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Concussion Care Continuum

June 2, 2015

The concussion care continuum is of equal importance from start to finish, but some of the stops along the way are more in the MHSAA’s area of influence than others, so they are receiving more of our attention.

We would never say that removal-from-play decisions are more important than return-to-play decisions. However, because the removal decisions occur at school sports venues by school-appointed persons, while the latter are made at medical facilities by licensed medical personnel selected by students’ families, the MHSAA is giving the removal process more attention than the return.

This helps to explain why the MHSAA is orchestrating pilot programs where volunteering member schools will be testing systems during the 2015-16 school year that may assist sideline personnel at practices and contests when assessing if a concussion event has occurred and that player should be withheld from further activity that day. The buzz that these pilot programs is creating will increase everyone’s attention on improving sideline concussion management. For more information, click here.

The MHSAA has always believed it shared a role with local schools and health care facilities and professional organizations of coaches and school administrators in the education of coaches, athletes and parents. This remains our first and foremost focus on the concussion care continuum.

But the pilot programs, and more specific requirements beginning in 2015-16 to report head injury events, demonstrate that the MHSAA is moving further along the continuum to assist the entire concussion management team. As we do so, our focus is on all levels of all sports for both genders, grades 7 through 12, with attention to both practices and competition.

Youth Should be Served

December 26, 2013

A half-century ago, youth sports were not well organized. Children directed most of their own games, playing each sport in its season, moving from touch football in the side yard to basketball in the driveway to baseball in the vacant lot where an apartment building now stands. They walked or rode their bikes to the venues, they brought their own equipment, they chose up sides and they agreed upon the playing rules and ground rules.

Even if young people played on a community team, they spent more time in pickup games on makeshift fields, courts and diamonds than they did in uniforms at the groomed settings of the formal youth league games.

Gradually, the leagues multiplied and the ability groupings stratified. Elite teams were created consisting of the more talented kids, who were really just more mature for their age; and they were provided with the most games, the longest trips and the largest trophies. It didn’t take long for the other players to feel second class and to drop out of one sport or all sports. In time, even some of the “good” players succumbed to overuse injuries and emotional burnout.

By the time most students reached the earliest grades for school sports, many had already found different ways to spend their time. It is often cited and well-documented that, today, 80 to 90 percent of all youth who ever started playing organized sports have stopped doing so by age 13. Before high school.

So it occurs to me that school districts should have both altruistic and selfish reasons to rethink their approach to junior high/middle school sports, which is now to engage students too late and offer them too little. Schools might be able to provide a better experience for the youngsters and create an earlier and stronger relationship with the philosophies of educational athletics at the junior high/middle school level, and that ultimately will strengthen high school athletic programs.

This pursuit will take great care in order to assure that schools themselves do not make the same mistakes we have seen in overzealous youth sports programs. We will have to find the balance where multi-sport experiences are encouraged so middle school students can experiment with new sports and discover what they might really like and be good at, while at the same time provide enough additional contests that interscholastic programs are a more attractive option than non-school programs that may always allow more contests than school people will allow within an educational setting.