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Concussion Concerns

May 29, 2012

The MHSAA has been concerned for many years with the need for heightened awareness of concussions.  For example:  

  • In 2000 the laminated card “Head Injury Guide for Trainers and Coaches,” provided by St. Johns Health Systems, was distributed in quantities to every MHSAA member school.
  • The following fall, 20,000 laminated “Management of Concussions in Sports” cards, a joint project of the American Academy of Neurology and the Brain Injury Association of Michigan, were distributed to schools.
  • In the summer of 2005 the video “Concussions and Second Impact Syndrome” was provided at no cost to every MHSAA member high school.
  • In the fall of 2007 the DVD “Sports Head Injury,” a project of Henry Ford Health Systems, was provided to every MHSAA member junior high/middle school and high school.

All of this and many other efforts have been provided at no cost to our member schools, and continue to be provided at no cost to these cash-strapped institutions.

In 2010, the MHSAA adopted strong return-to-play protocols for students with concussions and suspected of being concussed.  Under our rule, any athlete who exhibits signs, symptoms or behaviors consistent with a concussion must be removed from competition.  Furthermore, our rule clearly states that if a student is removed from play due to a suspected concussion, that student cannot return to play that day and must be cleared in writing by an MD or DO prior to returning on any later day.  And the rule has a strong enforcement mechanism:  if a school allows a concussed student to return to play without the written authorization of an MD or DO, that is the same as playing an ineligible athlete and results in forfeiture of the contest.    

The MHSAA’s website posts training tools for athletes, parents and coaches, including those of the Centers for Disease Control, and three free online courses – one from CDC, one from the National Federation of State High School Associations and the third from Michigan NeuroSport at the University of Michigan.  The “Parent’s Guide to Concussion in Sports” has been widely distributed to school administrators, coaches, students and parents.

During this school year alone, nearly 20,000 high school coaches and officials will complete a rules meeting requirement that, beyond basic playing rules, is dominated by information regarding head trauma prevention, recognition and after care.  

We welcome help in this effort from professional sports organizations.  However, if professional sport leagues want to make a meaningful contribution to this topic in this state and other states, they must do more to change the culture of their programs.  All of our collective efforts on this topic are undermined when a professional player gets his “bell rung” in a nationally-televised game and returns later to that game, or is carried off the field or court one day and returns to play the next.  These nationally-televised tragedies-in-waiting may send the message to our youngest athletes and their parents and coaches that concussions are not serious.

This is not merely a football issue.  For us, it’s also an issue for soccer, ice hockey, wrestling, lacrosse and almost every sport we serve.  Furthermore, this issue is but one of several compelling health and safety issues in school sports that deserve our attention and must receive it every year to help local schools whose resources have been so severely reduced in recent years.  

Fit to Fly

February 3, 2017

I suppose I’ve flown more than a half million miles on commercial or chartered aircraft. Nevertheless, it still amazes me to witness a large passenger jet lift off the earth and take to the sky.

Sometimes it has occurred to me that, with enough thrust, almost anything can be made to fly. Of course, the more aerodynamic the object, the less power is needed to send the object into the sky and keep it there.

The metaphor is obvious.

If there is enough force behind it, almost any idea can take flight. However, the best ideas take flight with little effort ... they have been fitted for the intended purpose and the environment ... while bad initiatives require extraordinary effort to get up and keep going.

This doesn't suggest that leaders should always take the path of least resistance. But it does mean leadership should count the costs. Is the amount of effort required to launch an initiative worth the collateral damage? Is the amount of energy required to maintain an initiative worth the results?

The image some people have of the current proposal to seed Boys and Girls District and Regional Basketball Tournaments is of an ungainly object being thrust into the air. It can be done, but should it be done? Will the result be worth it?

The proponents want the Michigan High School Athletic Association to adopt and modify a system used to seed the NCAA Division I Men's Basketball Tournament. That's a tournament limited to just 68 of 350 universities that sponsor Division I men's basketball programs. One person collects the scores of all the games involving those teams and enters the data to compute the strength of each team’s record and schedule.

But the MHSAA tournament involves 750 varsity teams for boys and nearly the same number of varsity teams for girls which together play approximately 27,500 games in a single season. There are often more than 350 high school varsity basketball games on a single evening. One person is NOT going to be physically able to collect all those scores and enter all that data. And the MHSAA would be foolish to think that it could be accomplished, and irresponsible to have the basketball tournament experience depend on such a scheme.

Well-intentioned people have unrealistic expectations about this. They don't appreciate the amount of resources the MHSAA would have to put into making this thing fly. We could do it by mandating that every school use the same schedule and score software and conditioning a school’s tournament participation on 100 percent compliance with score reporting.

But even if we launch it and apply even more force to keep it in the air, we have to wonder about the fairness and outcome of easing the path in the MHSAA Basketball Tournaments for teams which had the best regular-season records, at least up to some point before the end of that season when the number crunching would have to stop and pairings and sites would need to be announced.

Three of the four state high school associations that border Michigan have seeding for their high school basketball tournaments (basketball crazy Indiana does not). But those three state associations seed only the first round of the tournament, and those three use no fancy formula ... they have the coaches of the teams assigned by geography to the tournament site meet to separate the better teams in the earliest games.

If there is to be seeding in MHSAA Basketball Tournaments – and that’s a big if – our neighboring states’ approach is more practical and better fitted for an all-comers tournament at the high school level. That might fly, and stay in the air without excessive force.