinted with permission of Booklist, copyright 2013, American Library Association.)