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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.

What Sport Looks Like

April 9, 2013

The decision of the International Olympic Committee to eliminate wrestling from its schedule of events is deplorable for more reasons than I have room to describe here.  Many others have expressed their outrage, which I share; and it looks like there will be a concerted effort to have the IOC reverse itself.

Notwithstanding all the angst it created and has yet to endure, the IOC’s policies and procedures are intriguing, and possibly useful.  They go something like this.

Periodically, the IOC requires each of the designated Olympic sports to defend its status, to state their case why the sport should remain a part of the Olympic program.  Then, after a series of votes that retain one sport at a time, the IOC drops the sport that makes the weakest case.  It does so to make room for one of the previously unlisted sports that makes the best case for inclusion.

This would appear to keep the existing Olympic sports on their toes, and to keep the Olympic movement fresh and reflective of modern trends in sports.

While I would not enjoy the controversy, I can see the potential for some positive results if the MHSAA were to invoke the same policy for determining the 14 tournaments it will provide for girls and the 14 for boys.

This might cause us to consider more deeply what a high school sport should look like, or at least what an MHSAA tournament sport should stand for.

On the one hand, we might be inclined to delete those sports that involve mostly non-faculty coaches and non-school venues, or require cooperative programs to generate enough participants to support a team, or resort almost entirely to non-school funding, or cater to individuals more than teams.

Or perhaps this process would cause policymakers to forget traditional thinking and ask:  “In this day and age, should we shake off traditional notions of sport and consider more where modern kids are coming from?”  That might mean fewer team sports and more individual sports, more “extreme” sports like snowboarding and skateboarding, and more lifetime sports, meaning not just golf and tennis and running sports, but also fishing and shooting sports.

Is the only question how many schools sponsor a sport, or must an activity also have certain qualities and/or avoid certain “defects?”  What should an MHSAA tournament sport look like and stand for?