About 27 percent of all injuries in girls soccer are concussions.

Concussions have been a fear of high school coaches for years, particularly in such physical sports as football.

But a recent study indicates the biggest rise in concussions proportionally comes in girls soccer, which according to the study has more than any sport, including football.

The data, which says about 300,000 adolescents suffer concussions annually while participating in organized athletics, indicates approximately 27 percent of all injuries in girls soccer are concussions. Football, in comparison, is at 24 percent.

What’s more, girls tend to have more concussions than boys, according to the study conducted by Northwestern University orthopaedic surgeons Michael S. Schallmo, Joseph A. Weiner and Wellington K. Hsu.

They researched how concussions impact nine different high school sports, which also include boys soccer, girls basketball, boys basketball, girls softball, boys wrestling, girls volleyball and boys baseball.

“Concussions have impacted my Eastside girls teams the last two years,” Rams coach Sergio Quintana said. “We lost two girls to concussions each for over four weeks.

“The reinstatement protocols are lengthy, but very necessary.”

Quintana pointed out a Washington Post article that said if you compared in games played, football has more concussions than soccer, but agrees it is a serious problem in girls.

“Just the other day my daughter was out with a concussion playing club soccer,” he said. “Not all players in soccer have a lot of playing experience, don’t know how to fall, it’s all new to them dealing with the challenges of soccer. A lot of kids hit their head on the turf and end up with a concussion or a ball is hit into their face.”

About 2.1 million total concussions occurred nationally among high school athletes between 2005-2015 in the nine sports considered, according to the study. Since traumatic brain injury became a serious health issue since 2009, a significant higher proportion of concussions were seen for girls over boys.

The study concluded that concussions have increased, even after more education and better recognition of the injury.

“To our knowledge, this is the first study to report that concussions now account for a higher proportion of injuries in girls soccer than boys football,” according to the researchers. “By identifying differences in the proportion and rate of concussions in high school sports, this study may help to inform future work aimed at examining specific risk factors and developing targeted measures to reduce concussion incidences.”

There is a giant misconception that there are more concussions in football, when the biggest continues to be in soccer, said Kyle Niblett, public relations specialist with the Florida High School Athletic Association.

With football practices beginning July 30, coaches are required to see a FHSAA video on concussions. The same will happen when the start of soccer draws closer.

“We have a concussion protocol in place,” Niblett said. “We try to educate on the front end so coaches know what to look for.

“Back in the 1990s, there wasn’t as much concussion awareness, especially in youth soccer. Now there is such an increase in awareness about this topic, and education is a big piece.”

Quintana credits the FHSAA with putting a protocol in place for coaches, and said with trainers on hand it makes the game safer. But unfortunately, injuries happen.

“I think the education and the protocol is good, I don’t know if there is that much more FHSAA can do,” he said. “Referees maybe could call tighter games. I would like to see a tighter game called.”