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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.  

The Whole Body of Work

June 27, 2016

From time to time over the years, criticism has been leveled at the Michigan High School Athletic Association because an MHSAA publication cover lacked a certain number of photos of females or minorities, or a certain balance of large schools or small schools or nonpublic schools ...

My response has always been, “Don’t base your opinion on one cover. Look at the whole body of work. Look at the covers across all sports and an entire year.”

So, when there was recent criticism that our football practice policy wasn’t progressive enough, that it allows (in theory only) too much time for contact drills, my response is: Look at the entire body of work.

The MHSAA was one of the first states in the nation to limit contact in football practice, both preseason and regular season. Some states still do not.

Some of the states which appear to have more restrictive practice policies in the fall also allow football practice in the spring, which actually increases exposure to injury. Michigan does not.

Some states which appear to have more restrictive practice policies in the fall also allow contact at out-of-season football camps, which actually increases exposure to injury. Michigan does not – never has allowed its players to participate in contact drills at football camps, a policy to which some states are returning because of the safety concerns we’ve always had in Michigan.

Some states allow students to participate in five, six or even eight quarters of football games in a single week. In Michigan, students can play in one game only during any five day period, never two, and never part or all of a JV game one day and part or all of a varsity game another day during the same week. That’s been Michigan’s rule for decades, and some states are finally moving in that direction.

  • The MHSAA is the first and only state to provide concussion care gap insurance at its own cost to assure all students have prompt and professional medical attention without the worry of unpaid medical expenses. This is for all students in all levels of all sports, practice and competition, grades 6 through 12.

  • The MHSAA conducts the nation’s largest high school association managed sideline concussion detection pilot program.

  • The MHSAA conducts the nation’s broadest and deepest high school association managed concussion reporting system.

There is still more to the whole body of work – but the point is made. Criticism of the MHSAA for lack of attention to participant safety – in football or any other sport – is wholly unjustified.