A Coroner’s Call: Why Football Can No Longer Ignore the Science on CTE

The recent coronial inquest into the death of Gordon McQueen has once again forced football to confront an uncomfortable truth.

The former Manchester United and Leeds United defender was renowned for his aerial prowess. But decades after his playing career ended, McQueen was diagnosed with dementia. The coroner has now formally linked his condition to repeated heading of a football. This is a landmark acknowledgement that many in the scientific community say has been years in the making.

For Ian Greener, Australia’s HEADSAFE representative and former State Director of Coaching at Football Victoria, the ruling should be a turning point.

“The evidence has been there since 2019,” Greener tells Soccerscene. “But the general public and much of the football community have simply not been told.”

The Research Football Can’t Ignore

Much of the modern understanding of Chronic Traumatic Encephalopathy (CTE) in football stems from the work of Professor Willie Stewart at the University of Glasgow. Commissioned by the English FA and PFA, his landmark 2019 FIELD study found former professional footballers were three-and-a-half times more likely to develop neurodegenerative disease. For defenders, that risk rose to five times more likely.

Stewart then spent years re-examining his findings through analysing lifestyle, alcohol consumption, social factors and broader health variables across tens of thousands of records.

“He looked at everything,” Greener explains. “Drugs, diet, social background. After years of further research, he came back to the same conclusion — there is no other explanation apart from repeated head impacts.”

CTE differs from concussion. Concussion is visible and immediate. It can be identified through dizziness, nausea and blurred vision. CTE is silent. The damage accumulates over decades and can only be confirmed post-mortem through examination of brain tissue.

Greener explains the science in simple terms: repeated head impacts cause the brain to move within the skull, stretching neurons. This releases tau protein, which clumps together over time and disrupts electrical messaging in the brain. The result can be memory loss, personality change, aggression, anxiety, and in some cases, suicidal behaviour.

“It’s not about frightening people,” he says. “It’s about understanding brain health.”

Not About Banning Heading

HEADSAFE, founded by the family of former Middlesbrough player Bill Gates after his battle with dementia, operates across three fronts: research support, financial assistance for affected families, and coach education.

“We are not about banning heading,” Greener stresses. “Heading is an integral part of football. What we’re saying is: minimise the repeated heading in training. Most of the damage is done there.”

In England, guidelines already exist. Children under 12 are not permitted to practise heading in training. Though monitoring is difficult, In the Premier League, players are advised to limit high-force headers to around 10 per week. In Scotland, players are not permitted to head the ball the day before or after a match.

Australia, however, has no formalised CTE-specific guidelines.

Greener says attempts to engage both Football Victoria and Football Australia have so far gained little traction. Instead, he has taken the message directly to clubs, academies and grassroots coaches through workshops and podcasts.

“We just need a module in coach education,” he says. “If we’ve embraced sports science in nutrition, recovery and match analysis, then we also have to embrace the science on repeated head impacts.”

What concerns Greener most is not just the science, but the time lag between evidence and action. “This was once considered an old person’s disease,” he says. “But the science now shows it begins much earlier. The symptoms might not appear for decades, but the damage can start in youth.” He argues that brain health should sit alongside hydration, nutrition and recovery in every coaching curriculum. “We talk about load management for muscles. Why wouldn’t we talk about load management for the brain?”

A Duty of Care

The urgency is heightened by the rapid growth of the women’s game. Emerging research suggests female players may experience head impacts differently due to chemical and physiological factors.

“It’s about duty of care,” Greener says. “My grandson has just started playing. I want to know that whether I’m there or not, he’s protected.”

McQueen’s case has placed the spotlight firmly back on football’s responsibility. With further inquests pending in the UK, including that of Bill Gates later this year, pressure is unlikely to ease.

Football has adapted before — from concussion substitutes to advanced medical protocols. The next step, Greener argues, is simple:

“Make every header count. Don’t do 30 or 40 for the sake of it. Protect the brain, protect the player, protect the future of the game.”

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Marie-Louise Eta makes history as new Union Berlin head coach

In an historic appointment, Eta will take over as head coach of Union Berlin until the end of the season.

History in the making

Previously the first female assistant coach in Bundesliga history with Union Berlin, Eta will now take the reigns of the men’s first team on an interim basis.

Currently, the club sit in 11th place in the Bundesliga table, but with only two wins so far in 2026, relegation appears an all-too-real prospect, and one which the club is desperate to avoid.

“Given the points gap in the lower half of the table, our place in the Bundesliga is not yet secure,” said Eta via official media release.

‘I am delighted that the club has entrusted me with this challenging task. One of Union’s strengths has always been, and remains, the ability to pull together in such situations.”

Eta will begin as Union’s new head coach with immediate effect, and will be in the dugout for the club’s matchup against Wolfsburg this weekend.

 

A step into an equal future

Eta’s appointment signals a major step towards a more level playing field in the football landscape.

Furthermore, Eta joins other coaches including Sabrinna Wittmann, Hannah Dingley and Corinne Diacre who, in recent years, have blazed a trail for female coaches to step into the men’s game.

