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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.

Best Practices

April 10, 2012

For decades, football has had the greatest participation among high school sports.  In recent years it’s become the greatest spectator sport as well. Today, MHSAA Football Playoff revenue exceeds that of Boys and Girls Basketball Tournaments combined. And if I ever want to generate comments to a blog, all I have to do is mention football.

I can write either the most inspired or inane words about most topics, and not generate a comment.  But mention “football,” and opinions come fast and usually furious.

So it was with my eyes wide open that I challenged some “sacred cows” in my posting of March 20, questioned some of the standard operating procedures of high school football practice, and predicted that we will soon be making some changes in the sport I played through four years of college and coached in high school and to which I owe more of my character development than any other sport.  I knew some readers would call me out of date and out of touch, knowing nothing of my past or my passion.

I knew some readers would challenge any comparison made with college and professional players, asserting that older players need fewer practices with less contact because they already have the skills and techniques of blocking and tackling.  However, they miss the fact that it is the younger and still growing body that needs more care and caution, not less.  Less hitting, not more.  More heat and humidity acclimatization, not less.

I knew some readers would complain about diminishing time to develop young players, overlooking the proliferation of camps, clinics, combines, 7-on-7 leagues and the like which have improved skills and conditioning for many athletes prior to the official start of practice.  If that were not true or if we would dial down the out-of-season demands, then I might not join the amassing advocates for reduced in-season practice demands.  But sadly, it is true; coaches already have these kids year-round.
 
On the same day that I posted predictions of changes for football practice policies in Michigan, including more days before pads and fewer days with double sessions, the Georgia High School Association adopted policies that did just that, requiring five days of practice before the first with full pads and prohibiting two-a-day practices on consecutive days.

Such changes reflect the growing body of evidence regarding “best practices” for high school football, including the recommendations of the American Academy of Pediatrics, the Centers for Disease Control and Prevention, and the National Federation of State High School Associations.  This train has left the station; and Michigan should be an early stop, an early adopter of practice policies modifications.  We put our players, coaches and selves in peril if we ignore the evidence.

I’m embarrassed to say that for too long I avoided this topic because I knew it would bring ridicule.  Then recently, a young but experienced head football coach told me that these are the kinds of changes that football needs.  Needs to keep the game attractive to kids; and needs to keep the game safe for kids.