Wittmann currently manages FC Ingolstadt in Germany’s third division, and was the first female head coach in Germany’s top three divisions.

In 2023, Dingley became caretaker manager of Forest Green Rovers, and thus the first woman to lead a men’s professional team in England.

Diacre, now head coach of France’s women’s national team, managed Ligue 2’s Clerment Foot between 2014 and 2017.

 

Final thoughts

The impact therefore, is that Eta’s appointment will show future generations of aspiring female coaches that men’s football is an equally viable and possible pathway as the women’s game.

The time is now to level the playing field.

And while it may be a short-term role, its effect on attitudes towards equality and fair opportunities in the game will hopefully resonate long after the season ends.

“20 Years Ahead”: The System Quietly Reshaping Korean Football

For all its consistency, Korean football has long carried an underlying tension.

On paper, it works. The national teams remain competitive, the player pool is technically sound, and the country continues to produce athletes capable of performing on the continental stage. But beneath that surface-level success, a more uncomfortable question has persisted about whether Korea has been simply maintaining its position while others evolve.

That question has driven the Korea Football Association (KFA) toward one of the most ambitious structural overhauls in modern football development: the Made in Korea (MIK) Project. Rather than focusing on short-term gains or isolated improvements, the initiative attempts to do something far more complex. It is rebuilding the foundations of how football is taught, understood and executed across the entire ecosystem.

Internally, the project has been described as having “brought Korean football 20 years ahead.” Whether that claim ultimately proves accurate remains to be seen, but what is already clear is the scale of the shift taking place.

From talent to system

The starting point was not talent, but structure. For years, concerns had been growing within Korean football circles about a lack of uniqueness in players, inconsistencies in long-term planning and an over-reliance on safe, risk-averse styles of play. The system, while producing disciplined and technically capable footballers, was not consistently producing players equipped to thrive in the most demanding environments. Environments such as Europe, where tempo, decision-making speed and adaptability define success.

Rather than attempting to patch these issues, the KFA chose to reimagine the system itself.

At the core of the MIK Project is the idea that high performance is not the result of individual excellence alone, but of an interconnected structure that allows that excellence to emerge consistently. Coaching, sports science, performance analysis, leadership and education are no longer treated as separate pillars, but as components of a single, integrated system designed to evolve continuously.

A new operating model

This philosophy is most clearly expressed through the project’s adoption of a cell-based operating model. In place of traditional hierarchies, the system is organised into small, cross-functional units, called “cells”. These cells are given autonomy over their work while remaining connected through shared frameworks and objectives. Each unit is responsible not only for delivery, but for learning, adapting and refining its approach on a constant cycle.

The intention is to bring decision-making closer to the pitch, allowing those working directly with players to respond faster and more effectively to the realities of the game. In an environment where marginal gains are often decisive, that speed of adaptation can be critical.

Closing the gap

Yet structure alone is not enough. The project is equally shaped by a clear-eyed assessment of where Korean football currently stands in relation to the world’s elite.

Comparative analysis has highlighted several consistent gaps: technical execution under pressure, the ability to operate at higher game speeds and effectiveness in decisive moments such as one-on-one situations. These are not deficiencies of talent, but of context. Korean players, while highly capable, have often developed within systems that prioritise control and precision over risk and spontaneity.

The consequence is a style that can become predictable under pressure.

Training for reality

To address this, the MIK Project has fundamentally shifted training methodology. Sessions are increasingly designed to replicate the intensity and unpredictability of real matches, placing players in situations where decisions must be made quickly, under pressure, and often in confined spaces. The focus is no longer on rehearsing ideal scenarios, but on preparing players for imperfect ones.

This approach reflects a broader philosophical shift that prioritises adaptability over perfection, and decision-making over repetition.

Evolving the Korean identity

Importantly, this evolution does not come at the expense of Korea’s existing strengths. Discipline, work ethic and technical proficiency remain central to the national identity. What the MIK Project seeks to do is build upon those foundations, combining them with the creativity, speed, and tactical awareness required at the highest level of the game.

It is, in many ways, an attempt to reconcile tradition with modernity.

A global ambition

The ambition underpinning the project is unmistakable. The KFA is not simply aiming to remain competitive within Asia, but to re-establish itself among the world’s leading football nations. That means producing players capable of not only reaching Europe, but succeeding there.

More than a project

What makes the MIK Project particularly compelling is that it does not present itself as a finished solution. Instead, it is designed as a system that evolves, adjusts and refines itself over time. In a sport where trends shift rapidly and competitive edges are constantly eroded, that capacity for continuous development may prove more valuable than any single innovation.

For other football nations, Korea’s approach offers an instructive case study. While many federations continue to debate philosophical direction, the KFA has committed to structural transformation, embedding its ideas not only in theory, but in practice.

Whether the project ultimately delivers on its boldest ambitions will depend on time, execution, and the unpredictable nature of the game itself. But one thing is already evident.

Korean football is no longer standing still.

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